Competency 1: Chapter 2 Overview of Informatics

Question 1

What is a broad term referring to the process of searching, organizing, and managing data supported by the use of computers.

Answer 1

Information technology

Question 2

The concentration here is on the delivery of timely, safe, efficient, effective, evidence-based and patient-centered care

Answer 2

Clinical informatics

Question 3

What is the life blood of a continuous learning health system?

Answer 3

digital health data

Question 4

What is the purpose of gathering data?

Answer 4

used to create information and knowledge

Question 5

When previous knowledge and experience are applied appropriately to take action or intervene in some fashion, it is known as ?

Answer 5

Wisdom

Question 6

Why does a piece of data need context?

Answer 6

Without context data has no meaning

Question 7

What is one example of a standardized language that is familiar to most nurses to provide standardized terms for nursing diagnoses?

Answer 7

NANDA, which was created by the North American Nursing Diagnosis Association

Question 8

This method to analyze data focuses on numbers and frequencies, with the goal of finding relationships or variables specific to an outcome.

Answer 8

Quantitative

Question 9

This method to analyze data are variable and not focused on counting. These methods can include any data captured. This data can be in the form of questionnaires, surveys including web surveys, interviews, list serves, and email

Answer 9

Qualitative

Question 10

This entails using the current best evidence for patient-care decisions in order to improve the consistency and quality of patient outcomes

Answer 10

Evidence-based practice (EBP)

Question 11

A learning health system uses _______ for continuous improvement and innovation.

Answer 11

Real-time evidence

Question 12

These are very large data sets that are beyond human capability to manage, let alone analyze, without the aid of information technology.

Answer 12

Big data

Question 13

What are the 6 safety goals from Joint Commission International?

Answer 13

1. correct ID
2. effective communication
3. improved safety of high alert meds
4. procedures that do not introduce harm
5. decreased risk of health care acquired infections
6. reduced risks of harm secondary to falls

Question 14

What are active errors?

Answer 14

mistakes, slips and lapses made by clinicians

Question 15

What are latent errors

Answer 15

imperfect organization design, poor training, poor labeling

Question 16

What steps are there to prevent errors in healthcare (according to Zikhani in the book)

Answer 16

1. checklists (prevent slips and lapses)
   2.Handoff tools (improve communication
2. automation when possible
3. simplification, organization, and standardization
4. Not allowing errors to happen (ex: barcodes for meds)

Question 17

This is the ability to read and understand the written word and numbers
as well as the ability to recognize when information is needed.

Answer 17

Information literacy

Question 18

This is a term used to refer to the basic understanding and use of computers, software tools, spreadsheets, databases, presentation graphics, social media, and communication via email.

Answer 18

Computer literacy

Question 19

This is the ability to understand and act upon basic healthcare information.
A simple example would be how a person acts upon a change in diet in relation to a new medical diagnosis.

Answer 19

Health literacy

Question 20

This is the federal entity charged with coordinating national efforts to implement and use HIT and electronic exchange of health information, invites input from healthcare professionals and consumers

Answer 20

US Office of the National Coordinator for Health Information Technology (ONCHIT)

Question 21

This is the individual’s freedom to control interferences by others, retaining a personal capacity for intentional action.

Answer 21

Autonomy

Question 21

This is the formal study of values, character, and/or conduct of individuals or collections of individuals from a variety of perspectives or viewpoints

Answer 21

Ethics

Question 22

This is the obligation for doing no intentional harm

Answer 22

nonmaleficence:

Question 23

This refers to actions that result in positive outcomes in which benefits and utility are balanced.

Answer 23

Beneficence

Question 24

This refers to the standards practiced by healthcare professionals.

Answer 24

Justice

Question 25

What are the 4 guiding principles for moral actions (proposed by Beauchamp and Childress in 1994)

Answer 25

Autonomy, nonmaleficence, beneficence, justice

Question 26

Why is informatics education for clinicians a national priority?

Answer 26

there is a lack of consistency in teaching informatics competencies. Informatics competencies are needed to help healthcare profes-sionals manage and use technology effectively.

Question 27

What is TIGER?

Answer 27

Technology Informatics Guiding Education Reform
another effort that grew out of the need to develop informatics skills among an interprofessional workforce

Question 28

What are the quality and safety competencies for nurses identified by QSEN institute?

Answer 28

patient-centered care, teamwork, evidence-based practice, quality improvement, safety, and informatics.

Question 29

What is the goal of the QSEN competencies?

Answer 29

to use information and technology to communicate, manage knowledge, mitigate error, and support decision making

Question 30

This competency category would be the ability to contrast benefits and limitations, understand the value of databases for patient care monitor-ing, and establish a good understanding of terminology and interoperability of systems.

Answer 30

knowledge

Question 31

This competency category is for the nurse to play an active role in the design, promotion and modeling of standard practice. Nurses are an important member of the healthcare informatics team that can bring a clinical lens to the development table.

Answer 31

Skills

Question 32

This competency category incorporates nursing values whether it is in the realm of reporting or preventing errors, improving patient safety in a no-blame environment, and acting as a sentry for self, patients, and family.

Answer 32

Attitude

Question 33

What is the AHRQ?

Answer 33

Agency for Healthcare Research and Quality : is a divi-sion of the US Health and Human Services committed to research and evidence to improve the safety and quality of healthcare and to providing education for healthcare professionals that will enable them to improve care

Question 34

What is ONCHIT?

Answer 34

Office of the National Coordinator for Health Information Technology
provides EHR certification, and its structure includes multiple offices that are relevant for HIT