C468 INFORMATION MANAGEMENT AND THE APPLICATION OF TECHNOLOGY

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C468 INFORMATION MANAGEMENT AND THE APPLICATION OF TECHNOLOGY The ability to recognize when information is needed as well as the skills to find, evaluate and use needed information effectively. Cor... rect Answer: Information Literacy How does info literacy support EBP in nursing? Correct Answer: Nurse can use research and apply/consult resources/peers/internet An integration of nursing science, computer science, and information science. The unique combination of sciences creates a blend that is greater than the sum of its parts. Correct Answer: Nursing informatics Data that has been interpreted Correct Answer: Information How is info related to data? Correct Answer: Information is data interpret This is the focus on how to gather process and transform information into knowledge. It also incorporates features from these 5 other sciences: communication science, computer science, social science, library science and cognitive science. Correct Answer: Information Science Using the EHR to document care of a patient with a femur fracture is an example of using the EHR in which way correct Answer: Information System An elemental process within informatics where one can file, store, and manipulate data. Correct Answer: Information Management Knowledge vs. wisdom-- Correct Answer: wisdom is knowledge that is applied in an appropriate manner Common features of Health Info Systems: Correct Answer: Comprehensive medical hx, unique way they function and provide info clinicians, collects/processes/distributes data to manage and provide care ROM used by computer when it's turned on-- Correct Answer: BIOS input/output (I/) system The study of the connection between the brains and minds way of collecting and processing info. Correct Answer: Cognitive informatics The component of cognitive science that uses computer modeling through artificial neural networks to try to explain human intellectual abilities. Correct Answer: Connectionism A process of various ways of understanding and examining the moral life. Correct Answer: Ethics A social convention about right and wrong human conduct that are so widely shared that they form a stable general agreement Correct Answer: Morals A theoretical framework that emerged as a foundation for ethical decision making Correct Answer: Principlism The ease of learning a computer application, and other issues of human performance. Correct Answer: Usability The key concepts of nurse, person, health and environment. Correct Answer: The Metaparadigm A rule based system that uses a knowledge base and a set of rules to make action recommendations Correct Answer: Decision Support System How can using simulation technology with your patients improve overall outcomes— Correct Answer: By allowing them hands on practice and immediate feedback of the skill being learned Nurses in this type of role are continuous learners, use technology to support and inform nursing practice, and generate knowledge as a product. Information is a nurse's primary resource Correct Answer: Knowledge Workers T or F beginner nurses are expected to fully integrate informatics, not just the basics, and pull trends Correct Answer: False, experienced nurses Uses data applications and sifts through large amounts of data and looks for previously hidden trends Correct Answer: Data Mining T or F nursing informatics as a specialty currently doesn’t have a certifying exam Correct Answer: False Clinical practice guidelines can allow for the creation of nursing policies. They are also examples of clinical decision support tool. T or F Correct Answer: True CPOE, barcode medication administration and clinical decision support are all examples of what? Correct Answer: Information Technology What is the name used to process by which the physician or provider enters orders electronically into the system— Correct Answer: Computerized Physician Order Entry (CPOE) T or F A radio frequency identifier (RFID) is a type of technology that is used to identify and track supplied and medication within a healthcare environment?—also used to track medical equipment and patient location Correct Answer: True T or F, CDS, Clinical pathways and computer generated care plans are examples of how information can affect nursing practice Correct Answer: True The use of technology and information to help support all aspects of nursing practice. Barcode scanning for medication administration Correct Answer: Nursing Informatics This is the basis for which knowledge is used to meet the needs of the healthcare delivery system. It is derived from its 3 key elements of knowledge: 1. acquisition 2. knowledge processing 3. knowledge dissemination Correct Answer: The Foundation of Knowledge Model A patient's height, weight, code status and date of birth are all examples of what? Correct Answer: —Data. Once you take data, analyze and interpret it, it then becomes information. What is not an emerging trend in healthcare? Correct Answer: Less consumer accountability This is the purpose or reason for an organization's existence. Correct Answer: Mission This is the development of a comprehensive long-range plan for guiding the activities and operations of an organization Correct Answer: Strategic Planning What is not a reason why it's important that selection committee board members understand software and electronic processes? Correct Answer: —they will need to become trained on the system. They aren't the end users who need to be trained in the system. They just have to have a general understanding of it. Strategic planning is driven by all of the following except? (Short term goals, organizations mission and values, services offered or long term goals) Correct Answer: Short term goals What is not a national trend related to nursing informatics? — Correct Answer: Blogging by means to give rapport During which phase of the information system life cycle should the "musts" and "wants" be determined? Correct Answer: Needs Assessment Information System Lifestyle Correct Answer: 1) Needs assessment phase—gap analysis; determine needs and wants in an information system. 