NURS 440- Exam 2 with verified answers
use |of |information |technology |and |informatics |in |nursing |- |correct |answer |-§Allows |nurses |to |deal |
with |volumes |of |information |on |a |daily |basis
§Requires |all |nurses |to |develop |basic |computer |literacy |and |information |management |skills
Must |make |sure |employees |are |adequately |trained |on |computer |skills, |software, |technology
- |must |know |what |WNL |means |when |charting
nurse |leaders |and |manager |and |IT |- |correct |answer |-•Integrate |nursing |informatics |and |health |
information |technology |to |ensure |delivery |of |safe |and |quality |nursing |care.
•Recognize |the |importance |of |nursing |data |in |improving |practice, |monitoring |health |care |and |
patient |outcome |trends, |and |evaluating |and |revising |patient |care |processes.
information |technology |- |correct |answer |-§combines |computer |technology |with |data |and |
telecommunications |technologies |to |provide |solutions |to |the |health-care |industry
nursing |informatics |- |correct |answer |-•Integrates |nursing |science, |computer |science, |information |
science, |and |information |technology |to |manage |and |communicate |data, |information, |knowledge, |
and |wisdom
•Is |new |to |nursing |but |essential |to |improving |patient |care |and |meeting |regulatory |requirements
•Facilitates |decision |making |in |all |nursing |roles |through |the |use |of |information |systems |and |
technology
information |systems |- |correct |answer |-§Systems, |technology |based |or |otherwise, |that |store, |
process, |and |manage |information |at |both |the |individual |and |organizational |levels
§Two |major |types—administrative |or |clinical
§Provide |an |infrastructure |for |the |organization |and |require |resources |for |development, |
maintenance, |and |eventual |retirement
§Require |thoughtful |decision |and |input |from |the |members |of |the |organization, |including |nurses
Include |phases |of |life |cycle
,administrative |info |systems |- |correct |answer |-finance, |health |insurance |info, |scheduling
clinical |info |systems |- |correct |answer |-nursing |assessments, |lab |data, |clinical-focused |system
vendor-purchased |systems |- |correct |answer |-EPIC, |CERNER
more |generic |and |all-encompassing
home-grown |systems |- |correct |answer |-systems |developed |by |the |agency |itself
very |rare
positive- |individualized, |has |what |needs, |usually |smaller |so |dont |want |to |hack
issues- |regulatory |and |legal |issues, |transgenerational-passing |info |on, |easier |to |hack
phases |of |life |cycle |of |info |systems |- |correct |answer |--Planning |and |analysis- |strengths |and |
weaknesses |to |determine |which |system |work |best
-Design- |administrative |vs |clinical, |what |type |of |system |we |want
-Implementation-
-big |bang- |all |systems |go |live |at |same |time,
-Or |in |pieces
-Can |be |very |costly
-Support
-Do |have |people |in |place |to |support |this, |people |to |train |others, |superusers- |extra |training, |can |
help |staff |having |issues |on |the |floor
-Evaluation- |how |system |working, |need |change
electronic |records |- |correct |answer |-§Improve |research |and |quality |management, |metrics, |data |
quality, |and |access |to |data |that |support |population |health.
Improve |access |of |healthcare |records |across |the |country
Downside- |confidentiality |issues |because |so |accessible |to |all
Personal- |encourage |patients |to |collaborate |and |check |over |information
,electronic |medical |record |- |correct |answer |-•electronic |record |of |a |patient |that |is |used |by |a |single |
organization
electronic |health |record |- |correct |answer |-•used |by |more |than |one |organization, |provides |
information |throughout
personal |health |record |- |correct |answer |-an |electronic |form |of |a |patient's |medical |record |that |the |
patient |can |take |with |him |or |her |or |send |to |a |health-care |provider
network |- |correct |answer |-•Fundamental |framework |of |an |information |system |that |allows |
electronic |devices |to |transfer |information |between |each |other
•Most |common |example—Internet
•Within |a |health-care |organization's |own |network—intranet
data |- |correct |answer |-•Collection |of |information, |facts, |or |numbers
•Gathered, |managed, |analyzed, |and |interpreted |to |ensure |effective |operation |of |the |unit |as |well |as
|safe |and |effective |delivery |of |nursing |care
database |- |correct |answer |-•Central |place |that |stores |data
•Provide |a |key |location |for |data |to |be |stored |and |retrieved |for |analysis |when |needed
clinical |data |repository |- |correct |answer |-•database |in |which |data |from |all |information |systems |
within |an |organization |are |kept |and |controlled
data |mining |- |correct |answer |-•Process |of |extracting |specific |data |information |or |knowledge |that |
was |previously |unknown
•Can |be |used |to |understand |patient |symptoms, |predict |diseases, |and |identify |possible |
interventions
interfaces |- |correct |answer |-•Used |to |match |data |points |from |one |system |to |the |other |so |data |can |
be |communicated |between |systems |or |sent |to |a |main |information |system |for |collective |use |and |
analysis
