C468 Information MANAGEMENT

C468 Information MANAGEMENT Informatics - CORRECT ANSWER-"The big oak tree" combination of the nursing science, computer science and information science. It includes information technologies that can help support nursing practice. Information technology - CORRECT ANSWER-"The branch" electronic healthcare record, your clinical decisions support tools, bar code medication administration, and so on. information System - CORRECT ANSWER-"Another branch" : used to collect, create and distribute useful data. This term describes the development, use and management of an organization's overall IT infrastructure. On that branch you would see the subcategories, such as your clinical information systems, your core business systems, case management systems, and communication systems. Information Science - CORRECT ANSWER-"the roots of informatics " -incorporates features from communication science, computer science, social science, library science, and cognitive science. It's primary focus on the input, processing, output and feedback through technology integration. Information science applies technology to make information usable, and it supports the overall collection and management of information. Technology has also helped to impact this culture of safety - CORRECT ANSWER-1) CPOE 2) Cross monitoring: 2 nurses to witness a med/electronic alert Examples of Clinical Decision support tools - CORRECT ANSWER-1. Electronic alerts and reminders 2. Clinical practice guidelines 3. Computer-generated care plan 4. Smart pumps 5. EHR: drug reference guide 6. Clinical pathways Information Security - CORRECT ANSWER-greatest potential threats are right now: 1. unauthorized personnel getting access to the equipment. 2. the use of removable storage devices (flash drive to dl info) 2 governing authorities that obligate nurses to protect patient information? - CORRECT ANSWER-HIPPA (pt's can have a copy of their record/make corrections) ANA Code of Ethics Examples of Logically Protecting pt's information - CORRECT ANSWER-installing **Firewall protection Biometrics (scanning fingerprint) Authentication (user specific password) Automatic sign offs Examples of physically protecting pt's info - CORRECT ANSWER-Surveillance Cameras Restricted Areas Shredding hard copies three principles that help to make up an organization culture as *safety* - CORRECT ANSWER-1) Commitment of resources 2) Cross-collaboration 3) Blame-free environment store and forward technology. - CORRECT ANSWER-a form of transferring data or images from one location to another (radiology images, pathology reports) Reasoning of Growth of telehealth - CORRECT ANSWER-1. access to care 2. continuity of care 3. ratio of patients to providers 4. increase in chronic disease EHR Takes patient-specific info: 1. Recommends something (example: recheck BP) **2. Compares it against set of rules or knowledge base - CORRECT ANSWERLegal and ethical of telehealth nursing - CORRECT ANSWER-- Extensive documentation (prevent malpractice) - Licensed in every state that they practice telehealth Identify Clinical vs. non-clinical telehealth - CORRECT ANSWER-Clinical: to directly affect care of pt -(ex: chest x-ray) -type of mobile device -live video conferencing (check proper injection administration) Non-clinical: - Team meeting - Research - Video-conferencing (not used for pt) -professional development online There are two main approaches to the development of these information systems: - CORRECT ANSWER-1) Nursing Process Approach (admission/dc, progress notes, data collection, safe med admin..) 2) Critical Pathway/Protocols: allows nurses and multidisciplinary team members to access the relevant information in the system Nursing Process Approach - CORRECT ANSWER--Streamlines documentation of assessments and patient-related data. -Provides discharge information and pertinent patient education materials and resources. -Provides medication information to help prevent medication errors or interactions. Critical Pathways/Protocols Approach - CORRECT ANSWER--Physician's orders are present for the multidisciplinary care team to observe and follow. -Allows the multidisciplinary care team to update the plan of care when variances in the patient's condition are noted. -Multidisciplinary team members can contribute to care plans along the care continuum. What are three types of clinical information systems? (in critical pathways approach) - CORRECT ANSWER-Monitoring system Order entry system Laboratory system Definition of Nursing informatics - CORRECT ANSWER-The integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom into nursing practice Informatics Nurse Specialist (INS) - CORRECT ANSWER-a nurse who has received educational preparation to conduct informatics research and generate informatics theory and who has a broad vision of what can be attained using information technology. How does computer literacy differ from information literacy? - CORRECT ANSWERComputer literacy: familiarity with the use of personal computers information literacy: ability to recognize when info is needed as well as the skills to find, evaluate, and use needed information effectively distance learning - CORRECT ANSWER-The delivery of content and stimulation of learning primarily through the use of telecommunication technologies and often used for corporate training virtual reality - CORRECT ANSWER-It is a widely used form of multimedia that fully envelops learners in an environment providing the next best option to performing the skill on a real person but without any risks to the learner or the client Computer resistance by nurses is often the result of which of the following? - CORRECT ANSWER-computer anxiety, limited computer skills, and poor communication on the part of administration to consult nurses during the change process An order entry system can do all of the following except - CORRECT ANSWERIntegrate results of data collected at the bedside Clinical information systems (CIS) - CORRECT ANSWER-are used to access client data that are used to plan, implement, and evaluate care. meaningful use - CORRECT ANSWER-This is an initiative geared to spur the adoption and use of electronic health records for the purpose of gathering and reporting data that can then be used to improve population health. Which of the following statements best reflects acceptance of the International Classification for Nursing Practice (ICNP®) as a standard for nursing terminology? - CORRECT ANSWER-Present nursing classification systems map it to a very high degree. electronic medical record (EMR) - CORRECT ANSWER-An electronic version of the client data found in the traditional paper medical record One criterion for eligibility for meaningful use requires the adoption and use of EHRs that have been certified. Certification process: - CORRECT ANSWER-Certification provides the assurance that the EHR system has the technical capacity, functionality, and security to meet the meaningful use criteria. Which of the following most closely approximates the current version of the personal health record (PHR)? - CORRECT ANSWER-Secure application through which an individual may access, manage and share health information he or she has entered or was supplied by providers, pharmacies, and labs. Predictors of Personal Health Records (PHRs) use include which of the following? - CORRECT ANSWER-Awareness of PHRs, ease of access, personal motivation, higher levels of education and health literacy