2) System selection phase—Organization seeks out Vendor Company that provides a system that best fits the needs. Have 3 documents that are used. Request for information document—Initial contact that the organization has with the vendor. Get essential information about the company like history. How many other organizations have used them? ▪ Request for Proposal document—Organization prioritizes or rates their needs and wants. Sends the outline to the vendor and asks if they can meet this need. ▪ Request for Quote document—pricing, finances. Contract terms. 3) System implementation phase—Go live planning. Training staff. Analyst starts building screens and templates according to organization and its policies. Makes any changes specific to that organization. Go live. 4) Maintenance phase—problem solving, any debugging. Files backed up routinely and install any system upgrades. Make sure it's working as intended. This term defines the size and details of a collaborative effort— Correct Answer: Project Scope Why is the nurses’ active participation in electronic patient information important? Correct Answer: —To ensure the information is current and accessible to the healthcare team Which of the following is not the responsibility of the project implementation team? Correct Answer: —Present system design to the management. Which is not a phase of the information system life cycle? Correct Answer: —System evaluation A common request contained in a request for information document includes? - Correct Answer: Company History Which item below does not play a role in system implementation? (Investigating current deficits and needs of the organization go live planning, applying system changes as needed, or end user training) Correct Answer: —Investigating current deficits and needs of the organization Which term best applied when describing the life cycle of an information system Correct Answer: Continuous Which one example is an essential component of the EHR Correct Answer: Evidenced based decision support Which is NOT an essential component of EHR? Correct Answer: Cost of Procedures Which is a function of the EHR? Correct Answer: —Barcode medication administration Which of the following are considered benefits using the EHR? Correct Answer: —Reduces medication error, improves provider documentation. Which is an example of patient support? Correct Answer: —Patient education material such as reducing sodium intake. One primary benefit of EHR is a decrease in wait time for diagnostic testing Correct Answer: —False. Not PRIMARY What is the primary goal of EHR functionality in contrast to that of a health information system? Correct Answer: —Promotes patient safety Health information system—Administrative information side and critical information Correct Answer: Administration System—Registration systems. Admission, discharge, transfer, financial and billing, scheduling (3 types) Clinical Info System ▪ Lab system ▪ Order entry system ▪ monitoring system Waiting until the end of the shift to document your patient assessments into the HER could be considered a barrier to patient-centered care Correct Answer: True The position of the computer can be seen as a potential barrier if it constricts the view between the patient and healthcare professional Correct Answer: True What potential challenges can occur when implementing an EHR throughout a medical center with various outpatient clinic? Correct Answer: —standardization of data/different data needs for each outpatient clinic Name the type of connection needed to access the EHR when an internet connection is lost? Correct Answer: —LAN—local area network access What patient information would a nurse NOT retrieve from the EHR? Correct Answer: Spouse's medical record How does the EHR help patients receive quality care when going from one facility to another? Correct Answer: —providing continuity of care. Interoperability. The EHR is a longitudinal electronic patient record of all healthcare encounters Correct Answer: —True. Which 2 items could the RN use to access a patient's medications from a med administration system such as a pyxis? Correct Answer: —Barcoded ID card or employee badge, fingerprint (biometrics) This type of health information system ensures the accuracy of physician orders. Correct Answer: Order entry system: A registration system is also commonly referred to as which of the following— Correct Answer: ADT system A group of systems used within a hospital that support and enhance healthcare Correct Answer: Health Info system Why is it important to secure staff nurses active participation when implementing a health information system? — Correct Answer: —Nurses knowledge of current patient care workflow may improve implementation decisions. Why are standardized terminologies important to nursing? Correct Answer: —They improve communication among interdisciplinary teams. Creating economic incentives and policies that providers view as essential to accomplishing their financial and professional goals. Which is NOT an example of a health information system? Correct Answer: Departmental system Which nursing terminology contains nursing diagnoses, interventions, and outcomes specific to the perioperative experience? Correct Answer: —Perioperative nursing data set focuses on intervention terminologies specific to different types of nursing intervention Correct Answer: Nursing Intervention Classification (NIC): focuses on nursing outcomes Correct Answer: Nursing Outcomes Classification (NOC) The development of standardized terminologies in Nursing Informatics is driven by the following principles— Correct Answer: —Accessibility, ubiquity, longevity, and reusability Why is