Nursing informatics Exam 214 Questions with Verified Answers
Data, information and knowledge in sequential boxes with one-way arrows pointing from data
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information to knowledge - CORRECT ANSWER GRAVES AND CORCORAN SEMINAL WORK.
intended to stimulate and guide systematic research in this discipline - CORRECT ANSWER PATRICIA SCHWIRIAN'S MODEL
raw material (Nursing related information)
technology (computering system)
the users (nurses, students and context)
the goal or objective - CORRECT ANSWER What are the four elements of Patricia schwirian's model
Indicates that nursing informatics is the intersection between the discipline-specific science (nursing) and the area of informatics - CORRECT ANSWER TURLEY'S MODEL (1996)
Cognitive Science
Information Science
Computer Science - CORRECT ANSWER What are the three Core Components of Turley's Model
-rigid adherence to taught rules or plans
- little situation perception
- no discretionary judgment - CORRECT ANSWER Novice
-guidelines for action based on
attributes or aspects
- situational perception still limited
- all attributes and aspects are treated
separately and given equal importance - CORRECT ANSWER Advanced Beginner
-coping with "crowdedness"
-now sees actions at least partly in terms of longer-term goals
-conscious deliberate planning
- standardized and routinized procedures - CORRECT ANSWER Competent
-sees situations holistically rather than in terms of aspects
-sees what is most important in a situation
-perceives deviations from the normal pattern
-decision-making less labored× uses maxims for guidance, whose
meaning varies according to the situation - CORRECT ANSWER Proficient
-no longer relies on rules, guidelines, or
maxims
-intuitive grasp of situations based on deep tacit understanding
-analytic approaches used only in novel situations or when problems occur
-vision of what is possible - CORRECT ANSWER Expert
used to convey important data and information to others, the communication must be understood by the listener and be interpreted as having meanin - CORRECT ANSWER Terminologies
the set of terms and relationships that describe the phenomena, processes, and practices of a discipline such as nursing. - CORRECT ANSWER Concept
terms for which data are collected and for which values are assigned - CORRECT ANSWER Data element
specific purposeful group of data elements representing a subset of concepts within a discipline. - CORRECT ANSWER Data set
focus on the patient and care process and are used to capture, store, and manipulate data in EHRs - CORRECT ANSWER Nursing Terminologies
Application of computer and information science in all basic and applied biomedical sciences to facilitate the acquisition, processing, interpretation, optimal use and communication of health-related data" - CORRECT ANSWER Health Informatics
The practice and science of integrating nursing information and knowledge with technology to manage and integrate health information. - CORRECT ANSWER Nursing Informatics
integration of information science, health science, and computer science - CORRECT ANSWER Health Informatics
integrates nursing, computer, and information sciences to manage and communicate data, information, knowledge and wisdom into nursing practice in order to support patients, nurses and other providers in their decision-making in all roles and settings - CORRECT ANSWER Nursing informatics
responsible for providing clinical information and data analysis for effective patient care and monitoring - CORRECT ANSWER Nursing informatics Specialist
- Punch cards
- Card readers
-Sort and prepare data for processing
- teletypewriters - CORRECT ANSWER 1960s
During this period, computer technology advanced, while the number of healthcare facilities increased. - CORRECT ANSWER 1960s
1960s - CORRECT ANSWER In what year did the introduction of cathode ray tube (CRT) terminals, online data communication, and real-time processing add significant dimensions to computer systems, making machines more accessible and "user-friendly"?
1970s - CORRECT ANSWER What year did hospitals begin developing computer-based information systems, which initially focused on physician order entry and results reporting, pharmacy, laboratory and radio reports, financial and managerial information, and physiologic monitoring system in the intensive care unit, and a few systems began to include care planning, decision support, and an interdisciplinary problem list?
1970's - CORRECT ANSWER In what year were nurses involved in the implementation of the Hospital Information Technology (HIT) system?
1980s - CORRECT ANSWER This is the year when microcomputer or personal computer (PC) emerged. This revolutionary technology made computers more accessible, affordable, and usable by nurses and other health care providers.
1981 - CORRECT ANSWER What year did the first Nursing Special Interest Group on computers meet for the first time during SCAMC (Symposium on Computer Application in Medical Care)?
1985 - CORRECT ANSWER In what year did the American Nurses Association (ANA) approve the formation of the Council?
1986 - CORRECT ANSWER The first edition of nursing informatics was published during this year
1992 - CORRECT ANSWER In what year was Nursing Informatics approved by the American Nurses Association as a new nursing specialty with its own Scope of Nursing Informatics Practice Standards, specific credentialing examinations, and increased demand for nursing expertise?
1990s - CORRECT ANSWER The internet was used for High-Performance Computing and Communication (HPCC) or the Information Superhighway and facilitated data exchange between computerized patient record systems across facilities and settings.
2000s - CORRECT ANSWER What year did the development of a wireless point-of-care system with a focus on open source solutions take place?
