C468 Information Management and the Application of Technology WGU questions and answers

Information literacy Defined as the ability to recognize when information is needed as well as the skills to find, evaluate and use needed information effectively Information Term used to describe data that has been interpreted Information science Focus on how to gather, process and transform information into knowledge. It also incorporates features from 5 other sciences -communication science -computer science -social science -library science -cognitive science Information systems Using the EHR to document care of a patient with a fractured femur is an example of using the EHR in which way Simulation Technology Improving patient outcomes. Allowing them hands-on practice and immediate feedback of the skill being learned Knowledge worker Nurses in this type of role -are continuous learners -use technology to support and inform nursing practice -generate knowledge as a product Expert/Experienced Nurse Expected to fully integrate informatics throughout the course of his/her practice, not just for basic data entry and retrieval. They also know how to pull trends out of data Nursing informatics Nursing informatics as a specialty does have its own National certification exam The use of technology and information to help support all aspects of nursing practice Clinical practice guidelines Clinical practice guidelines can allow for the creation of nursing policies. True rooted in evidenced based research Information technologies, not systems but functions within a system CPOE, bar code medication administration, and clinical decision support are all examples of what Informatics affecting Nursing Practice Clinical pathways and computer generated care plans are examples of how informatics can affect nursing practice True, examples of clinical decision support The foundation of knowledge model 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 acquisition, knowledge processing and knowledge dissemination Data (not information until it has been analyzed) A patients height, weight, code status, and date of birth are all examples of what Strategic planning, long-range The development of a comprehensive long range plan for guiding the activities and operations of an organization They will need to be trained on the system Why is it not important that selection committee board members understand software and electronic processes Strategic Planning Strategic planning is not driven by short term goals as Strategic Planning is a LONG TERM GOAL Needs assessment During which phase of the information life cycle should the "musts" and "wants" be determined Information Life Cycle Phases 1. Needs assessment phase 2. System selection phase 3. System implementation phase 4. Maintenance phase Project scope Term that defines the size and details of a collaborative effort Project Implementation Team Responsibilities Execution of system changes, active involvement in user participation, knowledge of current workflows System Implementation Role Go-live planning, applying system changes as needed, end-user training Continuous Term that best describes the life cycle of an information system EHR Essential Components Evidence-based decision support, assessment findings, vital signs, demographic data EHR Function Bar-code medication administration EHR Benefits Reduces medication errors, improves provider documentation EHR Main Goal Primary goal of EHR functionality in contrast to that of a health information system is promoting patient safety HIS (Health Information System) Broad term used to describe administrative and clinical systems to streamline work flow processes efficiency Barrier to patient centered care Is waiting until the end of the shift to chart patient assessments a barrier to patient centered care...Yes, chart in real time. Computer position can be a barrier if it is placed between the provider and the patient...pay attention to your patient. Standardization of Data and Different data needs of each clinic What potential challenge can occur when implementing an EHR in a medical center with various outpatient clinics Local Area Network (LAN) access What is the type of connection is needed to access the EHR when an internet connection is lost EHR The EHR is a longitudinal electronic patient record of all health care encounters...carries with the patient (longitudinal) ADT System (Admission, discharge, transfer) A registration system is also commonly refereed to as HIS Implementation Nursing It is important to secure staff nurses active participation when implementing a health information system b/c the nurses knowledge of current patient care workflow may improve implementation decisions HIS Examples Laboratory system, pharmacy system, registration system Perioperative nursing data set (PNDS) Which nursing terminology contains a nursing diagnosis, interventions and outcomes specific to the perioperative experience Standardized Terminologies in Nursing Informatics Development is Driven by what Principles Accessibility, ubiquity, longevity, reusability Administrative Information System Examples Scheduling system, financial system, admission, discharge and transfer (ADT) system Clinical Information Systems Examples of Effectiveness The information retrieved can be used to foster research, improves nursing documentation compliance, It can improve clinician workflow HL7 (Health Level 7) Acronym used to refer a standard of interoperability and exchange of clinical data Clinical Decision Support Tool Characteristics Takes specific patient data, analyzes it and provides recommendations (next action) ex: Computer generated care plans, alerts, smart pumps, electronic drug references Culture of Safety Principles 1. Commitment of resources 2. Cross collaboration 3. Blame free environment Security Threats to data/information 1. Unauthorized personal accessing equipment 2. Use of removable storage devices