Big Daddy (3) Flashcards
Differentiate between data & information?
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.
is the level at which AI-driven predictive analytics is used to support decision-making by nurses
Wisdom in DIKW framework
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
predictive analytics
Best way to analyze a single piece of data in multiple ways?
Predictive Analysis because it is based on recognized trends of patient’s prior and current information, not just a static view of current information.
Synthesizing information from different sources to produce a concept of idea.
Knowledge
Generation, storage, distribution, & application of both tacit knowledge (personal experience) & explicit knowledge (evidence).
Knowledge Management
The work of gathering data to create information. Knowledge of the workflow is essential of the implementation team.
Knowledge Work/Workflow
Individual with a high degree of expertise, education, or experience who creates, distributes, & applies knowledge.
Knowledge Worker
Using knowledge & experience to manage & solve problems.
Wisdom
*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.
Data Integrity
Stored information in the EHR can be instantly searched, retrieved, combined, & reported in different ways. What is this describing?
Data integrity
*Technique that look for hidden patterns & relationships in large groups of data using software.
Data Mining
Action that demonstrates data mining to improve pt outcomes?
HbA1c
process to remove incorrect, incomplete, duplicate, or improperly formatted items using special software designated for this purpose.
Data Scrubbing
Provides a powerful method of managing & analyzing data.
Data Warehouse
*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.
Electronic Health Record (EHR)
Which area of the EHR is used to guide a nurse on the task that needs to be completed during the shift?
Workflow
What plays a primary role in the usability of an electronic health record (EHR)?
Clinical workflow & efficiency
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?
EHR charting data
*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.
Electronic Medical Record (EMR)
The Operating room uses a different system than what is integrated in the EMR. What do you do?
Chart in one system & it will automatically show up in both systems
Which info in EMR will help nurse manage post op care for appendectomy?
Doctor’s orders
Best method of EMR charting for nursing?
Cascading
Data entry fields?
Cascading
Measures clinical outcomes, pt engagement, & clinical use of EMR technology to strengthen organizational performance & health outcomes across pt populations. Basically evaluates Health Information Systems.
Electronic Medical Record Adoption Model (EMRAM)
HIS system for pt to manage their own stuff?
the app
Scientific study of work & space, including details that impact productivity & health.
Ergonomics
*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).
Evidenced Based Practice (EBP)
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?
Solid clinical trials.
When deciding on a technology tool for the delivery of EBP information, which information should the nurse informaticist seek?
Information that is accurate, timely, complete, concise, & relevant
EBP is essential for clinical decision making. Which model supports EBP?
Problem, intervention, comparison, outcome, time (PICOT)
*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.
Fishbone – or Cause and Effect is
What is a fishbone diagram & what benefit does it provide?
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
Process for discovering root causes of problems & identify the solution?
Root cause analysis
What is a structured method used to analyze serious adverse events?
A root cause analysis (RCA)
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.
Failure modes and effects analysis (FMEA)
*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.
Health Information Exchange (HIE)
*Health Information Exchange (HIE): Query-based exchange
often used for unplanned events. (ex. ER) It allows providers to find & request info on a patient from other providers.
*Health Information Exchange (HIE): Directed exchange
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.
*Health Information Exchange (HIE): Consumer-mediated exchange
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.
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.
Query-based exchange
Query-based exchange: Directed exchange
Directed exchange is used to support coordinated care and allows the ability to send and receive secure information electronically between care providers.
Query-based exchange: Consumer-mediated exchange
Consumer-mediated exchange allows the ability for patients to review, manage, and control the use of their health information among providers.
Identify & explain the 3 types of health information exchange?
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.
When can you get notes from provider quickly?
HIE, Query based transfer
Physical taking care of a pt whose established care is somewhere else talking about HIE?
query-based
Query base example?
Doctor office can send records to another doctor’s office to better take care of the pt
How does HIE impact cost of pt care?
A means to reduce redundant tests, improve quality of care, & improve public confidence
How does the health information exchange (HIE) improve interoperability within a healthcare organization?
It allows patient information to be accessible despite where the patient is receiving care
Situation where nurse carries out an HIE?
NP reviews pt records/read dx test results from remote facility