Executive Order 13335 - CORRECT ANSWER What Executive Order established the Office of the National Coordinator for Healthcare Information Technologies (ONC) in 2004?
TRUE - CORRECT ANSWER TRUE OR FALSE
In 1995, Saba initiated a history of nursing informatics at the National Library of Medicine. It was initiated based on the recommendation of Dr. Morris Collen who published the History of Medical Informatics in 1990.
1961 - CORRECT ANSWER What year was the Healthcare Information and Management Systems Society founded?
terms for which data are collected and for which values are assigned. - CORRECT ANSWER data elements
the set of terms and relationships that describe the phenomena, processes, and practices of a discipline such as nursing. - CORRECT ANSWER concept
specific purposeful group of data elements representing a subset of concepts within a discipline - CORRECT ANSWER data set
focus on the patient and care process and are used to capture, store, and manipulate data in EHRs - CORRECT ANSWER nursing terminologies
Alphabetical listing in the mid 1980's to a conceptual system that guides the classification of nursing diagnoses in a taxonomy and includes definitions and defining characteristics - CORRECT ANSWER NANDA-I
The 4th edition of the NIC contains 514 nursing interventions that describe the treatments nurses perform, updated linkage with the NANDA diagnoses , and core interventions identified for 44 specialty practice areas. - CORRECT ANSWER Nursing Interventions Classification (NIC)
The latest edition of NOC has 330 research based outcomes to provide standardization of expected patient, caregiver, family and community outcomes for measuring the effect of nursing interventions.
• Each outcome features a definition, a set of specific indicators, measures to facilitate clinical implementation and references - CORRECT ANSWER Nursing Outcomes Classification (NOC)
A research based nomenclature designed to standardize the terminologies for documenting nursing care in all clinical care settings - CORRECT ANSWER Clinical Care Classification (CCC)
Provides a universal language for perioperative nursing practice and education and a framework to standardize documentation. The diagnostic component is based on NANDA, the interventions are NIC terms and the outcomes are from NOC. - CORRECT ANSWER Perioperative Nursing Data Set (PNDS)
A core clinical terminology containing over 357,000 healthcare concepts with unique meanings and formal logic based definitions organized into multiple hierarchies.
• It is placed through the National Library of Medicine, it is available in English, Spanish, and German language editions. - CORRECT ANSWER SNOMED CT
Originated as a database of standardized laboratory terms for results reporting for chemistry, hematology, serology, microbiology and toxicology - CORRECT ANSWER Logical Observation Identifiers Names and Codes (LOINC)
A combinatorial terminology for nursing practice developed by the international nursing community under sponsorship of the International Council of Nurses (ICN). It includes nursing diagnosis, nursing interventions, and nursing outcomes. - CORRECT ANSWER International Classification for Nursing Practice (ICNP)
Includes terms to describe the context and environment of nursing practice, and includes terms for nursing delivery unit/service, patient/client population, care delivery method, personnel characteristics and financial resources - CORRECT ANSWER Nursing Management Minimum Data Set (NMMDS)
A machine that uses electronic components and instructions to the components to perform calculations and repetitive and complex procedures, process text, and manipulate data and signals - CORRECT ANSWER Computer
- defined as all of the physical components of a computer
- attached to a component called a motherboard.
- includes the physical, tangible parts or components of a computer, such as the cabinet, central processing unit, monitor, keyboard, computer data storage, graphic card, sound card, speakers and motherboard - CORRECT ANSWER Computer Hardware
- Heart of any computer is the motherboard a thin, flat sheet made of a firm or flexible nonconducting material on which the internal components— printed circuits, chips, slots, and so on—of the computer are mounted.
- Made of a nonconducting plastic or fiberglass material. Copper (or other metal) conducting lines (circuits) are embedded into the board
- Has holes or perforations through which components can be affixed so they can transmit data across the circuits.
- Contains the microchips (including the CPU), and the wiring, and slots for adding components. - CORRECT ANSWER Motherboard
The CPU is considered the brain of the computer. It performs all types of data processing operations, stores data, intermediate results and instructions (program). It controls the operation of all parts of computer - CORRECT ANSWER Central Processing Unit (CPU)
- Control Unit
- Arithmetic Logic Unit
- Memory (RAM, ROM, Cache) - CORRECT ANSWER 3 components of CPU
allow computer receive information from the outside world - CORRECT ANSWER input device
allow the computer to report its results to the external world - CORRECT ANSWER output device
Component of computer's central processing unit (CPU) that directs operations of the processor. It tells the computer's memory, arithmetic logic unit and input and output devices how to respond to a program's instructions. However, the CU doesn't process data's - CORRECT ANSWER Control Unit (CU)
The logical part of the brain. When any mathematical calculation or decision/logic needs to be carried out, the instruction is passed on the ALU - CORRECT ANSWER Arithmetic Logic Unit (ALU)
The electronic storage devices or chips found on the motherboard. - CORRECT ANSWER Memory
-The internal memory of the CPU for storing data, program, and program results.