, •Can |send |information |as |it |is |gathered |(real-time |processing) |or |with |a |delay |(batch |processing) |to
|save |system |resources
•Can |also |allow |devices |to |communicate |directly |to |an |information |system
ex: |vitals |machines, |glucometer
decision |support |systems |- |correct |answer |-•Used |to |provide |warnings |or |other |decision |support |
methods |in |order |to |help |health-care |professionals |become |more |aware |of |certain |clinical |
information |or |utilize |evidence-based |practices
-Based |on |data |points |and |certain |criteria, |will |trigger |warning
-Helps |prepare |nurses |for |possible |decompensations |of |patients
rules |and |alerts |- |correct |answer |-•Should |be |used |on |a |limited |basis |and |focus |on |the |most |crucial
|patient |care |issues
•Rule—requires |an |action |within |the |system |to |trigger |or |"fire" |it
•Alert—a |straightforward |warning |to |implement |precautions |per |institutional |policy, |which |usually |
requires |acknowledgement |of |the |warning |or |a |reason |for |overriding |it
standardized |languages |- |correct |answer |-•Enable |understanding |between |disciplines |and |across |
information |system
•Allow |for |streamlined |sharing |of |information |because |the |same |terms |are |used |by |everyone |to |
describe |the |same |condition
•Are |important |for |effective |data |mining |and |are |required |for |nursing |documentation
HIPAA |and |protection |- |correct |answer |-•Privacy |Rule—designed |to |safeguard |an |individual's |health
|information
•Security |Rule—establishes |a |set |of |national |standards |to |protect |electronic |health |information
•Breach |Notification |Rule—requires |all |health-care |organizations |to |report |any |data |breaches
american |recovery |and |reinvestment |act |- |correct |answer |-•Health-care |component |known |as |the |
Health |Information |Technology |for |Economic |and |Clinical |Health |Act, |or |HITECH |Act
•Requirements |include |metrics |to |improve |patient |care, |quality, |and |public |health
use |of |information |technology |and |informatics |in |nursing |- |correct |answer |-§Allows |nurses |to |deal |
with |volumes |of |information |on |a |daily |basis
§Requires |all |nurses |to |develop |basic |computer |literacy |and |information |management |skills
Must |make |sure |employees |are |adequately |trained |on |computer |skills, |software, |technology
- |must |know |what |WNL |means |when |charting
nurse |leaders |and |manager |and |IT |- |correct |answer |-•Integrate |nursing |informatics |and |health |
information |technology |to |ensure |delivery |of |safe |and |quality |nursing |care.
•Recognize |the |importance |of |nursing |data |in |improving |practice, |monitoring |health |care |and |
patient |outcome |trends, |and |evaluating |and |revising |patient |care |processes.
information |technology |- |correct |answer |-§combines |computer |technology |with |data |and |
telecommunications |technologies |to |provide |solutions |to |the |health-care |industry
nursing |informatics |- |correct |answer |-•Integrates |nursing |science, |computer |science, |information |
science, |and |information |technology |to |manage |and |communicate |data, |information, |knowledge, |
and |wisdom
•Is |new |to |nursing |but |essential |to |improving |patient |care |and |meeting |regulatory |requirements
•Facilitates |decision |making |in |all |nursing |roles |through |the |use |of |information |systems |and |
technology
information |systems |- |correct |answer |-§Systems, |technology |based |or |otherwise, |that |store, |
process, |and |manage |information |at |both |the |individual |and |organizational |levels
§Two |major |types—administrative |or |clinical
§Provide |an |infrastructure |for |the |organization |and |require |resources |for |development, |
maintenance, |and |eventual |retirement
§Require |thoughtful |decision |and |input |from |the |members |of |the |organization, |including |nurses
Include |phases |of |life |cycle
,administrative |info |systems |- |correct |answer |-finance, |health |insurance |info, |scheduling
clinical |info |systems |- |correct |answer |-nursing |assessments, |lab |data, |clinical-focused |system
vendor-purchased |systems |- |correct |answer |-EPIC, |CERNER
more |generic |and |all-encompassing
home-grown |systems |- |correct |answer |-systems |developed |by |the |agency |itself
very |rare
positive- |individualized, |has |what |needs, |usually |smaller |so |dont |want |to |hack
issues- |regulatory |and |legal |issues, |transgenerational-passing |info |on, |easier |to |hack
phases |of |life |cycle |of |info |systems |- |correct |answer |--Planning |and |analysis- |strengths |and |
weaknesses |to |determine |which |system |work |best
-Design- |administrative |vs |clinical, |what |type |of |system |we |want
-Implementation-
-big |bang- |all |systems |go |live |at |same |time,
-Or |in |pieces
-Can |be |very |costly
-Support
-Do |have |people |in |place |to |support |this, |people |to |train |others, |superusers- |extra |training, |can |
help |staff |having |issues |on |the |floor
-Evaluation- |how |system |working, |need |change
electronic |records |- |correct |answer |-§Improve |research |and |quality |management, |metrics, |data |
quality, |and |access |to |data |that |support |population |health.
