1
Copyright © 2024 Pearson Education, Inc.
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,TEST BANK FOR zl zl
Handbook of Informatics for Nurses & Healthcare Professionals, 7th Edition by Toni L. Hebda Melody
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Rose Kathleen Hunter Patricia Czar
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Chapter 1-20 zl
Chapter 1 zl An Overview of Informatics in Healthcare
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1) Healthcare today should address the Quintuple Aim. What of the following best demonstrates ho
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w healthcare information technology might be used to help address disparities in care?
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A) Collect data elements that could be used to identify vulnerable individuals
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B) Use collected data to identify vulnerable individuals
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C) Incorporate GPS locators into predictions zl zl zl zl
D) A and B zl zl zl
Answer: z l z l
D
Explanation: A) Many demographic and other relevant data elements are/or could easily be collect
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that could be used to identify vulnerable individuals.
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B) Collected data can be used and leveraged to identify vulnerable individuals. zl zl zl zl zl zl zl zl zl zl
C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Other fac
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tors that include familial predisposition, occupational risks, economic level, personal health habit
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s, living conditions, and community support all factor into determination of vulnerability.
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D) Both A and B together comprise the best response. P
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age Ref: 1-2 zl zl
Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: A3, B1
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AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
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2) Which of the following best reflects benefits realized from the use of health information te
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chnology?
A) Improved safety, improved efficiencies, decreased clinician documentation times zl zl zl zl zl zl zl
B) Improved safety, improved efficiencies, improved charge capture, improved communication
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C) Improved safety, improved efficiencies, improved protection of personal health information
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D) Improved safety, improved efficiencies, significant reduction in costs for care, improved pr
zl zl zl zl zl zl zl zl zl zl zl
otection of patient information zl zl zl
Answer: B z l z l
Explanation: A) HIT can result in improved safety through measures such as positive patient iden
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tification and may improve efficiencies but clinician documentation burden is an issue seen with poo
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rly designed and poorly used systems.
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B) HIT can result in improved safety through positive patient identification, alerts, and similar m
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easures. HIT may improve some efficiencies such as improved charge capture and shortened reve
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nue cycle and theoretically improves communication.
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C) HIT can result in improved safety and improved efficiencies in some respects but despite safeg
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uards to protect patient health information it also increases vulnerabilities in some respects.
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D) Despite its promise to significantly reduce costs for care costs associated with the purchase and mai
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ntenance of HIT, among other U.S. issues have not resulted in significant reduction in costs for care.
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Page Ref: 1-2 zl zl
2
Copyright © 2024 Pearson Education, Inc. zl zl zl zl zl
,Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: A1,4; C1,5 zl zl z l z l zl
AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
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3) In which ways can health information technology support the learning health system?
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A) Incorporation of evidence- zl zl
based practice and big data findings to provide care interventions that are proven to be effective
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B) Real-time analysis of data zl zl zl
C) Integration of devices and the data that they collect to inform care decisions zl zl zl zl zl zl zl zl zl zl zl zl
D) All of the above zl zl zl zl
Answer: D z l
Explanation: A) Big data findings supplement EBP often providing information and knowledge in z l zl zl zl zl zl zl zl zl zl zl zl z
a more timely fashion.
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B) Real-
time analysis of data can be particularly useful when healthcare delivery systems and providers are
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facing challenges that are new to them as was seen with the emergence of a body of knowledge relati
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ve to the impact of COVID and most successful treatment modalities.
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C) Data streams from all relevant sources provide a more complete picture.
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D) A combination of research and big data findings from a myriad of sources that is analyzed in rea
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l time provides a quick turnaround to support, and further improve, care delivered.
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Page Ref: 3-4 zl zl
Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2 A
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ACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4f
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4) Which of the following are considered necessary components to create a learning or informatics cult
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ure? Select all that apply.