-Read and write memory and store data until the machine is working. Once the machine is switched off, the data is erased. - CORRECT ANSWER Random Access Memory (RAM)
- An only read memory and a non-volatile.
- The information is stored permanently = never
erased
- It stores such instructions that are required to start a computer, called bootstrap
- It is composed of the programs used by the
control unit of the CPU to oversee computer functions. - CORRECT ANSWER Read Only Memory (ROM)
-Small form of ROM
-It speeds up the processing by storing frequently called (used) data and commands in a small, rapid access memory location - CORRECT ANSWER cache
- Most common and very popular input device that helps inputting data
- It consists of keys that are capable of inputting alphabets, numbers and special characters.
- Can navigate using the keyboard and perform shortcut - CORRECT ANSWER Keyboard
-Most popular pointing device and cursor-control device
- It has a small palm size box with a round ball at its base that senses the movement of the mouse and sends corresponding signals to CPU when mouse buttons are pressed. - CORRECT ANSWER Mouse
Allows to scan printed materials and convert it into a file format that may be used within the PC - CORRECT ANSWER Scanner
Commonly called as Visual Display Unit (VDU)- Main output device of a computer- Form image from tiny dots called pixels that are arranged in rectangular form- The sharpness of the image depends on the number off pixels - CORRECT ANSWER Monitor
- A data storage device which includes a flash memory with an integrated USB interface
- Typically removable and rewritable, and smaller than optimal disc - CORRECT ANSWER USB
Output device, used to print information on papers - CORRECT ANSWER Printer
Hard Drive
USB Flash Drive
Optical Media
Cloud Storage - CORRECT ANSWER storage media
- A peripheral component that has very high speed and high density.
- It is a very fast means of storing and retrieving data as well as having a large storage capacity in comparison with some other types of storage.
- the main storage device of many personal computers and is typically inside the case or box that houses other internal hardware. - CORRECT ANSWER hard drive
-A form of a small, erasable, programmable, read-only memory (EPROM), a bit like the ROM chips in a computer.
- It functions a bit like a removable hard drive that is inserted into the USB port of the computer.
- Also known as pen drive, jump drive, thistle drive, pocket drive, and so forth. - CORRECT ANSWER USB Flashdrive
Include compact disks, digital versatile disks, and Blu-Ray. CD-ROMs and DVDs are rigid disks that hold a higher density of information and have higher speed. - CORRECT ANSWER Optimal media
An extension of online storage service offered by individual vendors is cloud storage. Far more secure and reliable than a hard drive or back up drive. - CORRECT ANSWER cloud storage
Computational - oriented computers Designed for:
- Scientific applications requiring gigantic amount of calculations (at super fast speeds) - Analysis of scientific & engineering problems
- Mathematically intensive research applications - CORRECT ANSWER supercomputers
The largest type of computer - CORRECT ANSWER supercomputers
- Most common fast, large, and expensive
- Used in large businesses: hospitals, large healthcare facilities for processing, storing, & retrieving data
- they may have the electronic medical record. - CORRECT ANSWER mainframes
Used for processing large amount of repetitive calculations involved in:
✓Billing
✓Payroll
✓Inventory control
✓Business operations computing - CORRECT ANSWER mainframes
Used to:
✓Document patient care
✓Obtain laboratory and radiology results ✓Record medication orders
✓Administration record
✓Information retrieval tasks - CORRECT ANSWER mainframes
Machines and software that process transactions in high- volume are known as transaction processing system (TPS). - CORRECT ANSWER mainframes
are often used to support the entire Hospital Information Technology (HIT) system aka Hospital Information System. - CORRECT ANSWER mainframes
- Also known as Personal Computer or PCS
- Designed to support a single user - CORRECT ANSWER Microcomputers
In hospitals, they are used to:
● Patient classification
● Nurse staffing
● Scheduling
× Often placed in cart to:
● Recording nurse notes
● Ordering tests
● Treatments
● Looking up medications - CORRECT ANSWER Microcomputers
- It is much smaller and less powerful than a mainframe, and used one person at a time.
- This is used for an increasing number of independent applications. - CORRECT ANSWER microcomputers
- Computers on carts
- Known to be more useful than the fixed computers
at the patient bedsides - CORRECT ANSWER "WOW" Workstation on Wheels and "COW" Computer on Wheels
are small, special function computers, have almost same functionality and processing capabilities as microcomputers but are limited in their expansion capabilities. - CORRECT ANSWER Handheld computers
is a very small special function handheld computer that provides calendar, contacts, note-taking functions and may provide word processing, spread sheet and other functions. - CORRECT ANSWER Personal digital assistants (PDA)
Set of programs, which is designed to perform a well-defined function. - CORRECT ANSWER computer software
- Collection of programs designed to operate, control, and extend the processing capabilities of the computer itself.