Improve |access |of |healthcare |records |across |the |country
Downside- |confidentiality |issues |because |so |accessible |to |all
Personal- |encourage |patients |to |collaborate |and |check |over |information
,electronic |medical |record |- |correct |answer |-•electronic |record |of |a |patient |that |is |used |by |a |single |
organization
electronic |health |record |- |correct |answer |-•used |by |more |than |one |organization, |provides |
information |throughout
personal |health |record |- |correct |answer |-an |electronic |form |of |a |patient's |medical |record |that |the |
patient |can |take |with |him |or |her |or |send |to |a |health-care |provider
network |- |correct |answer |-•Fundamental |framework |of |an |information |system |that |allows |
electronic |devices |to |transfer |information |between |each |other
•Most |common |example—Internet
•Within |a |health-care |organization's |own |network—intranet
data |- |correct |answer |-•Collection |of |information, |facts, |or |numbers
•Gathered, |managed, |analyzed, |and |interpreted |to |ensure |effective |operation |of |the |unit |as |well |as
|safe |and |effective |delivery |of |nursing |care
database |- |correct |answer |-•Central |place |that |stores |data
•Provide |a |key |location |for |data |to |be |stored |and |retrieved |for |analysis |when |needed
clinical |data |repository |- |correct |answer |-•database |in |which |data |from |all |information |systems |
within |an |organization |are |kept |and |controlled
data |mining |- |correct |answer |-•Process |of |extracting |specific |data |information |or |knowledge |that |
was |previously |unknown
•Can |be |used |to |understand |patient |symptoms, |predict |diseases, |and |identify |possible |
interventions
interfaces |- |correct |answer |-•Used |to |match |data |points |from |one |system |to |the |other |so |data |can |
be |communicated |between |systems |or |sent |to |a |main |information |system |for |collective |use |and |
analysis
, •Can |send |information |as |it |is |gathered |(real-time |processing) |or |with |a |delay |(batch |processing) |to
|save |system |resources
•Can |also |allow |devices |to |communicate |directly |to |an |information |system
ex: |vitals |machines, |glucometer
decision |support |systems |- |correct |answer |-•Used |to |provide |warnings |or |other |decision |support |
methods |in |order |to |help |health-care |professionals |become |more |aware |of |certain |clinical |
information |or |utilize |evidence-based |practices
-Based |on |data |points |and |certain |criteria, |will |trigger |warning
-Helps |prepare |nurses |for |possible |decompensations |of |patients
rules |and |alerts |- |correct |answer |-•Should |be |used |on |a |limited |basis |and |focus |on |the |most |crucial
|patient |care |issues
•Rule—requires |an |action |within |the |system |to |trigger |or |"fire" |it
•Alert—a |straightforward |warning |to |implement |precautions |per |institutional |policy, |which |usually |
requires |acknowledgement |of |the |warning |or |a |reason |for |overriding |it
standardized |languages |- |correct |answer |-•Enable |understanding |between |disciplines |and |across |
information |system
•Allow |for |streamlined |sharing |of |information |because |the |same |terms |are |used |by |everyone |to |
describe |the |same |condition
•Are |important |for |effective |data |mining |and |are |required |for |nursing |documentation
HIPAA |and |protection |- |correct |answer |-•Privacy |Rule—designed |to |safeguard |an |individual's |health
|information
•Security |Rule—establishes |a |set |of |national |standards |to |protect |electronic |health |information
•Breach |Notification |Rule—requires |all |health-care |organizations |to |report |any |data |breaches
american |recovery |and |reinvestment |act |- |correct |answer |-•Health-care |component |known |as |the |
Health |Information |Technology |for |Economic |and |Clinical |Health |Act, |or |HITECH |Act
•Requirements |include |metrics |to |improve |patient |care, |quality, |and |public |health