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A) Standardized languages and terminologies zl zl zl
B) Data in digital format zl zl zl
C) Interoperability and data sharing zl zl zl
D) Prerequisite information knowledge and skills zl zl zl zl zl
Answer: A, B, C, D z l zl zl zl
Explanation: A) Standardized languages and terminologies ensure that concepts maintain a unifor z l zl zl zl zl zl zl zl zl zl zl
m meaning across settings and the ability to generalize results.
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B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, and re
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-use.
C) In order to have value data must be shareable which is best attained when systems are int
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eroperable.
D) Computer, information, and (for the consumer), health literacy are foundational skills in the lear zl zl zl zl zl zl zl zl zl zl zl zl zl
ning health system where data, information, and knowledge are constantly generated as a result of care p
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rocesses as well as the integration of research findings to support best practices for patient care.
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Page Ref: 9-13 zl zl
Cognitive Level: Knowledge zl z l z l
QSEN Grad. Competencies: A5; B2, 11; C1, 4 AAC
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N Essen. Competencies: 8.1g; 8.2i; 8.4g
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3
Copyright © 2024 Pearson Education, Inc. zl zl zl zl zl
, 5) When asked to explain what the SAFER Guides are and their relevance for HIT what should the info
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rmatics nurse first know? zl zl zl
A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to guide rei
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mbursement.
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
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C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HIT im
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plementation and use. zl zl
D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. health ou
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tcomes.
Answer: C z l z l
Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers for M
z l zl zl zl zl zl zl zl zl zl zl zl zl zl
edicare and Medicaid added them to ensure an ongoing focus on improving interoperability and patie
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
nt access to health information.
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B) SAFER Guides complement tools and research developed by the Agency for Healthcare R
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esearch and Quality and the ONCHIT, not from vendors.
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C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore inte
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nded to guide implementation practices and use for HIT, and EHRs in particular.
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D) SAFER Guides having nothing to do with the Commonwealth Fund reports. P
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age Ref: 6 zl zl
Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: B1, 12
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AACN Essen. Competencies: 8.1g,h; 8.4f,k
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6) A large healthcare organization is planning to implement a new electronic health record. What sh
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ould be considered when selecting this system?
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A) Whether training is required zl zl zl
B) Nursing staff documentation requirements are the top priority
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C) The organization needs to meet multiple competing demands
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D) Integration with laboratory and pharmacy would be nice zl zl zl zl zl zl zl zl
Answer: C z l
Explanation: A) No evidence supports limiting training on the system. z l z l zl zl zl zl zl zl zl zl
B) Every department in a large healthcare organization has an essential role in patient care.
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C) The healthcare organization today is a complex system faced with multiple, competing de
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mands.
D) Every department in a large healthcare organization has an essential role in patient care. Pa
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ge Ref: 1-2
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Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: GA1, GA3 AAC
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N Essen. Competencies: 8.1k. 8.3e, 8.3g
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4
Copyright © 2024 Pearson Education, Inc. zl zl zl zl zl
Copyright © 2024 Pearson Education, Inc.
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,TEST BANK FOR zl zl
Handbook of Informatics for Nurses & Healthcare Professionals, 7th Edition by Toni L. Hebda Melody
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
Rose Kathleen Hunter Patricia Czar
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Chapter 1-20 zl
Chapter 1 zl An Overview of Informatics in Healthcare
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1) Healthcare today should address the Quintuple Aim. What of the following best demonstrates ho
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w healthcare information technology might be used to help address disparities in care?
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A) Collect data elements that could be used to identify vulnerable individuals
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B) Use collected data to identify vulnerable individuals
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C) Incorporate GPS locators into predictions zl zl zl zl
D) A and B zl zl zl
Answer: z l z l
D
Explanation: A) Many demographic and other relevant data elements are/or could easily be collect
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that could be used to identify vulnerable individuals.