- Composing programs written in low-level languages, which interact with the hardware at a very basic level. - CORRECT ANSWER system software
Products are designed to satisfy a particular need of a particular environment. - CORRECT ANSWER Application Software
It is an integrated set of specialized programs used to manage overall resources and operations of the computer.
It is a specialized software that controls and monitors the execution of all other programs that reside in the computer, including application programs and other system software. - CORRECT ANSWER Operating Systems
A system software designed to help to
analyze, configure, optimize or maintain a
computer.
- It is used to support the computer
infrastructure
- in contrast to application software, which is aimed at directly performing tasks that benefit ordinary users. - CORRECT ANSWER Utility Software
Software whose source code is available for modification or enhancement by anyone. - CORRECT ANSWER Open Source Software
is the part of a software program that most computer users don't ever see; it's the code computer programmers can manipulate to change how a piece of software. - CORRECT ANSWER source code
is exactly as the term implies, free of charge; but that does not necessarily mean the user has a license to access, change or distribute that software. - CORRECT ANSWER Free software
This kind of software is frequently called 'proprietary software' or 'closed source' software, because its source code is the property of its original authors, the only ones legally allowed to copy or modify it. - CORRECT ANSWER Free software
A system where physician document their medical orders - CORRECT ANSWER Computer Physician Order Entry System
Software systems used by nurses - CORRECT ANSWER Hospital Information System (HIS)
This is when the nurse can retrieve and display a client's physiological parameters across time. Furthermore, standardized nursing care plans, care maps, and critical pathways can be stored in the computer via EMR. - CORRECT ANSWER Tracking client status
- Terminals used to order supplies, tests, meals, and services from other departments.
- Computer used extensively for scheduling (client appointment and staff scheduling requests)
- For insurance keeping so that billing can be accurate. - CORRECT ANSWER practice management
- Tracking of a group of clients the caseload.
- Keeps abreast of the latest regulations affecting eligibility for health care benefits, the reporting requirements of the payer's agencies, the detailed facts about the variety of services providers that the
client needs to access. - CORRECT ANSWER Case management
A system designed to collect, store, organize, retrieve, and manipulate all data related to care of the critically ill patient - CORRECT ANSWER CRITICAL CARE INFORMATION SYSTEM(CCIS) / MEDICAL INFORMATION BUS (MIB)
•Process, store and integrate physiologic and diagnostic information of patient
•Present deviations or abnormalities by setting an alarm
• Analyze and present data trends in graphical form - CORRECT ANSWER Physiologic monitoring system
Bedside monitoring system acquires data such as heart rate from the ECG, parameters from arterial and pulmonary arterial invasive blood pressure, temperatures, noninvasive blood pressure and arterial saturation and heart rate from pulse oximetry. - CORRECT ANSWER vital signs monitoring
Record and integrate data on patient vital signs
soft copy version of the patient's data - CORRECT ANSWER Clinical documentation
Provide access to vital patient information thus supporting clinical decision making
Other electronic devices at patient's bedside such as infusion pumps, mechanical ventilators, mixed venous oxygen saturation monitors, fluid collection devices that measure chest drainage and urine output are also sources of important clinical information. - CORRECT ANSWER decision support
The normal ECG pattern is programmed into computer, any deviations will be detected from component ECG waves - CORRECT ANSWER Detection surveillance
Can process analog signals, interpret abnormal ECG patterns and generate an analysis report that is confirmed by cardiologist - CORRECT ANSWER Diagnostic interpretative
•Online fully integrated medication
•Significant time reduction associated with transcription medications to paper
•Decrease transcription error
•Significant time reduction associated to documenting medications - CORRECT ANSWER Medication Management
Barcode on patients' bands and medication packaging helps to double check that the right medication is being given to the right patient at the right time - CORRECT ANSWER barcode technology
-Nurses no longer struggle to read physicians handwriting
-Reduces verbal orders
- Increased patient safety
- physician's orders are made more accessible even in mobile phones - CORRECT ANSWER Interdisciplinary plan of care
An alert system that can be used in conjunction with the hospital pharmacy. A system design is created to alert both pharmacy and health staff when two or more drug prescriptions are incompatible. - CORRECT ANSWER Computerized clinical alert
Some are simple alarms that appear when the medical order conflict with another aspect of client's situation (allergies, contraindications)★ signals an alert every time there is something
wrong with the patient's vital signs - CORRECT ANSWER Computerized clinical alert
SYSTEM ALERTS THE NURSE IMMEDIATELY IF ANY INCONSISTENCIES OR POTENTIAL PROBLEM EXIST.
