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D220 > Big Daddy (2) > Flashcards

Big Daddy (2) Flashcards

1
Q

*Supports healthcare practitioners in making pt-care decisions by integrating pt data w/ current clinical knowledge. Provides recommendations for care & must be balanced w/ professional judgment, not used in place of it.

A

Clinical Decision Support System (CDSS)

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2
Q

*Software/app to help in human decision process. Software will look at the pt’s data & suggest appropriate medical/nursing interventions. Can also trigger prompts/alerts to user. Requires human user input. Decreases pt safety risk & increases positive pt outcomes (alerts for abnormal vs, lab results, med contraindication, etc.) The right components of a CDS include a trigger, such as med order; input data, such as lab values; intervention info, such as other options provided; & action step, such as action selected by the doctor.

A

Decision Support Tool / Clinician Decision Support (CDS) / Decision Support System/Software (DDS)

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3
Q

A type of CDS/DDS but does not need human intervention, uses artificial intelligence (ex. Insulin pump).

A

Expert System

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4
Q

What term refers to the intelligent application of data manipulation which empowers nurses to work more efficiently w/ enhanced communication & informed decision support?

A

Artificial intelligence

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5
Q

What is the intent of the CDSS (Clinical Decision Support System)?

A

This is an application that supports healthcare practitioners in making patient-care decisions and providing clinicians with knowledge & person – specific information

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6
Q

What are two barriers of adopting the CDS in an EHR?

A

Limited resources & Communication information exchange

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7
Q

Five Rights to Clinical Decision Support:

A

Right Information, Right Person, Right Intervention, Right time in the workflow, & where.

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8
Q

What is considered to be clinical decision support (CDS) within the EHR?

A

The condition or disease-specific order sets.

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9
Q

What is the primary purpose of a clinical decision support system (CDSS)?

A

It provides clinicians with suggested care information

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10
Q

How is clinical decision support system (CDSS) represented in an EHR?

A

Through alerts & reminders

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11
Q

What to do when CDSS is ignored

A

Educate staff on the importance (Review each alert’s determinant significance & make a decision to maintain or eliminate it recognize that an unnecessary alert is dangerous because it might make that much less likely that a clinician will pay attention to the next alert that is necessary. Explore the possibility of the machines talking to each other to establish congruence and interpreting specific pt input that is aligned with the need for the alert to fire)

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12
Q

Four components of CDSS?

A

trigger, input data, intervention information, action step

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13
Q

Name 2 visual cues w/ CDSS. Why are visual cues important?

A

Order sets, reminders, checklist, data driven triggers. These are important in preventing medication errors & to promote pt safety

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14
Q

What describes the role of decision support within the EHR?

A

It is designed to assist with timely clinical decision making

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15
Q

*Software used to access client data, plan, implement & evaluate care. May be specific to certain departments: lab, radiology, pharmacy, or pt populations. Provides pt centric decision-making functionality to help guide a RN w/ decision-making. Acquires pt data so that healthcare pros can review it & use information to deliver care.

A

Clinical Information System (CIS)

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16
Q

Defined the term clinical information system?

A

Large computerized database management systems used to access the pt data that are needed to plan, implement, & evaluate care.

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17
Q

is clinical information system (not administrative information system) because it also manages order entry tracking of drug dispensing, alerting practitioners and pharmacists of prescription errors and potential interactions, patient education, and providing access to clinical information.

A

The pharmacy information system

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18
Q

Familiarity w/ the use of personal computers. The knowledge & ability to use computers & technology efficiently. Computer literacy allows pts to interact w/ the internet.

A

Computer Literacy

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19
Q

Prescriber’s decisions to enter orders & immediately share orders w/ appropriate health pros who execute orders & departments that need to dispense, schedule, or immediately deliver services to pts. CPOE can check for duplicate orders, alert departments to carry out orders, & provide the status of each order.

A

Computerized Provider Order Entry (CPOE)

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20
Q

MANDATED BY FDA

A

Barcode Medication Administration -

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21
Q

What is an effective use of a barcode administration system?

A

Combine it with CPOE, a pharmacy system, & eMAR

22
Q

Barcoding scanning. How it affects inventory with pharmacy?

A

alters ordering & information data

23
Q

What facility first used the BCMA?

A

Veterans hospital of Topeka, Kansas

24
Q

If your Pt’s barcode bracelet is not working & you needed to pass meds what would you do?

A

Check the armband for damage, change the band if necessary

25
Q

Which government agency recommended the use of the barcode medication administration?

A

ONCHIT The US Office of the National Coordinator for Health Information Technology.

26
Q

What are 3 purposes of using bar code medication administration (BCMA)?

A

It alerts the nurse to drug-drug-interactions, it reduces errors of administration and it supports the 5 rights of medication administration

27
Q

*Unspoken understanding that private information shared in a situation, in which a relationship has been established for the purpose of treatment or delivery of services will remain protected.

A

Confidentiality

28
Q

Extent that a given software product can be adapted or changed to meet a user’s preference.

