Healthcare Information Systems
The nurse enters the client’s vital signs and assessment into the electronic health record at the nurse’s
station.
... [Show More] Which of the following systems does this best describe?
Clinical documentation system
Order entry system
Pharmacy management system
Case management system
Any clinical data collected at the bedside goes into a clinical documentation system. An electronic health
record is one example of this. Order entry systems are used to send order information to other
departments. Case management systems are used to create care plans or pathways. Pharmacy
management handles information related to medication orders.
Information Systems Communication
For healthcare information systems to work more efficiently, they must have operability
Interoperability health information technology meaningful use. This enables the systems to send and
receive data without the need for data entry or special interfaces. For this to be successful, data must
be standardized to ensure accurate transfer.
For healthcare information systems to work more efficiently, they must have interoperability. This
enables the systems to send and receive data without the need for data entry or special interfaces. For
this to be successful, data must be standardized to ensure accurate transfer.
Mobile Apps
Which phrase best describes the ability to use a video conferencing application on a cell phone?
Technology literacy
Innate knowledge
Information literacy
Health literacy
Technology literacy is the best way to describe someone’s ability to utilize a video conferencing
application on a cell phone. Information literacy would better describe how that information travels
through the mobile device. Health literacy is about understanding healthcare issues. Innate knowledge is
the knowledge someone already has.
Healthcare Information Systems
Match the task to the system that is needed:
Case
Manageme
nt Systems
Communica
tions
Systems
Business
Systems
Order Entry
Services
Patient
Care
Support
Systems
Submit a
bill for
reimbursem
ent
Document
the vital
signs of a
client
Request
dressing
supplies to
change a
dressing
Check the
activity
level on a
client care
pathway
Leave a
message
with the
provider
about a
client
Check for xray
results
Review
staffing
resources
for the unit
Check if
deep vein
thrombosis
(DVT)
prophylaxis
is
recommend
ed after
surgery
Order
physical
therapy
services
Answer a
call light
from the
nurse’s
station
Correct answers:
Task
Case
Manageme
nt Systems
Communica
tions
Systems
Business
Systems
Order Entry
Services
Patient
Care
Support
Systems
Submit a
bill for
reimbursem
ent
✓
Document
the vital
signs of a
client
✓
Request
dressing
supplies to
change a
dressing
✓
Check the
activity
✓
level on a
client care
pathway
Leave a
message
with the
provider
about a
client
✓
Check for xray
results
✓
Review
staffing
resources
for the unit
✓
Check if
DVT
prophylaxis
is
recommend
ed after
surgery
✓
Order
physical
therapy
services
✓
Answer a
call light
from the
nurse’s
station
✓
Implementation of a New System
The informatics nurse is setting up a new instant messaging system for the unit. Which of the following
statements by the nurse administrator indicates further information is needed?
“It is required that the staff sign up and use the system.”
“It’s easy to use, no training will be needed.”
“It should be HIPPA compliant to prevent sensitive data from being viewed by unauthorized staff.”
“This will be used instead of the current messaging system that is in place.”
Anytime a new system is implemented, it is important to define where it will be used, who will have
access, and that it is secure. Training should always be offered because many staff members have
different understand and ability to use a new communication system and may need assistance. Failure to
train can result in less system usage and more workarounds.
Advantages of Clinical Documentation Systems
Which of the following are advantages of a clinical documentation system? Select all that apply.
They offer privacy and strong security.
Information is seldom misplaced, misfiled, or lost.
The same chart can be used by multiple professionals at the same time.
All patient information is stored in one place.
The information is more accurate than when using a manual chart.
By law, clinical documentation systems used for healthcare are required to offer privacy and strong
security. Because the clinical documentation is available on most computers, tablets, or laptops, the
information can be accessed by multiple people at the same time. Standard information technology
practices require back-up data storage, and most modern systems are usually very reliable and do not
lose, misplace, or misfile data. Information in any kind of chart is only as good as the information
entered, so accuracy is not better with a clinical documentation system. Patient information is stored in
many different systems, not just one system.
System Interoperability
Which outcome occurs when there is no interoperability between systems?
Increased redundancies
Increased data entry requirements
Decreased errors between systems
Increased efficiency
When systems have no interoperability, there is [Show Less]