•Online and integrated Rules and Alerts
•Drug allergy alerts based on order entry
•Drug- drug interaction alerts
•Alerts for abnormal lab values and vital signs
•Alerts for new orders
•Alert for order renewals
•Alert for scheduled patient events - CORRECT ANSWER Different types of alerts
-Hospital Information System
- From patient's hospital records to personal
information and laboratory examination results and procedures
- Nurses, doctors, pharmaceutical and billing
have access to it
-Patients not under your care does not guarantee your access which is part of the hospital's security policies
- Have access to discharge patient and alert anMGH tag
- Can view medications taken by the patient
- Transactions are automated to patient's billing
account
- Lab requests for examinations to be done to
patient - CORRECT ANSWER Bizbox
1.Gathering epidemiological and administrative statistics.
2.Patient appointments - identification system.
3.Monitoring of programs in the community:
4.Documentation
5.Community mapping/ Public Participatory Information Systems (PPGIS) - CORRECT ANSWER The main use of computers in community settings
- Preventing, identifying, investigating and eliminating communicable health problems.
- Accessibility of data and information, through communication.
- Educating and empowering individuals to adopt healthy lifestyle.
- Facilitate the retrieval of Data.
- Effective transformation of data into information - CORRECT ANSWER Primary focus of community health information system
- Effective integration of information to other disciplined to concretized knowledge and create better understanding.
- Creation of computerized patient records, medical information system.
- Central repositories of all data such as data warehouse.
- Simple Graphical User Interface (GUI) for nurses and other healthcare provider, patient and consumer - CORRECT ANSWER Primary focus of community health information system
To enhance the emergency preparedness and response system, a special system such as the national electronic disease surveillance system can be coupled and integrated to the national health information system. - CORRECT ANSWER Community electronic disease surveillance system
- An example of a local EMR applied in the public health setting
- The first electronic medical record system in the Philippines. - CORRECT ANSWER Community Health Information and Tracking System (CHITS)
•Consistent exchange of response
•Disease tracking
•Data and information sharing
•Building strategies
•Early Detection and monitoring of disease and sickness
•Control of spread disease
•National alertness and preparedness
•Building strong communication - CORRECT ANSWER advantages of CEDSS
•Maintaining strong relation between nurses and other healthcare provider
•Continuous coordination of the healthcare professionals
•Synchronization of the decision
•Streamlining of the process
•Effective management of data and information - CORRECT ANSWER advantages of CEDSS
•Monthly report, no of birth immunization, communicable diseases, deaths, delivery
•Field workers engaged in monitoring of epidemics, outbreaks and analyzing the morbidity trend of their village - CORRECT ANSWER gathering epidemiological and administrative statistics
•People can have access to the details of dispensaries, diagnostics centers, medical shop and hospital in the locality, medical colleges, rehabilitation centers. - CORRECT ANSWER patient appointments - identification system
•Health Information System (HIS)
•Computer Base Survey System
•Statistical Information System in Community Health - CORRECT ANSWER monitoring of programs in the community
Facilitates effective monitoring of programs - CORRECT ANSWER Health information system
Health statistical survey is used to collect quantitative information about items in population to establish certain information from the obtained data - CORRECT ANSWER Computer based survey system
In Primary Health Center it is designed to lessen paperwork responsibility, get better data accuracy, and facilitate village health workers to provide timely care and information to the rural population.
•Example: EMR ( Electronic Medical Recod) - CORRECT ANSWER Documentation
- Increased efficiency
-Improved documentation
- Improved quality of care
- Improved security
- Reduced documentation expenses - CORRECT ANSWER Advantages of electronic medical record
- It is a tool that can be used to tell a story about what is happening in our communities.
- Community Mapping can empower the public by providing opportunities to have a lasting, positive influence on their community. - CORRECT ANSWER Community mapping/ public participatory information systems (PPGIS)
Ambulatory care covers a wide range of health care services that are provided for patients who are not admitted overnight to a hospital. - CORRECT ANSWER Ambulatory care system
•Outpatient clinics
•Urgent care centers
•Emergency rooms, ambulatory or same day surgery centers
•Diagnostics and imaging centers
•Community health centers
•Occupational health centers
•Mental health clinics - CORRECT ANSWER where do we provide the ambulatory care services?
1. Wellness
2. Diagnosis
3. Treatment
4. Rehabilitation - CORRECT ANSWER What are the 4 sub categories of ambulatory care?
Mostly for prevention and basic medical care. They include doctor's clinics, such as primary care, as well as counseling centers for mental health and weight loss. - CORRECT ANSWER Wellness
can be provided on their own, or as part of a wellness or treatment program. They include X-Rays, lab and blood tests, MRIs and screening for various cancers and illnesses - CORRECT ANSWER Diagnosis
These include same-day surgery centers, substance abuse clinics, chemotherapy and other forms of therapy. - CORRECT ANSWER Treatment
includes post-operative therapies, occupational and physical therapy and rehabilitation for drug and alcohol abuse. - CORRECT ANSWER Rehabilitation
Bedside computer terminal access can facilitate real-time charting and increase nursing time at bedside. - CORRECT ANSWER Computer on Wheels (COW)
Other systems allow for data collection outside of the clinic using a range of mobile technology such as Internet-based patient portal websites, mobile technology and text messaging, and computerized telephone surveys. - CORRECT ANSWER Computerized prescriber order entry (CPOE)
1. increased accountability
2. The need to continuous support
3. Privacy and confidentiality of information
4. Accessibility and security of data and information
5. Integration and support to the other system - CORRECT ANSWER what are the issues in ambulatory care information system?
