Which of the following uses database applications to sift through large amounts of data and looks for previously hidden trends?
Data Mining
the
... [Show More] practice of examining large databases in order to generate new information
Data Mining
A Nurse is reviewing a patient's pneumonia vaccination status in the electronic medical record. The nurse determines the patient needs this vaccine before discharge to meet the requirements of a current clinical pathway.
Why would the nurse use information systems in this manner?
To promote desired clinical outcomes
A nursing informatics specialist at a small, rural hospital implemented a clinical information system utilizing an electronic health record (EHR). She obtained input from nurses regarding selection of the specific EHR. She noted that some of the nurses had negative attitudes towards a change to the EHR, but she encouraged them to try the system and note its benefits. She implemented the system after all nurses were trained about the EHR. There were numerous complaints about the EHR, which the Nursing Informatics Specialist decided to ignore since the personnel were new to the system. Which barrier to implementing technology is present in the scenario?
Lack of continued support
How is information related to data?
Information is data that has been interpreted
How does information literacy support the use of evidence-based-practice (EBP) in nursing?
- The nurse can discern research findings that can be applied to practice
- Nurses must frequently consult resources including peers and general internet searches
A nurse documents care of a patient with a decubitus ulcer in the electronic health record.
Which term describes the electronic health record in this situation?
Information system
Which statement describes nurses as knowledge workers?
Nurses generate knowledge as a product
Beginning nurse
A. Uses information systems to manage patients
B. Pulls trends out of data
C. Generates informatics theory
D. Focuses on nursing's information needs
A. Uses information systems to manage patients
Experienced nurse
A. Uses information systems to manage patients
B. Pulls trends out of data
C. Generates informatics theory
D. Focuses on nursing's information needs
B. Pulls trends out of data
Informatics innovator
A. Uses information systems to manage patients
B. Pulls trends out of data
C. Generates informatics theory
D. Focuses on nursing's information needs
C. Generates informatics theory
Informatics nurse specialist
A. Uses information systems to manage patients
B. Pulls trends out of data
C. Generates informatics theory
D. Focuses on nursing's information needs
D. Focuses on nursing's information needs
Informatics nurse OR Informatics nurse specialist?
The RN who works in the area of informatics
Informatics nurse
Informatics nurse OR Informatics nurse specialist?
Has an interest or experience, but no formal training in informatics
Informatics nurse
Informatics nurse OR Informatics nurse specialist?
Plays an active role in research and theory development
Informatics nurse specialist
Informatics nurse OR Informatics nurse specialist?
Has advanced graduate training in nursing informatics
Informatics nurse specialist
Informatics nurse OR Informatics nurse specialist?
Ensures that information is disseminated at appropriate times for appropriate uses
Informatics nurse
What is the importance of a nurse's active participation in electronic patient information?
To ensure patient information will be current and accessible to the healthcare team
A nurse is working on a medical surgical unit and is concerned over a patient's worsening heart failure. The nurse calls the provider to discuss the assessments. How does the electronic medical record facilitate a collaborative discussion in this situation?
- The provider can visualize the chest x-ray remotely
- The provider has access to the data being discussed
What are three types of clinical information systems?
- Laboratory system
- Order entry system
- Monitoring system
What are common features of the various health information systems?
- Creates a comprehensive record of the patient's medical history
- Is unique in the way they function and provide information to clinicians
- Collects, processes and distributes patient centered data to manage and provide care
Clinical information system OR Administrative information system?
Admission, discharge, and transfer system
Administrative information system
Clinical information system OR Administrative information system?
Radiology information system
Clinical information systems
Clinical information system OR Administrative information system?
Financial system
Administrative information systems
Clinical information system OR Administrative information system?
Clinical documentation system
Clinical information systems
Clinical information system OR Administrative information system?
Scheduling system
Administrative information system
Which health information system is used to collect and store client identification and demographic data that are verified and updated at the time of each visit?
Registration system
Administration in an acute care clinic is considering adopting a health information system. A team is formed with members of clinical areas, software vendors, and an executive team of stakeholders. Which collaborative tasks are important for this team to accomplish with regard to selecting the health information system?
