Identify Health Information Technology Data Flashcards
GRADE
Grading of Recommendations Assessment, Development, and Evaluation
How many levels of rating evidence does the Grade approach provide?
4- high, moderate, low, and very low
What are the four areas of criteria constructed for the algorithm regarding GRADE?
- number of participants
- risk of bias in trials
- heterogeneity
- methodological quality of the review
What are the four elements that the body of evidence is evaluated by?
- study quality
- diagnosis
- treatment/prevention/screening
- prognosis
What databases are specific to systematic research reviews?
- Cochrane library
- Joanna Briggs Institute EBP Database
- Database of Abstracts of Reviews of Effects (DARE)
What databases are commonly used when searching for original research articles?
- CINAHL
- MEDLINE
- Proquest Nursing and Allied Health
- PsychINFO
- PubMed
Data mining
Scientific research that involves searching and researching large networks and databases of information for collaborative purposes can be defined as escience
Informed consent
Patients expects transparency in care and treatment. This begins with conversation and education from the first point of contact and can include signing legal documents that give permission (consent) for treatment
HIPAA (Health Insurance Portability and Accountability Act)
The purpose was multi-focused but has generally become known for its effect on patient privacy and confidentiality within the EHR.
What are the eight key components in the practice of responsible data collection, management, and protections
- data ownership
- data collection
- Data storage
- Data protection
- Data retention
- Data analysis
- Data sharing
- Data reporting
What are the two main data types?
Qualitative and Quantitative
What does quantitative data focus on?
Focuses on numbers and frequencies, with the goal of describing a situation or finding correlations and specific variable contributions to an outcome
What does qualitative data focus on?
Focused on describing meaning and experiences rather than drawing statistical inferences
What are the phases of Gartner’s hype cycle for data science and machine learning?
- Innovation trigger
- Peak of inflated Expectations
- Trough of disillusionment
- Slope of Enlightenment
- Plateau of productivity
Inflated expectations phase
the expectation of a technology exceeds the practical application of that technology
Trough of Disillusionment phase
Our perceptions did not meet reality
Data lake
A centralized repository that allows you to store all your structured and unstructured data in its natural state and in its entirety
Machine learning
An application of Artificial Intelligence that provides systems with the ability to automatically learn and improve from experience without being explicitly programmed
What is the Iowa Model of evidence-based practice used to promote?
To promote quality care and is a model for the implementation of evidence-based practice stresses the importance of prioritizing triggers based on the need for change and the needs of the clinical agency
What is an element of change that must be in place for the successful implementation of evidence-based practice?
Readiness and willingness of an organization to recognize the need for change
How can nurses contribute to machine learning algorithms?
- filling data gaps with nursing-relevant data that provide personalized context about the patient
- improving data preprocessing techniques
- evaluating potential value in practice
What are the five properties of big data?
- Volume
- Velocity
- Variety
- Value
- Veracity
What is a characteristic of a culture of safety?
An environment that provides resources for the promotion and maintenance of safety measures
How can nurses be a clinical Liaison for informatics?
Nurse Informaticists can provide support and education to help clinicians understand not only to use the function of the technology, but also the rationale and purpose of the technology.
What are the competencies of informatics nurses
- Clinical Liaison
- Clinical Facilitator
- Use of analytics- Big Data
- Demonstrating Value
- Patient Safety, High Reliability
- Unintended Consequences
How can nurses be a clinical facilitator?
Nurse informaticists can facilitate the transition to these new technologies, their application to practice, and their relevance to our future.
How do nurses demonstrate value in informatics?
Support the advancement of not only the nursing informatics but the impact of technology on practice, through defining metrics that demonstrate the value of the technologies used and the value nursing informatics is providing within a clinical setting.
What are the principles of high reliability?
- commitment to reliance preoccupied with failure
- Reluctance to simplify
- Sensitivity to operations
- Commitment to resilience
- Defer to the experts
What unintended consequences should informatics nurses understand?
Changes to practice, clinical workflows and increasing demands, along with over-reliance on technology and a lack of traditional communication, can lead to safety issues and unintended consequences
Define Telemedicine
Use of telecommunication technologies and computers to provide medical information and services to clients at another site
Define telehealth
Provision of information to healthcare providers and consumers and the delivery of services to clients at remote sites through the use of telecommunication and computer technology
What are the four synergistic components of access to care?
- insurance/healthcare coverage
- availability of healthcare services
- timeliness of care
- workforce
What are the benefits of having better availability of healthcare services?
people with usual or established sources have better health outcomes, fewer disparities, and lower healthcare costs
What is telenursing?
Nurses engaged in telenursing practice continue to access, plan, intervene, and evaluate the outcomes of nursing care, but they do so using technologies such as the internet, computers, telephones, digital assessment tools, and telemonitoring equipment
What is telestroke?
the use of connected-health technology as a means to overcome limitations
For what reasons are acute ischemic strokes uniquely suited to telemedicine?
- wide geographic and population distribution of the disease
- Clearly visible clinical findings, often readily identifiable on video
- a narrow therapeutic wiindow
- An existing, proven therapy than can be administered in any facility with basic infrastructure
- Limited specialist available