- In collaboration with the government is providing emergency response services which enables distress calls
- It reaches out to rescue people involved in critical accidents and emergencies. - CORRECT ANSWER Emergency management research institute (EMRI)
it will link all hospitals, practices and health practitioners as well as students in the country through the use of computer-based communication channels. - CORRECT ANSWER National health information system (NHIS)
To enhance the emergency preparedness and response system, a special system such as the national electronic disease surveillance system can be coupled and integrated to the national health information system. - CORRECT ANSWER National electronic disease surveillance system
To reduce morbidity and mortality through an institutionalized, functional integrated disease surveillance and response system nationwide. - CORRECT ANSWER PIDSR: philippine integrated disease surveillance and response
Category 1: Immediately reportable diseases/syndromes/events
× Category 2:Weekly reportable diseases/ syndrome/ events - CORRECT ANSWER Case based/indicator based
ESR (Event-based Surveillance and
response)
- Compliments existing indicator- based diseases surveillance (PIDSR) in detecting events with added advantage of rapid reporting, greater geographic spread and relatively low cost - CORRECT ANSWER Event Based
- Detect early unusual increase of
communicable and non-communicable conditions related to emergencies and disasters
- Monitor health trends for appropriate public health action
- Enable identification of appropriate response to handle the emergency. - CORRECT ANSWER SPEED (Surveillance in Post Extreme Emergencies and Disasters)
This app replaced the COVID Kaya App for the DOH COVID-19 Dashboard. - CORRECT ANSWER TanodKontraCOVID App for the DOH COVID-19 Dashboard:
he use of digital information and communication technologies, such as computers and mobile devices, to access health care services remotely and manage your health care. - CORRECT ANSWER Telehealth
This is where the telenurse determines the
appropriate nursing action - CORRECT ANSWER Telehealth
- Make health care accessible to people who live in rural or isolated communities.
- Make services more readily available or convenient for people with limited mobility, time or transportation options.
- Provide access to medical specialists.
- Improve communication and coordination of care
among members of a health care team and a patient.
- Provide support for self-management of health - CORRECT ANSWER What are the goals of telehealth?
- Patient portal
- Remote monitoring
- Doctors talking to doctors
- Personal Health Records
- Personal Health Apps - CORRECT ANSWER What are the teleheath services
The collection and interpretation of structured information from patients can inform and guide clinical care. - CORRECT ANSWER ELECTRONIC PATIENT- REPORTED OUTCOMES ASSESSMENT
1.automating both the administration and the scoring of the assessment
2. increasing patient satisfaction and ease of use
3. minimizing missing data and the time delay in reporting results to providers.
4. Electronic assessments also facilitate patient-centered care by enabling customization of the assessments and increasing flexibility in selecting the frequency and locations of assessments.
5. ePRO systems can also promote patient-centered care by providing flexibility in choosing the location and method of assessment - CORRECT ANSWER Benefits of ePRO Assessment
s a class of tools that help people collect personally relevant information for the purpose of self-reflection and self-monitoring. These tools help people gain self-knowledge about one's behaviors, habits, and thoughts. It goes by other names such as living by numbers, personal analytics, quantified self, and self-tracking. - CORRECT ANSWER Personal informatics
An electronic document that contains the clients medical, personal and health information but is controlled by the client, rather than the health care providers. - CORRECT ANSWER Computer Based Client Records/ Electronic Medical Records (EMR)/ Computer Based Patients Records (CPRs)
sometimes referred to as personally controlled health records, are electronic tools used by individual patients to store and share medical information - CORRECT ANSWER Personal health records (PHRs)
PATIENT PORTAL
web portals enable patients to communicate with their physicians, request prescription refills and appointments, and access their health records, laboratory test results, and x-rays and other images - CORRECT ANSWER ADVANTAGES OF PERSONAL HEALTH RECORDS
SEARCHING FOR INFORMATION
- Patients who learn about proposed treatments seem to have a clearer understanding about what to expect through the processes of diagnosis, acute treatment, and recovery.