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B) Collected data can be used and leveraged to identify vulnerable individuals. zl zl zl zl zl zl zl zl zl zl
C) Location may be an indicator of risk but zip code alone does not indicate vulnerability. Other fac
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
tors that include familial predisposition, occupational risks, economic level, personal health habit
zl zl zl zl zl zl zl zl zl zl zl
s, living conditions, and community support all factor into determination of vulnerability.
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D) Both A and B together comprise the best response. P
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age Ref: 1-2 zl zl
Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: A3, B1
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AACN Essen. Competencies: 8.1g,h; 8.2i; 8.3g
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2) Which of the following best reflects benefits realized from the use of health information te
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
chnology?
A) Improved safety, improved efficiencies, decreased clinician documentation times zl zl zl zl zl zl zl
B) Improved safety, improved efficiencies, improved charge capture, improved communication
zl zl zl zl zl zl zl zl
C) Improved safety, improved efficiencies, improved protection of personal health information
zl zl zl zl zl zl zl zl zl
D) Improved safety, improved efficiencies, significant reduction in costs for care, improved pr
zl zl zl zl zl zl zl zl zl zl zl
otection of patient information zl zl zl
Answer: B z l z l
Explanation: A) HIT can result in improved safety through measures such as positive patient iden
z l zl zl zl zl zl zl zl zl zl zl zl zl zl
tification and may improve efficiencies but clinician documentation burden is an issue seen with poo
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
rly designed and poorly used systems.
zl zl zl zl zl
B) HIT can result in improved safety through positive patient identification, alerts, and similar m
zl zl zl zl zl zl zl zl zl zl zl zl zl
easures. HIT may improve some efficiencies such as improved charge capture and shortened reve
zl zl zl zl zl zl zl zl zl zl zl zl zl
nue cycle and theoretically improves communication.
zl zl zl zl zl
C) HIT can result in improved safety and improved efficiencies in some respects but despite safeg
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
uards to protect patient health information it also increases vulnerabilities in some respects.
zl zl zl zl zl zl zl zl zl zl zl zl
D) Despite its promise to significantly reduce costs for care costs associated with the purchase and mai
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ntenance of HIT, among other U.S. issues have not resulted in significant reduction in costs for care.
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Page Ref: 1-2 zl zl
2
Copyright © 2024 Pearson Education, Inc. zl zl zl zl zl
,Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: A1,4; C1,5 zl zl z l z l zl
AACN Essen. Competencies: 8.1j,k; 8.2 I; 8.3i; 8.4g
zl zl z l z l zl zl zl zl
3) In which ways can health information technology support the learning health system?
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A) Incorporation of evidence- zl zl
based practice and big data findings to provide care interventions that are proven to be effective
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
B) Real-time analysis of data zl zl zl
C) Integration of devices and the data that they collect to inform care decisions zl zl zl zl zl zl zl zl zl zl zl zl
D) All of the above zl zl zl zl
Answer: D z l
Explanation: A) Big data findings supplement EBP often providing information and knowledge in z l zl zl zl zl zl zl zl zl zl zl zl z
a more timely fashion.
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B) Real-
time analysis of data can be particularly useful when healthcare delivery systems and providers are
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
facing challenges that are new to them as was seen with the emergence of a body of knowledge relati
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ve to the impact of COVID and most successful treatment modalities.
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C) Data streams from all relevant sources provide a more complete picture.
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D) A combination of research and big data findings from a myriad of sources that is analyzed in rea
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
l time provides a quick turnaround to support, and further improve, care delivered.
zl zl zl zl zl zl zl zl zl zl zl zl
Page Ref: 3-4 zl zl
Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: A5; B8, 9, 11; C1, 2 A
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ACN Essen. Competencies: 8.1g; 8.2f; 8.3j; 8.4f
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4) Which of the following are considered necessary components to create a learning or informatics cult
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ure? Select all that apply.
