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D220 > Big Daddy (3) > Flashcards

Big Daddy (3) Flashcards

1
Q

Differentiate between data & information?

A

Data: The most discrete components of the DIKW framework. These are the smallest factors describing the pt, disease state, health environment, & so forth. Information: Can be described as data plus meaning. Information is a continuum of progressively developing & clustered data.

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2
Q

is the level at which AI-driven predictive analytics is used to support decision-making by nurses

A

Wisdom in DIKW framework

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3
Q

As opposed to reactive analytics, this involves the proactive management of the patient at the bedside and in the community to prevent further deterioration of health and avoidance of unnecessary cost of care. It’s another technology in health information technology that is trending as a priority for the future

A

predictive analytics

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4
Q

Best way to analyze a single piece of data in multiple ways?

A

Predictive Analysis because it is based on recognized trends of patient’s prior and current information, not just a static view of current information.

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5
Q

Synthesizing information from different sources to produce a concept of idea.

A

Knowledge

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6
Q

Generation, storage, distribution, & application of both tacit knowledge (personal experience) & explicit knowledge (evidence).

A

Knowledge Management

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7
Q

The work of gathering data to create information. Knowledge of the workflow is essential of the implementation team.

A

Knowledge Work/Workflow

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8
Q

Individual with a high degree of expertise, education, or experience who creates, distributes, & applies knowledge.

A

Knowledge Worker

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9
Q

Using knowledge & experience to manage & solve problems.

A

Wisdom

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10
Q

*Ability to collect, store, retrieve correct, complete, & current data so that the data are available to authorized users when needed. Can be compromised by incorrect entry of information, data tampering & system failure. Prevention by implementing security measures, audit trails, & having detailed policies & procedures. Data integrity is the state wherein data are uncorrupted, accurate, & valid.

A

Data Integrity

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11
Q

Stored information in the EHR can be instantly searched, retrieved, combined, & reported in different ways. What is this describing?

A

Data integrity

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12
Q

*Technique that look for hidden patterns & relationships in large groups of data using software.

A

Data Mining

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13
Q

Action that demonstrates data mining to improve pt outcomes?

A

HbA1c

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14
Q

process to remove incorrect, incomplete, duplicate, or improperly formatted items using special software designated for this purpose.

A

Data Scrubbing

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15
Q

Provides a powerful method of managing & analyzing data.

A

Data Warehouse

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16
Q

*It’s a digital version of a patient’s paper chart. Database of individual’s healthcare data during healthcare encounters. It’s comprised of any pt data stored in electronic form. Electronic form/ database of a pt’s past medical history, medical test, medications, images, etc. stored in electronic form. Enables many functions needed to create & maintain EHRs. You will know if the EHR is successful if the customer’s needs were met.

A

Electronic Health Record (EHR)

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17
Q

Which area of the EHR is used to guide a nurse on the task that needs to be completed during the shift?

A

Workflow

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18
Q

What plays a primary role in the usability of an electronic health record (EHR)?

A

Clinical workflow & efficiency

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19
Q

At a nursing facility, the recent quality report details only 30% of patients received the influenza vaccine in the prior flu season. Nurses within the medical unit state the result is too low. Which area should an informatics nurse review to understand the quality report results?

A

EHR charting data

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20
Q

*Legal record created in hospitals & ambulatory settings of single encounter/visit that is source of data for EHR. Brings together diagnostic & treatment info for an individual in specific healthcare setting. ** Usually found in a physician’s office.

A

Electronic Medical Record (EMR)

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21
Q

The Operating room uses a different system than what is integrated in the EMR. What do you do?

A

Chart in one system & it will automatically show up in both systems

22
Q

Which info in EMR will help nurse manage post op care for appendectomy?

A

Doctor’s orders

23
Q

Best method of EMR charting for nursing?

A

Cascading

24
Q

Data entry fields?

A

Cascading

25
Q

Measures clinical outcomes, pt engagement, & clinical use of EMR technology to strengthen organizational performance & health outcomes across pt populations. Basically evaluates Health Information Systems.

A

Electronic Medical Record Adoption Model (EMRAM)

26
Q

HIS system for pt to manage their own stuff?

A

the app

27
Q

Scientific study of work & space, including details that impact productivity & health.