-This gathered knowledge increases health literacy and therefore has the capacity to make patients more actively involved in decision-making processes. - CORRECT ANSWER ADVANTAGES OF PERSONAL HEALTH RECORDS
PATIENT NAVIGATION
- New models of mobile phone apps are now emerging so that patients are not tethered to their desks, but rather always have much of this information at their fingertips. - CORRECT ANSWER ADVANTAGES OF PERSONAL HEALTH RECORDS
An expert who combines computer, information and nursing sciences - CORRECT ANSWER Nurse informaticist
Serves as developer of policies and procedures that promote effective and secure use of computerized records by nurses and other healthcare professionals. - CORRECT ANSWER Nurse informaticist
What year the Health Insurance Portability and
Accountability Act was enacted? - CORRECT ANSWER 2003
Establishment of the National Health
Information Coordinator. - CORRECT ANSWER 2004
2002 - CORRECT ANSWER JCAHO identified a clinical information system as a way to improve safety and recommended that hospitals adopt technology.
In what year was the First International Nursing Informatics Teleconference held in Australia? - CORRECT ANSWER 1995
What year was the electronic library established? - CORRECT ANSWER 1993
In what year did Maryland University launch a graduate program in nursing informatics? - CORRECT ANSWER 1989
Electronic Health Record (EHR) - CORRECT ANSWER it is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting.
Electronic Health Record (EHR) - CORRECT ANSWER It automates and streamlines the clinician's workflow and has the ability to generate a complete record of clinical patient encounter, as well as supporting other care-related activities directly or indirectly via interface including evidence-based decision support, quality management, and outcomes reporting.
computer literacy - CORRECT ANSWER the knowledge and ability to use computers or technology
informatics - CORRECT ANSWER science of using computer information systems in the practice of nursing
health informations - CORRECT ANSWER management of healthcare information using computers
nursing informatics - CORRECT ANSWER science of using computer information systems in the practice of nursing
TIGER initiative - CORRECT ANSWER Technology Informatics Guiding Education Reform
- designing plans to enhance the nurse's ability to use electronic health records to improve health care delivery
- have more nurses engaged in nat'l healthcare information systems infrastructure
- speed the adoption of technology that can enhance healthcare safety & effectiveness
7 pillars of the TIGER initiative - CORRECT ANSWER 1. management and leadership
2. education
3. communication and collaboration
4. informatics design
5. information technology
6. policy
7. culture
teaching and learning : EBP - CORRECT ANSWER - literature access and retrieval
- computer assisted instruction (CAI)
- classroom technology
- distance learning
using informatics - teaching and learning EBP : literature access and retrieval - CORRECT ANSWER continuously updated cumulative indexes that can be searched quickly
- complete publications and materials available in computerized formats
using informatics - teaching and learning EBP : computer-assisted instruction - CORRECT ANSWER software programs to help nurses and nursing student learn and demonstrate learning
- study blue, ATI/HESI, quizlet
using informatics - teaching and learning EBP : classroom technology - CORRECT ANSWER - ipad to smart boards
- mannequins and other realistic tools
using informatics - teaching and learning EBP : distance larning - CORRECT ANSWER asynchronous (not interaction in "real" time of synchronous
- two way video conferencing
- management systems such as blackboard, canvas, eCollege, moodle
testing - CORRECT ANSWER surveys, large banks of potential test items that can generate different exams for each student
*NCLEX-RN*
- taken on computer since 1994
- less than 5 hours
- can be in many different locations, dates and times
technology in nursing practice - CORRECT ANSWER - Record client information
- Access other departments' information on the client from centralized computers
- Use computers to manage client scheduling
- Use programs for unique applications such as home health nursing and case management
documentation of client status and medical record dkeeping - CORRECT ANSWER - bed-side data entry
- computer-based client records
- clinical-decision support system
- tracking client status
documentation: bed-side data entry - CORRECT ANSWER - client assessment
- medication administration
- progress notes
- care plan updating
- client acuity
- accrued charted
documentation : computer-based client record - CORRECT ANSWER electron medical record (EMR) - permit electronic data entry and retrieval
*improves health care*
how computer-based client records improve health care - CORRECT ANSWER - constant availability of client health information across the lifespan
- ability to monitor quality
- access to warehoused (stored) data
- ability for clients to share in knowledge and activities influences their own healthcare
*retrieve specific data such as trends in viral signs, immunization records and current problems*
using informatics - teaching and learning EBP : computer-based patient records - CORRECT ANSWER - warn providers of conflicting medications or client parameters that indicate dangerous conditions
- sophisticated system allows replay of audio, graphic, or videos data for comparison of current status
using informatics - teaching and learning EBP : clinical decision support systems - CORRECT ANSWER - incorporate evidence from literature into particular client situations to guide care planning
- client-specific recommendations presented to clinician for consideration
- alarms for when orders conflict
using informatics - teaching and learning EBP : tracking client status - CORRECT ANSWER - retrieve and display client's physiological parameters across time
- care plans/maps, critical pathways, can be stored in the computer and placed into the EHR
Client monitoring and computerized diagnostics - CORRECT ANSWER used in everyday practice
- digital or tympanic monitoring, digital scales, pulse ox, ECG/telemetry, apnea monitors, fetal heart monitors, blood glucose analyzers, ventilators, IV pumps
telehealth - CORRECT ANSWER transits electronic data about client's to persons at distance locations
- x-rays, scans, and stored data
provides primary healthcare to people living in remote areas using monitors
- concerns regarding legal, ethical issues : state borders
- allow nurses to speak with patients and follow health statistics
specific applications of computers in nursing practice - CORRECT ANSWER - community and home health
- case management
community and home health - CORRECT ANSWER Allows communication, searches in the home of a high-risk client's family
Clients can record data to transmit to health care provider.
