2022/2023 C468 INFORMATICS STUDY GUIDE VERSION 2

2022/2023 C468 INFORMATICS STUDY GUIDE VERSION 2 Information Management and the Application of Technology ● Information Literacy: The ability to recognize when information is needed as well as the skills to find, evaluate and use needed information effectively. How does info literacy support EBP in nursing? Nurse can use research and apply/consult resources/peers/internet. ● Nursing informatics : an integration of nursing science, computer science, and information science. The unique combination of sciences creates a blend that is greater than the sum of its parts. ● Information: Data that has been interpreted. How is info related to data? Info is data interpreted. ● Information science: This is the focus on how to gather, process and transform information into knowledge. It also incorporates features from these 5 other sciences: communication science, computer science, social science, library science and cognitive science. ● Using the EHR to document care of a patient with a femur fracture is an example of using the EHR in which way? —Information System Decubitus ulcer can be documented in the EHR bc of-- Information System. ● Information Management: an elemental process within informatics where one can file, store, and manipulate data. ● Knowledge vs wisdom-- wisdom is knowledge that is applied in an appropriate manner. ● Common features of Health Info Systems: Comprehensive medical hx, unique way they function and provide info clinicians, collects/processes/distributes data to manage and provide care. ● ROM used by computer when it’s turned on-- BIOS input/output (I/) system. ● Cognitive informatics: The study of the connection between the brains and minds way of collecting and processing info. ● Connectionism: the component of cognitive science that uses computer modeling through artificial neural networks to try to explain human intellectual abilities. ● Ethics: a process of various ways of understanding and examining the moral life. ● Morals: a social convention about right and wrong human conduct that are so widely shared that they form a stable general agreement. ● Principlism: a theoretical framework that emerged as a foundation for ethical decision making. ● Usability: the ease of learning a computer application, and other issues of human performance. ● The Metaparadigm: the key concepts of nurse, person, health and environment. ● Decision Support System: A rule based system that uses a knowledge base and a set of rules to make action recommendations. ● How can using simulation technology with your patients improve overall outcomes—By allowing them hands on practice and immediate feedback of the skill being learned. ● Knowledge Workers: Nurses in this type of role are continuous learners, use technology to support and inform nursing practice, and generate knowledge as a product. Information is a nurse’s primary resource. ● Experienced nurse know how to pull trends out of data. Data Mining: uses data applications and sifts through large amounts of data and looks for previously hidden trends. ● Clinical practice guidelines can allow for the creation of nursing policies. They are also examples of clinical decision support tool. ● Sees Flu Vacc due before DC to meet a clinical pathway--to promote desired outcomes. ● Nursing Informatics Specialist decided to ignore the personnel. Which barrier in implementing technology is this?-- Lack of continued support. ● INCP: standardizing nursing terminology of nursing diagnoses, actions and outcomes. ● CPOE, barcode medication administration and clinical decision support are all examples of what?—Information Technologies ● What is the name used to process by which the physician or provider enters orders electronically into the system —CPOE ● A radio frequency identifier (RFID) is a type of technology that is used to identify and track supplied and medication within a healthcare environment?—True o Also used to track medical equipment and patient location ● Clinical pathways and computer generated care plans are examples of how information can affect nursing practice. –True ● Nursing Informatics: The use of technology and information to help support all aspects of nursing practice. Barcode scanning for medication administration ● The Foundation of Knowledge Model: This is 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: 1. acquisition 2. knowledge processing 3. knowledge dissemination ● A patient’s height, weight, code status and date of birth are all examples of what?—Data. Once you take data, analyze and interpret it, it then becomes information. ● What is not an emerging trend in healthcare?—Less consumer accountability ● Mission: This is the purpose or reason for an organization’s existence. ● Strategic Planning : This is the development of a comprehensive long-range plan for guiding the activities and operations of an organization. ● What is not a reason why it’s important that selection committee board members understand software and electronic processes?—They will need to become trained on the system. They aren’t the end users who need to be trained in the system. They just have to have a general understanding of it. ● Strategic planning is driven by all of the following except? (Short term goals, organizations mission and values, services offered or long term goals) –Short term goals ● What is not a national trend related to nursing informatics?—Blogging as a means to give report ● During which phase of the information system life cycle should the “musts” and “wants” be determined?— Needs assessment ● Information System Lifestyle: o 1) Needs assessment phase—gap analysis, determine needs and wants in an information system. o 2) System selection phase—Organization seeks out vendor company that provides a system that best fits the needs. Has 3 documents that are used. ▪ Request for information document—Initial contact that the organization has with the vendor. Get essential information about the company like history. How many other organizations have used them. ▪ Request for Proposal document—Organization prioritizes or rates their needs and wants. Sends the outline to the vendor and asks if they can meet this need. ▪ Request for Quote document—Pricing, finances. Contract terms. o 3) System implementation phase—Go live planning. Training staff. Analyst starts building screens and templates according to organization and its policies. Makes any changes specific to that organization. Go live. o 4) Maintenance phase—problem solving, any debugging. Files backed up routinely and install any system upgrades. Make sure it’s working as intended. ● Project Scope: This term defines the size and details of a collaborative effort— ● Why is the nurses active participation in electronic patient information important?—To ensure the information is current and accessible to the healthcare team. ● Which of the following is not the responsibility of the project implementation team?—Present system design to the management. ● Which is not a phase of the information system life cycle?—System evaluation ● A common request contained in a request for information document includes?--Company history ● Which item below does not play a role in system implementation? (Investigating current deficits and needs of the organization, go live planning, applying system changes as needed, or end user training)—Investigating current deficits and needs of the organization ● Which term best applied when describing the life cycle of an information system?—Continuous ● Which one example is an essential component of the EHR—Evidenced based decision support ● Which is NOT an essential component of EHR?—cost of procedures ● Which is a function of the EHR?—Barcode medication administration ● Which of the following are considered benefits using the EHR?—Reduces medication error, improves provider documentation. ● A benefit of the EHR is that is can provide patient support. Which is an example of patient support?—Patient education material such as reducing sodium intake. ● One primary benefit of EHR is a decrease in wait time for diagnostic testing—False. Not PRIMARY ● What is the primary goal of EHR functionality in contrast to that of a health information system?—Promotes patient safety. ● Health information system—Administrative information side and critical information. o Administration System—Registration systems. Admission, discharge, transfer, financial and billing, scheduling o (3 types) Clinical Info System