Copyright © 2024 Pearson Education, Inc
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Handbook of Informatics for Nurses & Healthcare Professionals, 7th Edition by Toni L. Hebda Mel
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ody Rose Kathleen Hunter Patricia Czar
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Chapter 1-20 ma
Chapter 1 ma An Overview of Informatics in Healthcare
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1) Healthcare today should address the Quintuple Aim. What of the following best demonstrate
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s how healthcare information technology might be used to help address disparities in care?
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A) Collect data elements that could be used to identify vulnerable individuals
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B) Use collected data to identify vulnerable individuals
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C) Incorporate GPS locators into predictions ma ma ma ma
D) A and B ma ma
Answer:
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D
Explanation: A) Many demographic and other relevant data elements are/or could easily be co
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llect that could be used to identify vulnerable individuals.
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B) Collected data can be used and leveraged to identify vulnerable individuals.
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C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Oth
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er factors that include familial predisposition, occupational risks, economic level, personal hea
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lth habits, living conditions, and community support all factor into determination of vulnerabil
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ity.
D) Both A and B together comprise the best response
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Cognitive Level: Applying ma m a m a
QSEN Grad. Competencies: A3, B1
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AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
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2) Which of the following best reflects benefits realized from the use of health informatio
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n technology?
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A) Improved safety, improved efficiencies, decreased clinician documentation times
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B) Improved safety, improved efficiencies, improved charge capture, improved communication
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C) Improved safety, improved efficiencies, improved protection of personal health information
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D) Improved safety, improved efficiencies, significant reduction in costs for care, improve
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d protection of patient information
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Answer: B m a m a
Explanation: A) HIT can result in improved safety through measures such as positive patient
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identification and may improve efficiencies but clinician documentation burden is an issue seen
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with poorly designed and poorly used systems.
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B) HIT can result in improved safety through positive patient identification, alerts, and simil
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ar measures. HIT may improve some efficiencies such as improved charge capture and shorte
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ned revenue cycle and theoretically improves communication.
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C) HIT can result in improved safety and improved efficiencies in some respects but despite s
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afeguards to protect patient health information it also increases vulnerabilities in some respects
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.
D) Despite its promise to significantly reduce costs for care costs associated with the purchase and
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mamaintenance of HIT, among other U.S. issues have not resulted in significant reduction in costs fo
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2
Copyright © 2024 Pearson Education, Inc ma ma ma ma ma
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,r care.
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Page Ref: 1-2
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Copyright © 2024 Pearson Education, Inc
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, Cognitive Level: Applying ma m a m a
QSEN Grad. Competencies: A1,4; C1,5
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AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
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3) In which ways can health information technology support the learning health system?
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A) Incorporation of evidence- ma ma
based practice and big data findings to provide care interventions that are proven to be effecti
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ve
B) Real-time analysis of data ma ma ma
C) Integration of devices and the data that they collect to inform care decisions
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D) All of the above ma ma ma
Answer: D
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Explanation: A) Big data findings supplement EBP often providing information and knowledg
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e in a more timely fashion.
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B) Real-
time analysis of data can be particularly useful when healthcare delivery systems and providers
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are facing challenges that are new to them as was seen with the emergence of a body of knowle
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dge relative to the impact of COVID and most successful treatment modalities.
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C) Data streams from all relevant sources provide a more complete picture.
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D) A combination of research and big data findings from a myriad of sources that is analyzed i
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n real time provides a quick turnaround to support, and further improve, care delivered.
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Page Ref: 3-4 ma ma
Cognitive Level: Applying ma m a m a
QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2
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AACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4
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f
4) Which of the following are considered necessary components to create a learning or informatics
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culture? Select all that apply.
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A) Standardized languages and terminologies ma ma ma
B) Data in digital format ma ma ma
C) Interoperability and data sharing ma ma ma
D) Prerequisite information knowledge and skills ma ma ma ma
Answer: A, B, C, D
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Explanation: A) Standardized languages and terminologies ensure that concepts maintain a uni
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form meaning across settings and the ability to generalize results.
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B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, an
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d re-use.
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C) In order to have value data must be shareable which is best attained when systems a
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re interoperable.
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D) Computer, information, and (for the consumer), health literacy are foundational skills in the
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learning health system where data, information, and knowledge are constantly generated as a result
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of care processes as well as the integration of research findings to support best practices for patien
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t care.
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Cognitive Level: Knowledge ma m a m a
QSEN Grad. Competencies: A5; B2, 11; C1, 4 A
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ACN Essen. Competencies: 8.1g; 8.2i; 8.4g
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Copyright © 2024 Pearson Education, Inc
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