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A) Standardized languages and terminologies zl zl zl
B) Data in digital format zl zl zl
C) Interoperability and data sharing zl zl zl
D) Prerequisite information knowledge and skills zl zl zl zl zl
Answer: A, B, C, D z l zl zl zl
Explanation: A) Standardized languages and terminologies ensure that concepts maintain a unifor z l zl zl zl zl zl zl zl zl zl zl
m meaning across settings and the ability to generalize results.
zl zl zl zl zl zl zl zl zl
B) Data in digital format is conducive to electronic capture, storage, analysis, transmission, and re
zl zl zl zl zl zl zl zl zl zl zl zl zl
-use.
C) In order to have value data must be shareable which is best attained when systems are int
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
eroperable.
D) Computer, information, and (for the consumer), health literacy are foundational skills in the lear zl zl zl zl zl zl zl zl zl zl zl zl zl
ning health system where data, information, and knowledge are constantly generated as a result of care p
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
rocesses as well as the integration of research findings to support best practices for patient care.
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
Page Ref: 9-13 zl zl
Cognitive Level: Knowledge zl z l z l
QSEN Grad. Competencies: A5; B2, 11; C1, 4 AAC
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N Essen. Competencies: 8.1g; 8.2i; 8.4g
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3
Copyright © 2024 Pearson Education, Inc. zl zl zl zl zl
, 5) When asked to explain what the SAFER Guides are and their relevance for HIT what should the info
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
rmatics nurse first know? zl zl zl
A) SAFER Guides are a resource provided by the Centers for Medicare and Medicaid to guide rei
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
mbursement.
B) SAFER Guides are a resource provided by the Consortium of Vendors for selection of HIT.
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
C) SAFER Guides are a resource provided by the ONCHIT to ensure best practices for HIT im
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
plementation and use. zl zl
D) SAFER Guides are the result of a report by the Commonwealth Fund to improve U.S. health ou
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
tcomes.
Answer: C z l z l
Explanation: A) SAFER Guides have nothing to do with reimbursement although the Centers for M
z l zl zl zl zl zl zl zl zl zl zl zl zl zl
edicare and Medicaid added them to ensure an ongoing focus on improving interoperability and patie
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
nt access to health information.
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B) SAFER Guides complement tools and research developed by the Agency for Healthcare R
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esearch and Quality and the ONCHIT, not from vendors.
zl zl zl zl zl zl zl zl
C) The SAFER acronym stands for Safety Assurance Factors for EHR Resilience and are therefore inte
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
nded to guide implementation practices and use for HIT, and EHRs in particular.
zl zl zl zl zl zl zl zl zl zl zl zl
D) SAFER Guides having nothing to do with the Commonwealth Fund reports. P
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age Ref: 6 zl zl
Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: B1, 12
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AACN Essen. Competencies: 8.1g,h; 8.4f,k
zl zl z l z l zl
6) A large healthcare organization is planning to implement a new electronic health record. What sh
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ould be considered when selecting this system?
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A) Whether training is required zl zl zl
B) Nursing staff documentation requirements are the top priority
zl zl zl zl zl zl zl
C) The organization needs to meet multiple competing demands
zl zl zl zl zl zl zl
D) Integration with laboratory and pharmacy would be nice zl zl zl zl zl zl zl zl
Answer: C z l
Explanation: A) No evidence supports limiting training on the system. z l z l zl zl zl zl zl zl zl zl
B) Every department in a large healthcare organization has an essential role in patient care.
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C) The healthcare organization today is a complex system faced with multiple, competing de
zl zl zl zl zl zl zl zl zl zl zl zl
mands.
D) Every department in a large healthcare organization has an essential role in patient care. Pa
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ge Ref: 1-2
zl zl
Cognitive Level: Applying zl z l z l
QSEN Grad. Competencies: GA1, GA3 AAC
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N Essen. Competencies: 8.1k. 8.3e, 8.3g
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4
Copyright © 2024 Pearson Education, Inc. zl zl zl zl zl
