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Exam (elaborations)

Informatics and Quality Improvement (1)

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Informatics and Quality Improvement (1)

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Informatics and Quality Improvement
Clinical decision support (CDS) encompasses a variety of technological tools that
directly support clinical decisions across settings. Which of the following are an
examples of CDS? Select all that apply. - CORRECT ANSWER-Event-driven alerts
and reminders
Condition-specific guidelines, order sets, care plans, and protocols
Real-time monitors and dashboards

Smart documentation forms and templates

The nurse retrieves medication through an automated medication dispensing
system. How does an automated medication dispensing system increase the quality
of care? - CORRECT ANSWER-Decreases medication errors

How does technology promote a culture of safety? - CORRECT ANSWER-Electronic
incident reports improve reporting rates

The nurse scans bar codes of the client's wristband and the medication. An alert
comes up on the computer of a potential drug-allergy interaction. This is an example
of which type of clinical decision support? - CORRECT ANSWER-Point-of-Care

The nurse is using a smart pump in the emergency room. How does a smart pump
increase the quality of care? - CORRECT ANSWER-Reduces programming errors

One study in an intensive care unit found that they had 187 alarms per bed per day,
of which 72%-99% were false alarms (Drew et al., 2014). How could this unit use
technology to combat alert fatigue? - CORRECT ANSWER-Changing the default
alarm settings to settings based on each client's condition

Which of these sentinel events, or "never events," could technology prevent? -
CORRECT ANSWER-Surgery or other invasive procedure performed on the wrong
client

A local clinic had a low rate of reported safety issues. After instituting an electronic
incident reporting form, the rates went up. What is the most likely reason for the
increase in incident reports - CORRECT ANSWER-It was easier for staff to access
and fill out forms.

A local hospital has high rates of adverse drug reactions. What technologies could
be utilized to decrease these rates? Select all that apply. - CORRECT
ANSWER-Electronic health records

Bar code administration

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