Nur 272 Exam 1 Questions with Verified
Correct Answers
Informatics
use information and technology to communicate, manage knowledge, mitigate error, and
support decision making
Health Informatics
discipline that uses technology to sort, process, organize and retrieve information in
healthcare so it can be shared among providers and consumers. Focus is on providing optimal
care for patients.
Health care information system (HIS)
group of systems/programs used within an organization to support and enhance healthcare.
examples of HIS
Clinical Information Systems
Administrative Information Systems
Nursing Information Systems
Clinical Information Systems
programs used for lab, radiology, pharmacy, social work, providers, therapies and nurses.
Disciplines can enter and communicate data and coordinate patient care.
Examples of clinical information systems
The EHR
EMR
Clinical Decision Support System within the EHR/EMR
,Monitoring Systems
Order Entry Systems
The EHR
central component of the health informatics infrastructure. Can be shared among multiple
facilities/agencies.
EMR
individual health record within a facility. disciplines within a facility record patient
information for that visit.
Clinical Information Systems are used most often for
documentation
Clinical decision Support System
within the EHR/EMR. Those documenting may see reminders, alerts, prompts, reports, links
which help make clinical decisions at the point of care. supporting information is evidence
based.
example of clinical decision support system
allergy- penicillin and alerts for that allergy. What should I do with this information?
Monitoring System
record information directly into EMR
example of monitoring systems
a patients VS are automatically monitored while in the ICU. this information is automatically
recored to the EHR.
,Order Entry Systems
Allows disciplines to order supplies from another department. Providers place orders for
patient care.
Administrative Information Systems
Program to input patient information for appointments, staff scheduling, etc.
Nursing Informatics
technology to manage and communicate using nursing practice
Nursing Information Systems
Type of Clinical information System. Allows nurses to document, view data, access
information to help make decisions.
Organizes documentation path in user friendly format
Nursing Clinical Decision Support Systems
Clinical Decision Support System specific to nursing. Supporting information is evidence
based.
Links information
Alerts, warnings
example of links information
you identified your patient as a smoker. information on smoking cessation is available.
example of alerts, warnings
1) the nurse does a fall risk assessment on a patient and the score is low indicating a fall risk.
Fall risk interventions are automatically added to the patients nursing intervention list.
, 2) Before you order medications for your patient (as ordered by the physician), an alert
appears on the screen identifying the patients allergies
Standardized information systems and terminology
for nursing, the standardized terminology is ANAs Nursing Process and the approved
NANDA language for nursing diagnosis. This standard language eliminates confusion when
records are shared.
policies and procedures are
set up by the government when implementing an EHR
Certified System
doesn't mean every hospital has the same system, but certain components must by present.
CMS (Centers for Medicare and Medicaid) payment
Must show meaningful use to receive payment. By 2009, or you fo not get payment.
Privacy and security
measures to prevent EHR's from being viewed by just anyone. use log-in codes, firewalls,
auto sign-off modes etc.
HIPPAA
Health Insurance Portability and Accountability Act is legislation that provides data privacy
and security.
HIPPAA is a
meaningful use item
People and workforce
Correct Answers
Informatics
use information and technology to communicate, manage knowledge, mitigate error, and
support decision making
Health Informatics
discipline that uses technology to sort, process, organize and retrieve information in
healthcare so it can be shared among providers and consumers. Focus is on providing optimal
care for patients.
Health care information system (HIS)
group of systems/programs used within an organization to support and enhance healthcare.
examples of HIS
Clinical Information Systems
Administrative Information Systems
Nursing Information Systems
Clinical Information Systems
programs used for lab, radiology, pharmacy, social work, providers, therapies and nurses.
Disciplines can enter and communicate data and coordinate patient care.
Examples of clinical information systems
The EHR
EMR
Clinical Decision Support System within the EHR/EMR
,Monitoring Systems
Order Entry Systems
The EHR
central component of the health informatics infrastructure. Can be shared among multiple
facilities/agencies.
EMR
individual health record within a facility. disciplines within a facility record patient
information for that visit.
Clinical Information Systems are used most often for
documentation
Clinical decision Support System
within the EHR/EMR. Those documenting may see reminders, alerts, prompts, reports, links
which help make clinical decisions at the point of care. supporting information is evidence
based.
example of clinical decision support system
allergy- penicillin and alerts for that allergy. What should I do with this information?
Monitoring System
record information directly into EMR
example of monitoring systems
a patients VS are automatically monitored while in the ICU. this information is automatically
recored to the EHR.
,Order Entry Systems
Allows disciplines to order supplies from another department. Providers place orders for
patient care.
Administrative Information Systems
Program to input patient information for appointments, staff scheduling, etc.
Nursing Informatics
technology to manage and communicate using nursing practice
Nursing Information Systems
Type of Clinical information System. Allows nurses to document, view data, access
information to help make decisions.
Organizes documentation path in user friendly format
Nursing Clinical Decision Support Systems
Clinical Decision Support System specific to nursing. Supporting information is evidence
based.
Links information
Alerts, warnings
example of links information
you identified your patient as a smoker. information on smoking cessation is available.
example of alerts, warnings
1) the nurse does a fall risk assessment on a patient and the score is low indicating a fall risk.
Fall risk interventions are automatically added to the patients nursing intervention list.
, 2) Before you order medications for your patient (as ordered by the physician), an alert
appears on the screen identifying the patients allergies
Standardized information systems and terminology
for nursing, the standardized terminology is ANAs Nursing Process and the approved
NANDA language for nursing diagnosis. This standard language eliminates confusion when
records are shared.
policies and procedures are
set up by the government when implementing an EHR
Certified System
doesn't mean every hospital has the same system, but certain components must by present.
CMS (Centers for Medicare and Medicaid) payment
Must show meaningful use to receive payment. By 2009, or you fo not get payment.
Privacy and security
measures to prevent EHR's from being viewed by just anyone. use log-in codes, firewalls,
auto sign-off modes etc.
HIPPAA
Health Insurance Portability and Accountability Act is legislation that provides data privacy
and security.
HIPPAA is a
meaningful use item
People and workforce