it important that departments collaborate with one another when selecting a health information system? Correct Answer: Collaboration leads to knowledge shared Which is NOT an example of an administrative information system Correct Answer: —Clinical Documentation System Clinical information systems are effective for all of the following reasons except Correct Answer: —It replaces the need for unit training This acronym is used to refer to a standard of interoperability and the exchange of clinical data— Correct Answer: HL7 Health Level 7 Financial systems are designed to do what? Correct Answer: —Manage the expenses and revenue of providing healthcare, report and track fiscal outcomes as they relate to organizational goals and help to determine the organization's strategic direction What challenges might an organization face when trying to implement a health information system throughout their various specialty clinics correct answer: —Identifying the difference data needed for each specialty practice What is a challenge to the adoption of EHealth strategies? Correct Answer: Creating economic incentives and policies that providers view as essential to accomplishing their financial and professional goals. Characteristics of clinical decision support Correct Answer: —Takes your patient specific data or information and analyzes it or compares it against a specific rule, and then it provides some type of recommendation. Provides prompt, alert, reminder. (ie: Helping to build a care plan, saying a patient may be septic based on such and such values, etc). Clinical practice guidelines—can access to see how to do a procedure, treat a condition, clinical decision support by helping guide better care of a patient. Smart infusion pump, clinical pathways (according to patients condition, it lays out what you need to do for the patient from admission to discharge). Electronic drug references to look at info on drugs. (Ie: Lexicomp, Trussel's IV compatibility) 3 principles that help make up an organization's culture of safety Correct Answer: 1. Commitment of resources (organization provides you with training, technology and tools you need to take care of your patients.), 2. Cross collaboration (as members of a healthcare team we are continuously collaborating with one another to devise best tx for a patient), 3. blame-free environment (if there's an error or near event, use as a teaching opportunity. Debriefing to discuss the prevention of this in the future.) o Technology has helped to influence the culture of safety by having doctors put orders in on computer, seeing orders for patients from different departments, giving medication and it signaling if there's an allergy or drug-to-drug interaction with what you're going to give, and cross collaboration with other nurses having to be a 2nd witness (heparin, insulin, PCA pumps, medication waste). Greatest risks to data security are unauthorized personnel gaining access to the equipment and removable storage devices (USB/hard drives). Correct Answer: Information Security 2 governing bodies that obligate nurses to protect patient information Correct Answer: HIPAA and ANA Codes of ethics How does HIPAA help secure pt information? Correct Answer: HIPAA allows patients to have ownership rights to the record. They also have correction rights. This helps to secure patient medical information Physical protection vs logical Correct Answer: Physically protecting patient information—Surveillance cameras, use of restricted area, shredding of paper material. Logical protecting patient information—Installing firewall protection, use of biometrics (fingerprints, scanning of eye), authentication (user specific passwords), automatic sign off. Store and forward technology. Form of transferring data or images from one location to another. (i.e.: Test performed in one area and then transfers results or image to another area to be read or interpreted (CXR, pathology reports, radiology images) Correct Answer: Telehealth Socioeconomic and driving factors for telehealth— Correct Answer: Access to care, to remove geographical barriers, serving rural areas as well. Continuity of care—patient lives far away and needs follow up or are disabled and can't make appointments, could send them home with a mobile monitoring device. Or could video conference. (Telehealth) Ratio of patients as there is available providers—tele-consultants can help. Increase in chronic disease condition. Ethical and legal factors with telehealth Correct Answer: —need for telehealth nurses to keep extensive documentation. Also have to be licensed in every state they practice telehealth. Clinical vs. Non clinical applications of telehealth— Correct Answer: Clinical—transmitting a chest x-ray to be read, mobile device to monitor patient, live video conferencing to check in with patient or caregiver to make sure dressing change is correct or administering medication. o Nonclinical—telehealth nurse is doing research with online database. Administrative team is holding meeting with live video conference, not using for patient purposes What year we computerized nursing care plans. Correct Answer: 1970 What drives healthcare to utilize technology today? Correct Answer: Patient safety issues An interdisciplinary science with a focus on data management and interpretation for complex biological phenomena that are analyzed and visualized using mathematical modeling and numerical methodologies with predictive algorithms. Correct Answer: Bioinformatics The actual process of analyzing and interpreting data. Correct Answer: Computational Biology This type of research is focused on the generation of more research. Correct Answer: Transitional Research Qualitative research: NOT Correct Answer: EBP Refers to digital literature movement available to anyone free of charge with internet access. Correct Answer: Open access initiative [Show More]

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