WGU-C790 EXAM
Staggers & Nelson Life Cycle - order - Answer 1.Analysis/Planning
2. Development/Design
3. Implementation
4.
... [Show More] Maintenance/Support
What describes the maintenance phase of the system development life cycle? - Answer The system is upgraded
Describe what phase of the system life cycle is the scope of the proposed project identified. - Answer Planning
What is the next step in the system life cycle after a new health information system has been purchased? - Answer Test the system
In which ways can the use of clinical decision support systems affect health information technology and create a culture of safety within healthcare. - Answer It improves quality of care
It improves patient satisfaction
What is a major reason to install a clinical decision support system within healthcare information technology - Answer It reduces errors
How does a clinical decision support system that uses ANSI and WEDI support a culture of safety - Answer By standardizing healthcare information
ANSI: American National Standard Institute
WEDI: Workgroup for Electronic Data Interchange
Why do healthcare facilities favor purchased information systems over organization-developed information systems? - Answer System enhancements are provided
What step in the project implementation of the electronic health record relies heavily upon the ability of the super users? - Answer Manage go-live activities and post go-live support
Which stage of the planning phase provides the high-level direction needed to reach organizational goals? - Answer Strategic Planning
What initiates the life cycle of an information system - Answer Identification of a vision or need
Place the implementation steps of the electronic health record life cycle in order from first to last - Answer 1. Identify the problem/ need, obtain approval and proceed with the project
2. Discover and understand the details or the need of the project
3.Build, test and integrate system components
4.Complete system test and then deploy the solution
As a crucial part of the whole information technology (IT) infrastructure (hardware, software, networks, operations, etc.) of the organization, this step in the project implementation must be aligned with the organization's mission and support the overall business goals.
Which part of the project implementation plan would this be? - Answer Strategic planning
What is the correct order of the phases of an adaptive system development life cycle with six core processes and multiple iterations? - Answer 1. Identify the problem and obtain approval
2. Plan and monitor project
3. Discover and understand details
4. Design system components
5. Build, test, and integrate system components
6. Complete system tests and deploy the solution
Which system development life cycle approach does the waterfall model describe? - Answer A Sequential approach
During which phase of the system development life cycle (SDLC) are new components and programs obtained and installed? - Answer Develop or purchase
As the implementation phase of the system development life cycle (SDLC) is occuring, a member of the project management team wants to confirm that all bar code printers have been updates to work with the new system.
What testing should be used? - Answer Hardwire testing
The nursing team has been charged with selecting a new information system for managing patient census data.
Which system should be chosen? - Answer Open system
An institution is using the (SDLC) adaptive approach for developing its new information system. The institution will need to be flexible throughout development.
Which SDLC approach should be used? - Answer Agile Development
A physician's office wants to adopt an electronic medical record. The providers and staff are unsure which system will best suit the needs of the office.
Which system development life cycle approach suits this practice? - Answer Adaptive
A complex healthcare system is implementing a new electronic health record system with multiple sites. The sites include both inpatient and outpatient clinics.
Which SDLC is appropriate for this institution? - Answer Layered
Which interdisciplinary team role will a chief information officer undertake when implementing a health information system? - Answer Chair of the information steering committee
Who focuses on the enterprise, surrounding environment, resources, quality issues, and business processes to support direct patient care delivery? - Answer Administrator
Which groups are responsible for standards development during the implementation of a health information system? - Answer Physicians
Pharmacist
Registered Nurses
A project manager working with the surgery department at a local hospital wants to increase revenue by 20% within three years capturing lost charges. The current supply charge process is evaluated and found to be dysfunctional. An automated dispensing system is identifies as a possible solution. It is projected this system will pay for itself in six months.
Which step in the tactical planning process is taking place? - Answer Feasibility Study
An electronic medical record project has been implemented. The executive team has approved the system and signed for payment to the vendor. The information technology manager has verified that items on the issues list have been resolved.
In which phase is the project management team working? - Answer Closing the project
An electronic health record project quality team is preparing to present a benefit-cost analysis comparing two systems for the project manager.
Which phase of project management is described? - Answer Planning
What is the name of the group of people who work together to coordinate the implementation of electronic health record (EHR) project? - Answer Steering Committee
The information technology department of the local hospital has implemented the Academic Center for Evidence-Based Practice (ACE) Star Model of Knowledge Transformation to assist nursing staff to care for patients with methicillin-resistant Staphylococcus aureus more effectively.
Which point of the ACE Star Model of Knowledge Transformation is least useful in clinical decision making when using evidence-based practice to problem solve? - Answer Discovery research
A nursing informatics nurse is assisting with testing the upgraded messaging system that was added to the electronic health record.
Which test should be used? - Answer Integrated testing
The informatics nurse completes a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the organization's electronic health record related to medication errors. The issue involves the spelling of certain medications.
Which component of SWOT analysis is applicable given the risk to patients? - Answer Threats
A nursing administrator wants to change practices in the electronic health record to reduce duplication of documentation. The nursing administrator decides to use the STEEP model as the foundation for the project.
Which principle of this model should be used to guide the implementation of the change? - Answer Use flow sheets to replace narrative documentation
A hospital is setting up a Patient Online Portal for patients to monitor health and request services. The portal is being set up because patients have heard from friends and family about how useful and easy the innovation is, or they have used it at other organizations and now expect it to be available everywhere.
Which change process perspective is being demonstrated? - Answer Diffusion of innovation
How will a nursing educator implement the most rigorous approach to evidence summary? - Answer By using systematic review
What is defined as a recommendation intended to optimize patient care by utilizing basis of a systemic review of evidence and an assessment of the perceived benefits and harms to the patient? - Answer Clinical practice guidelines
Which terminologies or classifications are used by multiple disciplines? - Answer 1. Systematized Nomenclature of Medicine (SNOMED)
2. Logical Observation Identifiers, Names, and Codes (LOINC)
Which organization provides a database clearinghouse of 1,500 clinical practice guidelines with standardized medical terminology that optimizes patient outcomes? - Answer Agency for Healthcare Research and Quality (AHRQ)
What is the relationship between human error and risky behaviors when it comes to patient safety? - Answer They are both types of behaviors that are connected to the "Just Culture"
Why are medication errors the most frequent errors in nursing? - Answer The designed work processes in the medication administration cycle leave room for human error.
Current Procedural Terminology Classification System - Answer Used for ordering, billing, and reimbursing medical procedures and diagnostic services
Systematized Nomenclature of Medicine Clinical Terms - Answer Developed as a nomenclature for pathology; it has been extended to become a highly comprehensive terminology in various applications, including EHRs [Show Less]