Information literacy Ans- Defined as the ability to recognize when information is needed
as well as the skills to find, evaluate and use needed information effectively
Information Ans- Term used to describe data that h
...
Information literacy Ans- Defined as the ability to recognize when information is needed
as well as the skills to find, evaluate and use needed information effectively
Information Ans- Term used to describe data that has been interpreted
Information science Ans- Focus on how to gather, process and transform information
into knowledge. It also incorporates features from 5 other sciences
-communication science
-computer science
-social science
-library science
-cognitive science
Information systems Ans- Using the EHR to document care of a patient with a fractured
femur is an example of using the EHR in which way
Simulation Technology Improving patient outcomes. Ans- Allowing them hands-on
practice and immediate feedback of the skill being learned
Knowledge worker Ans- Nurses in this type of role
-are continuous learners
-use technology to support and inform nursing practice
-generate knowledge as a product
Expert/Experienced Nurse Ans- Expected to fully integrate informatics throughout the
course of his/her practice, not just for basic data entry and retrieval. They also know
how to pull trends out of data
Nursing informatics Ans- Nursing informatics as a specialty does have its own National
certification exam
Clinical practice guidelines Ans- Clinical practice guidelines can allow for the creation of
nursing policies. True rooted in evidenced based research
Information technologies, not systems but functions within a system Ans- CPOE, bar
code medication administration, and clinical decision support are all examples of what
Computerized Physician Order Entry (CPOE) Ans- The name used to describe the
process by which the physician or provider enters orders electronically into the EHR
RFID Ans- A radio frequency identifier (RFID) is a type of (information) technology that
is used to identify and track supplies and medications within a healthcare environment
Informatics affecting Nursing Practice Ans- Clinical pathways and computer generated
care plans are examples of how informatics can affect nursing practice True, examples
of clinical decision support
Nursing informatics Ans- The use of technology and information to help support all
aspects of nursing practice
The foundation of knowledge model Ans- 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 acquisition, knowledge processing
and knowledge dissemination
Data (not information until it has been analyzed) Ans- A patients height, weight, code
status, and date of birth are all examples of what
Less consumer accountability Ans- Not an emerging trend in healthcare
Mission Ans- The purpose or reason for an organizations existence
Strategic planning, long-range Ans- The development of a comprehensive long range
plan for guiding the activities and operations of an organization
They will need to be trained on the system Ans- Why is it not important that selection
committee board members understand software and electronic processes
Strategic Planning Ans- Strategic planning is not driven by short term goals as Strategic
Planning is a LONG TERM GOAL
Blogging Ans- Not a national trend related to nursing informatics
Needs assessment Ans- During which phase of the information life cycle should the
"musts" and "wants" be determined
Information Life Cycle Phases Ans- 1. Needs assessment phase
2. System selection phase
3. System implementation phase
4. Maintenance phase
Project scope Ans- Term that defines the size and details of a collaborative effort
Nurses active participation in Electronic Information Importance Ans- To ensure the
information is current and accessible to the healthcare team
Project Implementation Team Responsibilities Ans- Execution of system changes,
active involvement in user participation, knowledge of current workflows
Company history Ans- A common request contained in a request for information (RFI)
document includes what
System Implementation Role Ans- Go-live planning, applying system changes as
needed, end-user training
Continuous Ans- Term that best describes the life cycle of an information system
EHR Essential Components Ans- Evidence-based decision support, assessment
findings, vital signs, demographic data
EHR Function Ans- Bar-code medication administration
EHR Benefits Ans- Reduces medication errors, improves provider documentation
Patient Support Example Ans- Providing education material
EHR Primary Benefit Ans- One primary benefit of the EHR is a decreased wait time for
diagnostic testing...FALSE
EHR Main Goal Ans- Primary goal of EHR functionality in contrast to that of a health
information system is promoting patient safety
HIS Health Information System Ans- Broad term used to describe administrative and
clinical systems to streamline work flow processes efficiency
Barrier to patient centered care Ans- Is waiting until the end of the shift to chart patient
assessments a barrier to patient centered care...Yes, chart in real time.
Computer position can be a barrier if it is placed between the provider and the
patient...pay attention to your patient.