- Determine who will be accountable for the project
- Determine how resources will be allocated to support the system
- assess potential for process improvement while using the system
An admission nurse is awaiting notification of whether a patient being monitored by telehealth will be admitted to the hospital. The physician has already documented the admission orders in the digital medical record. Due to miscommunication, the admitting nurse did not access the digital medical record. There was a significant delay in the patient's admission, which led to decreased patient satisfaction with the admission process. How can the use of the digital health record improve this process?
- It prevents the delay of tests and services
- It allows for easy access to patient information
What are the essential components of an electronic health record?
- Vital signs
- Lab results
- Demographics
which function is performed within an electronic health record system?
Bar scanning medications and patients
What can a nurse, working in a hospital, use to access a patient's electronic health record and prescription drugs from a medication administration system?
Bar coded identification cards
Which mechanism is used to streamline caregivers' workflow that needs to include past medical history, patient demographics, immunizations, and medical history?
Electronic health record
What are some benefits of using an electronic health record (EHR) system in an ambulatory care clinic?
- Decrease medications errors
- Increase clinic reimbursement
- Improve provider documentation
- Increase delivery of guideline based care
A local medical clinic is attempting to develop an electronic health record (EHR) system.
Which challenges should the organization anticipate?
- Identifying data needs for differing nursing practice specialties
- Implementation standardization of documentation across physician offices
A nurse is administering a new medication to a patient who has never taken this medication in the past. The patient is already taking seven different medications at this time.
Which nursing intervention should the nurse do before administering this medication?
Review the drug-to-drug-allergy check in the electronic health record
Physical or logical security measure for protecting electronic information?
Authentication
Logical
Physical or logical security measure for protecting electronic information?
Placing computers, servers, and routers in restricted areas
Physical
Physical or logical security measure for protecting electronic information?
Installing a firewall
Logical
Physical or logical security measure for protecting electronic information?
Automatic sign-off
Logical
Physical or logical security measure for protecting electronic information?
Setting up surveillance
Physical
Which statement represents one of the principle provisions of the Health Information Portability and Accountability Act (HIPPA) related to information security?
Nurses should notify a supervisor immediately when observing a breach of patient confidentiality
What is a principle provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act?
To improve healthcare quality by enhancing coordination of services among providers
You are a nurse manager at a hospital. The informatics department at the hospital has established a no flash drive policy. In addition, all patient files must be saved on the secure O: drive.
What would be an appropriate way to describe these changes to your staff?
- The hospital is implementing a security program to prevent patient data from being compromised
- The hospital is eliminating the need for flash drives to prevent the loss of sensitive data
You are the informatics nurse at a hospital. You are running a random report evaluating users on your new electronic health record (EHR). You notice that the charge nurse from the emergency department just underwent a radical mastectomy and is recovering on the surgical floor. You then notice that four nurses from the ER have accessed this record.
What should you do?
- Talk to each nurse and explain the legal and ethical ramifications of accessing the EHR
- Explain to the patient their information has been breached
- Provide training to nurses in the emergency department about protected patient information
In regards to a secure network, what gives employees confidence that the information they are reading is true?
Integrity
What represents the greatest potential threat to data security?
Removable storage devices
What are common personal data access security threats in healthcare?
- Unencrypted data
- Weak passwords
A nurse learns that a colleague has accessed electronically stored health information of a patient that the colleague is not involved in treating.
What should the nurse do?
Report the colleague to their employer
Which informatics tools are commonly used for collecting and analyzing patient data?
- PDAs
-Bedside computers
Which type of technology offers support during the medication administration cycle?
Viewing of the digital health record during a home health visit
Which statements by the nurse demonstrate understanding of the reason for a clinical information system?
- The information retrieved can be used for research
- It improves compliance with nursing documentation
What is a function of a clinical support tool?
Providing clinicians with knowledge and person-specific information
How does meaningful use of electronic health records relate to quality patient care?
- Computerization of prescriber order entry (CPOE)
- Maintenance of active patient medication lists [Show Less]