A

Ergonomics

28
Q

*Current, best evidence for pt care. Improves consistency & quality of pt outcomes. Foundation of clinical practice & guides clinicians. Found in standing orders (ex. Sepsis protocol).

A

Evidenced Based Practice (EBP)

29
Q

A physician’s group would like to change the current EBP protocol for treating asthma. How should the IN determine validity of the new EBP protocol?

A

Solid clinical trials.

30
Q

When deciding on a technology tool for the delivery of EBP information, which information should the nurse informaticist seek?

A

Information that is accurate, timely, complete, concise, & relevant

31
Q

EBP is essential for clinical decision making. Which model supports EBP?

A

Problem, intervention, comparison, outcome, time (PICOT)

32
Q

*a tool to identify and trace problems and then track the cause back to the root. This is also called root-cause analysis. The first step in the process is to state what the problem is, then ask “why” any number of times until the source or cause has been identified.

A

Fishbone – or Cause and Effect is

33
Q

What is a fishbone diagram & what benefit does it provide?

A

A tool for analyzing the organizational processes & its effectiveness. Helps team members visually diagram a problem or conditions root causes, allowing them to truly diagnose the problem rather than focusing on symptoms

34
Q

Process for discovering root causes of problems & identify the solution?

A

Root cause analysis

35
Q

What is a structured method used to analyze serious adverse events?

A

A root cause analysis (RCA)

36
Q

involves a systematic method of proactively investigating a process to identify where and how it might fail, and to assess the relative impact of different failures in order to identify the parts of the process that are most in need of change.

A

Failure modes and effects analysis (FMEA)

37
Q

*Electronic sharing of pt information between healthcare providers according to nationally recognized standards, allows insurance companies & providers to share data, must be secure & maintain integrity. Works by improving speed, quality, safety, & cost of pt care.

A

Health Information Exchange (HIE)

38
Q

*Health Information Exchange (HIE): Query-based exchange

A

often used for unplanned events. (ex. ER) It allows providers to find & request info on a patient from other providers.

39
Q

*Health Information Exchange (HIE): Directed exchange

A

is used to support coordinated care & allows the ability to send & receive secure information electronically between care providers. A directed exchange is when providers send laboratory orders and results, patient referrals, or discharge summaries to another provider or healthcare entity.

40
Q

*Health Information Exchange (HIE): Consumer-mediated exchange

A

allows the ability for pts to review, manage, & control the use of their health information among providers. Allows insurance companies & providers to share data (or across delivery settings). Nationally recognized standards/ Federal legislation demands for safer, more efficient healthcare. Increases efficiency & quality care. All states have implemented Health Information Exchange. Must be secure & maintain integrity.

41
Q

is often used for unplanned events. Like a visit to the emergency department. It allows providers to find and request information on a patient from other providers. Directed exchange is used to support coordinated care and allows the ability to send and receive secure information electronically between care providers. Consumer-mediated exchange allows the ability for patients to review, manage, and control the use of their health information among providers.

A

Query-based exchange

42
Q

Query-based exchange: Directed exchange

A

Directed exchange is used to support coordinated care and allows the ability to send and receive secure information electronically between care providers.

43
Q

Query-based exchange: Consumer-mediated exchange

A

Consumer-mediated exchange allows the ability for patients to review, manage, and control the use of their health information among providers.

44
Q

Identify & explain the 3 types of health information exchange?

A

A way of sharing pt information between health care providers electronically while following national recognized standards. It must be secure & maintain its integrity. 3 key forms - Directed, Consumer Mediated, & Query Based.

45
Q

When can you get notes from provider quickly?

A

HIE, Query based transfer

46
Q

Physical taking care of a pt whose established care is somewhere else talking about HIE?

A

query-based

47
Q

Query base example?

A

Doctor office can send records to another doctor’s office to better take care of the pt

48
Q

How does HIE impact cost of pt care?

A

A means to reduce redundant tests, improve quality of care, & improve public confidence

49
Q

How does the health information exchange (HIE) improve interoperability within a healthcare organization?

A

It allows patient information to be accessible despite where the patient is receiving care

50
Q

Situation where nurse carries out an HIE?

A

NP reviews pt records/read dx test results from remote facility

D220 (12 decks)

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