Standardization of Data and Different data needs of each clinic Ans- What potential
challenge can occur when implementing an EHR in a medical center with various
outpatient clinics
Local Area Network (LAN) access Ans- What is the type of connection is needed to
access the EHR when an internet connection is lost
EHR Information Includes Ans- Immunization history, CT scan results, date of birth
EHR Quality Care Between Facilities Ans- By providing continuity of care,
interoperability
EHR Ans- The EHR is a longitudinal electronic patient record of all health care
encounters...carries with the patient (longitudinal)
Medication Administration System (Pyxis) Access Ans- Barcode ID badge, fingerprint
Order entry system Ans- Type of health information system that ensures the accuracy of
physician orders
ADT System (Admission, discharge, transfer) Ans- A registration system is also
commonly refereed to as
Health information systems Ans- A group of systems used within the hospital to support
and enhance healthcare
HIS Implementation Nursing Ans- It is important to secure staff nurses active
participation when implementing a health information system b/c the nurses knowledge
of current patient care workflow may improve implementation decisions
Standardized Terminologies important to nursing Ans- They improve communication
within the interdisciplinary team
HIS Examples Ans- Laboratory system, pharmacy system, registration system
Perioperative nursing data set (PNDS) Ans- Which nursing terminology contains a
nursing diagnosis, interventions and outcomes specific to the perioperative experience
Standardized Terminologies in Nursing Informatics Development is Driven by what
Principles Ans- Accessibility, ubiquity, longevity, reusability
Collaboration when selecting a Health Care System Ans- Collaboration leads to
knowledge sharing
Administrative Information System Examples Ans- Scheduling system, financial system,
admission, discharge and transfer (ADT) system
Clinical Information Systems Examples of Effectiveness Ans- The information retrieved
can be used to foster research, improves nursing documentation compliance, It can
improve clinician workflow
HL7 (Health Level 7) Ans- Acronym used to refer a standard of interoperability and
exchange of clinical data
Financial Systems are designed to do what Ans- Manage the expenses and revenue of
providing healthcare, report and track fiscal outcomes as they relate to organizational
goals, help to determine the organizations strategic direction
EHR implementation challenges in a medical center with various specialties AnsIdentifying the different data needs for each specialty practice
Clinical Decision Support Tool Characteristics Ans- Takes specific patient data,
analyzes it and provides recommendations (next action)
Clinical Decision Support Tool Examples Ans- Computer generated care plans, alerts,
smart pumps, electronic drug references
Culture of Safety Principles Ans- 1. Commitment of resources
2. Cross collaboration
3. Blame free environment
Security Threats to data/information Ans- 1. Unauthorized personal accessing
equipment
2. Use of removable storage devices
Governing Authorities protecting Information Ans- 1. HIPPA
2. ANA code of ethics
HIPPA Privacy Act Ans- 1. Patients have ownership rights to their records
2. Patients can amend own records if information is incorrect
Physical/Logical Means of Protecting Information Ans- Physical - surveillance cameras,
restricted areas, hard copy records being shredded
Logical - firewall protection, biometrics, authentication, automatic sign off on computers
Telehealth (Store and Forward Technology) Ans- Means of transferring data or images
from one location to another, most often used for pathology reports and radiology
images
Telehealth Driving Factors Ans- Access to care (removing geographical barriers),
continuity of care, mobile devices, follow up calls, more patients than providers,
increase in chronic diseases
Telehealth (Ethical and Legal Implications) Ans- Need for extensive documentation to
avoid malpractice, providers need to be licensed in every state they practice Telehealth
Telehealth (Clinical vs Non-Clinical Applications) Ans- Clinical - imaging that needs to
be read, mobile device to monitor patient, live video conferencing
Non-clinical - online database search, administrative team using video conferencing
Nursing Informatics Concepts Ans- Data, Information, Knowledge, Wisdom
Informatics System Considerations Ans- Technical Specifications - Downtime for
Maintenance
Response Time - Time it takes system to process request
Architecture - Structure of system, open comm. each other
Connectivity - Interface the system in multiple ways
Testing - In different place than being used
Compatibility - With other systems
Computer Technology Ans- Collection of data for analysis used to justify the efficiency
of particular interventions & improve quality care
Computer Hardware Ans- Input device, CPU, Secondary Storage, Output Device
ANA Terminologies Ans- NANDA, NIC, NOC, CCC, ICNP, PNDA, Omaha System
ARRA (American Recovery & Reinvestment Act Ans- Provides funds for adoption of
technology and provides the right for every individual to receive electronic copy of EHR
EMR Basic Components Ans- Clinical messaging, email, data repository, clinical docum
CIS Ans- Access to client data to Plan, Implement, Evaluate Care
Clinical Term Ans- Enables the capture of data for patient care docum
Computer System Ans- Hardware, Software, Data, Procedures, Users
CPOE Ans- Needs downtime procedure or policy prior to implement
CPU Ans- BRAIN, computer chip processes all computer functions and uses
NO integration Ans- C-3PO and RUG's
EBP Attributes Ans- Increased job satisfaction, improved quality of care
EBP Ans- The use of research and evidence to inform clinical practice, an approach to
provide care that integrates nursing experience and intuition with valid and current
clinical research to achieve the best PT outcomes
EDI Electronic Data Interchange Ans- Permits multiple systems to acquire and share
data
EBP Provides Ans- Standardized best practices, reduces time nurses spend gathering
and assessing data, and provide care w/ clinical research
EMR Ans- Electronic version of the client data found in the traditional medical record
EMR Provides Ans- Legal record often restricted to a single visit of care, building block
of EHR
HIPPA Compliant Codes Ans- ICD, ABC, Common Procedural Terms
HIPPA Provides Ans- Legal protections for personal health info, set standards for
electronic data interchange of claims data, named specific code sets for use in
Medicare related transactions and priv
HITECH (Health Information Technology for Economic and Clinical Health) AnsStrengthened HIPPA security and privacy protection, provides financial incentive for
user of EHR
Nurse uses Data Ans- Accessing Information, Collecting Data, Inputting Data, Analyzing
Data
Informatics Innovator Ans- Process of making enhancements or improvements..creative
Informatics Nurse Ans- Advance knowledge and proficiency in the use of IT as it applies
to nursing practice.
Interfacing Types Ans- 1. Point to Point - Enables 2 systems to communicate,
expensive, has to have customized program
2. Interface Engine - Interfacing across several different systems.
Internet Security Measures Ans- 1. Firewall - Prevents unwanted access to the system
and it's information
2. Limit web page access
3. Server Security - Information stored is not accessible to other systems if they are
attacked
4. Update security software
Intranet/Extranet Ans- Intranet - Private networks that cannot be accessed outside the
organization
Extranet - Network outside the organization that enables customers and suppliers
access to the services.
MIPPA (Medicare Improvement for Patients and Providers Act) Ans- Financial Incentive
for e-prescribing physicians
Telehealth Issues Ans- Lack of reimbursement, infrastructure, plug-play standard,
license and liability issues, concerns r/t privacy confident.
Knowledge Ans- The synthesis of information from several sources to produce a single
concept or idea Ex. journal about BP
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