- these devices allow the healthcare professional to monitor viral signs and other indicators without physically entering the home or requiring a client to make a trip
- therefore, patients can be monitored more frequently, providing better follow-up care, and earlier discharge from the hospital.
case management - CORRECT ANSWER tracking a group of clients via integrated software programs
- document quality
practice management - CORRECT ANSWER - computerized provider order entry (CPOE)
- scheduling
- tracking procedures and times
Computerized provider order entry (CPOE) - CORRECT ANSWER ordering supplies, test, meals, and services
scheduling - CORRECT ANSWER client appointments and staffing patterns
tracking procedures and time - CORRECT ANSWER unique codes
technology in nursing administration - CORRECT ANSWER - Human resources *database on each employee*
- Medical records management *costs are inherent in and reflected in these*
- Facilities management *manage buildings and non-nursing services*
- Finance *used in facilitating billing and budget processes*
- Quality assurance and Utilization review *accumulation and analysis of data*
- Accreditation *joint commission mandates*
health informatics - CORRECT ANSWER the use of information and technology to communicate, manage knowledge, mitigate error and support decision making
benefits of health care informatics - CORRECT ANSWER - tracking patients and equipment
- managing workflow
- reducing error with automation
- aiding patients in self-care
- educating nurses
benefit of health care informatics : minimizing errors - CORRECT ANSWER with an electronic health record that uses computerized functions such as
- barcoding, EHR, medication reconciliation, computerized healthcare providers order entry, patient care alerts and reminders
benefit of health care informatics : promoting "meaningful" use of EHR to - CORRECT ANSWER - improve quality of health care through the electronic exchange of health information
- provide and engage patients and families via access to personal health information via. "portals"
- improve case coordination
- improve population and public health
issues surrounding EHR - CORRECT ANSWER - can create potential risks to privacy and confidentiality *need firewall*
- some providers resist using EHR because they fear of loss of autonomy
- some claim that EHR will cause disruption in workflow or lead to errors
- the purchase and installation costs
- more prevalent reason is *computer illiteracy* and discomfort with technology
benefits of electronic health records - CORRECT ANSWER - improved efficiency
- reduced redundancy
- accessibility
- clinical support tools
- reduced errors
- privacy
- research and public health benefits
privacy - CORRECT ANSWER relates to the patient's right to dignity and respect, and for all personal information to be held private
confidentiality - CORRECT ANSWER is disclosure of information with the patient's consent for health care purposes or when legally required
nightingale pledge (1893) - CORRECT ANSWER nurses citing the pledge promised to :
"hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge"
professionally, nursing have an ethical and legal obligation to - CORRECT ANSWER maintain patient privacy and confidentiality at all times
HIPAA (Health Insurance Portability and Accountability Act) - CORRECT ANSWER - with the advent of electronic health data, congress enacted HIPAA in 1996
- it is a set of rules for hospitals and healthcare providers to ensure that medical records, medical billing, and patient accounts meet certain consistent standards for handling, documentation and privacy
- the "privacy rule" was enacted in 2003 to *establish standards for the protection and disclosure of patient health information
"Privacy rule" protects disclosure of patient health information - CORRECT ANSWER - defines identifiable protected health information (PHI), including *patient identifiers* like name, birthdate, picture, medical diagnosis, address, social security numbers
- stipulates how this information may be used, by whom it is used, and under what circumstances
consequences of HIPAA - CORRECT ANSWER providers are required to adhere to HIPAA regulations and abide by employer policies which may be more strict
- failure to do so can result in reprimand, sanction, fine or loss of licensure by government or state board of nursing and/or loss of employment
you dont need patient authorization for disclosure where - CORRECT ANSWER - law require reporting of abuse, neglect or domestic violence
- disclosure of information is needed to facilitate organ donation
- laws require reporting information for preventing or controlling illness, communicable disease, injury of disability
- disclosure may lessen a serious threat to a person or public
professional boundaries - CORRECT ANSWER contact with patients and former patients (via electronic or cellular contact) outside of work settings blurs the disctinction between professional and personal relationships and should be avoided
promoting a professional image - CORRECT ANSWER - be aware that others may use social media to screen potential applicants for hiring
- while may states are enacting laws to prevent employers from demanding access to personal social media accounts, consider carefully what you post and how it reflects your personal image [Show Less]