Health information systems

Question 1

HIMSS EMR Adoption Mode

Answer 1

EMR Adoption Model assumes implementation of functionality in the sequence it describes. It includes laboratory, radiology, and some pharmacy functionality and functions used by health professionals other than nurses.

Question 2

Point-to-point: Formula is n(n-1)/2 = 76/2 = 42/2 = 21. If using a central interface engine: 7

Question 3

Bates and colleagues on CPOE published in 1998:

Answer 3

owed a 55% reduction in non intercepted serious medication errors but not patient harm.

Question 4

Hammond study published in 2003 f

Answer 4

VA EMR included an instance of high-risk copying.1 in 10 notes

Question 5

study of effectiveness and not efficacy

Answer 5

Effectiveness is evaluation that takes place in the real world (aka, outcomes research). Efficacy is evaluation occurring in a controlled research setting.

Answer 6

RFPs are not required and are not used by all organizations. They complement but do not replace what is learned by site visits. Vendor responses to the RFP are often included in the final contract.

Question 7

optimal time to schedule elective (planned) downtime is:

Answer 7

optimal time to schedule elective (planned) downtime is:

Question 8

term integration testing

Answer 8

Integration testing seeks to confirm that information flow between the EMR and external systems occurs as expected.

Question 9

Change control

Answer 9

Change control requires that updates or changes to software, hardware, or other parts of the infrastructure or application go through testing and analysis of its expected and potential impacts. Those making the change are expected to test changes, understand impacts, notify users, and minimize unexpected side effects.