A

Configurability

29
Q

refers to the delivery of technology-assisted care that occurs outside the traditional face-to-face setting between a patient and a healthcare provider. It is differentiated by two categories: synchronous and asynchronous.

A

Connected health

30
Q

Connected health modalities that facilitate real-time, video & voice interaction & bidirectional communication between pts & healthcare providers (videoconferencing). Leveraging synchronous options allows immediate access to services or specialists that might otherwise be inaccessible. The uses are varied, but the result is the delivery of timely care to those in need. For example: remote ICU, direct care robotics, peripheral devices connected to a videoconferencing unit aiding the practitioner in assessment and diagnosis at a distance and in real time

A

Synchronous Applications

31
Q

Pt-centered & allows consumers to participate in their own care by using designated health technology to share health metrics & data w/ their healthcare provider via technology (remote pt-monitoring - the use of devices to capture pt data at one location & then transmit it electronically to healthcare pros at a different location, allowing the review of data for clinical decision-making, i.e. MobileHealth). For example RPM and store and forward.

A

Asynchronous Applications

32
Q

is a patient-centric, emerging technology that allows patients to participate in their own care by using a designated health technology to share health metrics and data with their healthcare provider or monitoring professional. The healthcare data are stored and accessed on demand by the healthcare professional.

A

Remote patient monitoring (RPM) (asynchronous)

33
Q

is the use of devices to capture patient data at one location and then transmit it electronically to healthcare professionals at a different location, allowing the review of data for clinical decision-making.

A

Remote patient monitoring

34
Q

Asynchronous. Transmit recorded health info through a secure communications network to a provider (photos). For example, a nurse take a photo of wound and send it to a wound doctor.

A

Store-&-Forward Applications

35
Q

*Allows interoperability of health information exchange between hospital systems.

A

Consolidated-Clinical Document Architecture (C-CDA)

36
Q

Use of electronic information & communication to improve medical outcomes & health-care decision making from the pt/consumer perspective.

A

Consumer Health Informatics (CHI)

37
Q

Consumer Health Informatics (CHI): 3 barriers include:

A

Privacy issues, cognitive disabilities, low health literacy. Five examples: Personal Health Records, Telehealth, Mobile Health, Games for Health, & Health 2.0.

38
Q

is the collection of emerging technologies that use mobile communications and network technologies for healthcare systems. mHealth is changing the landscape of healthcare because its focus on patient-centric needs is allowing the improvement of patient education, preventative care, and diagnosis and research-based treatment. Additionally, it is showing the capacity to lower healthcare costs and enable patients to manage long-term conditions. For example, Smartphone-connected devices, wearable sensors, lab-on-a-chip, implantable and ingestible sensors and remote patient monitoring.

A

Mobile health, also known as mHealth

39
Q

in healthcare refers to the collection of internet-connected devices, including wearables, implants, skin sensors, home monitoring tools, and mHealth applications. The IoT has the potential to connect patients and their providers in a variety of ways and has the ability to maximize the power of big data analytics through ongoing innovation. The Internet of Things (IoT) in healthcare refers to a subset of the internet that deals with medical information and literature for the advancement of health information technology.

A

The Internet of Things (IoT)

40
Q

*summary of a pt’s health & healthcare to provider who does not have access to the person’s EHR.

A

Continuity of Care Document (CCD)

41
Q

This record is intended to improve continuity & quality of care, including reduction of errors, when patients move between various points of care.

A

CCR (Continuity of Care record)

42
Q

A patient is being transferred to another hospital, however the hospital he is being transferred to does not have access to the EHR since they use EPIC. How will they receive his EHR?

A

Continuity care record from AMR

43
Q

Where is the continuity of care documented?

A

EHR

44
Q

Which item enhances interoperability between organizations when exchanging patient data electronically?

A

Continuity of Care Document (CDD) or Continuity of Care Record (CCR) via direct messaging

45
Q

Primary database used for nursing literature

A

cumulative Index to Nursing & Allied Health Literature (CINAHL) and Medline

46
Q

manages the world’s largest biomedical and health library and offers courses on how to validate healthcare information found on the internet.

A

The National Library of Medicine

47
Q

Collection of numbers, characters, or facts that are gathered according to some perceived need for analysis.

A

Data

48
Q

*The processing of data that identify trends & patterns of relationships.

A

Data Analysis

49
Q

Data is most discrete component of the DIKW framework. Mostly presented as discrete observations with little interpretation. Information is a continuum of progressively developing & clustered data. Relations & interactions are not yet evident in information alone. Knowledge is information that is processed & organized so relations & interactions are identified. Wisdom is appropriate use of knowledge to manage & solve human problems. Wisdom includes ethics or knowing why certain things/procedures should/should not be implemented in specific cases.

A

Data Information Knowledge Wisdom (DIKW) Framework -

50
Q

Describe the progression of data using the DIKW framework:

A

The DIKW guides the development of the scope & standards of practice in nursing informatics. It is how data is used to produce the wisdom to be applied in nursing.

D220 (12 decks)

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