Lesson 7.1 & 7.2 HIE Nursing implications

Question 1

This is an electronic database that tracks controlled substance prescriptions

Answer 1

Prescription Drug monitoring program

Question 2

Evidence of benefits of HIEs in care coordination include what?

Answer 2

providers have accurate med lists, can provide better treatment decisions, and prevent ordering duplicate tests or procedures

Question 3

What are the five properties of big data?

Answer 3

volume
velocity
variety
value
veracity

Question 4

What are the 3rd leading cause of death in the united states? (according to a study by johns hopkins)

Answer 4

medical errors

Question 5

A patient safety issue that results in death, permanent harm, or serious temporary harm that requires intervention is termed what?

Answer 5

a sentinel event

Question 6

What are the key features of a safety culture identified by the AHRQ?

Answer 6

acknowledgment of the high risk nature of an org’s activities and the determination to achieve consistently safe operations
A blame free environment where individuals are able to report errors or near misses without fear of reprimand or punishment
encourage of collaboration across ranks and disciplines to seek solutions to pt safety problems
org commitment of resources to address safety concerns

Question 7

These are system analyses to examine medical errors closely to determine the system processes that need to be changed to prevent similar future errors

Answer 7

root-cause analysis or failure modes and effects analysis

Question 8

What are the 3 goals for the tool for implementing root cause analysis?

Answer 8

what happened
why did it happen
how to prevent it from happening again

Question 9

This is something established in which system or process issues that lead to unsafe behaviors and errors are addressed by changing practices or workflow processes and a clear message is communicated that reckless behaviors are not tolerated

Answer 9

just culture

Question 10

What are the three types of behaviors that lead to patient safety compromises that the just culture approach accounts for?

Answer 10

human error
risky behaviors
(workarounds)
reckless behaviors (total disregard for established policies and procedures)

Question 11

What does the AHRQ recommend as the 7 steps for action planning to improve error rates?

Answer 11

1. understand your survey results
2. communicate and discuss survey results
3. develop focused action plans
4. communicate action plans and deliverables
5. implement action plans
6. track progress and eval impact
7. share what works

Question 12

Who must drive the culture change by making a visible commitment to safety and enabling staff to share safety info openly?

Answer 12

organizational leaders

Question 13

What are the 3 characteristics of a safety culture?

Answer 13

just culture
reporting culture
learning culture

Question 14

type of culture where people report their errors and near misses

Answer 14

reporting culture

Question 15

type of culture where people are encouraged and even rewarded for providing essential safety related info, but clear lines are drawn between human error and at risk or reckless behaviors

Answer 15

just culture

Question 16

type of culture where people are willing and competent to draw the right conclusions from safety info systems and willing to implement major reforms when their need is indicated

Answer 16

learning culture

Question 17

this approach to patient safety in which technology manufacturers partner with orgs to ID risks to patient safety and promote safe tech integration

Answer 17

systems engineering

Question 18

this is the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems and work environments and it’s application to systems design improves ease of use, system performance and reliability and user satisfaction while reducing operational errors, operator stress, training requirements, user fatigue and product liability

Answer 18

human factors engineering

Question 19

What is the overall human factors philosophy?

Answer 19

that the system should be designed to support the work of people rather than designing systems to which people must adapts

Question 20

This means too much unnecessary information

Answer 20

information overload

Question 21

this means missing or not enough information

Answer 21

information underlaod

Question 22

this means information located in many different places and difficult to find

Answer 22

information scatter

Question 23

What can lead to caregivers to become desensitized so that they ignore or even turn certain systems off

Answer 23

multiple false alarms, alarm fatigue

Question 24

What is technology not a substitute for?

Answer 24

safety vigilance by the healthcare team in a safety culture

Question 25

Technology that's designed to improve patient safety is only as good as

Answer 25

the person using the device, it doesn't replace critical thinking, solid nursing practice and careful patient monitoring

Question 26

What is a medical tech hazardID for surgical robotic procedure?

Answer 26

limited tactile feedback for forces exerted on tissue may result in injury

Question 27

What is a medical tech hazard ID for missing implant data for MRI scan patients?

Answer 27

implants can heat, move or malfunction when exposed to MRI's magnetic field

Question 28

What are the steps in the medication administration cycle?

Answer 28

assessment of need ordering dispensing distribution administration evaluation

Question 29

What are the 5 rights of med administration?

Answer 29

right patient right time and freq of administration right dose right route right drug

Question 30

what are factors that can cause humans to deviate from accepted safety practices and commit med errors?

Answer 30

distractions unclear thinking lack of knowledge short staffing fatigue

Question 31

What are the specific benefits of a CPOE system?

Answer 31

prompts that warn against the posibility of a drug interaction, allergy or overdose accurate, current info that helps MDs keep up with new drugs as they are introduced into the market drug-specific info that eliminates confusion among drug names that look/sound alike reduced healthcare costs caused by improved efficiencies improved comm among MD, nurses, patients, etc improved clinical decision support at the point of care

Question 32

This is an electronic prescribing system designed to support physicians and NPs in writing complete and appropriate med and care orders for patients

Answer 32

CPOE (computerized provider order entry)

Question 33

These are designed for safe administration of high hazard drugs and reducing adverse drug events during IV med admin

Answer 33

Smart pump tech

Question 34

What are the 5 rights of CDSs?

Answer 34

right information provided to the right person in the right format through the right channel at the right time in the workflow

Question 35

What is EHR bidirectional interoperability with a smart pump?

Answer 35

infusion parameters and infusion data are wirelessly transmitted from EHR to prepopulate the smart infusion pump and infusion data is also wirelessly sent back to the EHR

Question 36

What does the CDS encompass?

Answer 36

variety of tools including: computerized alerts and reminders for providers and patients clinical guidelines condition specific order sets focused patient data reports and summaries documentation templates diagnostic support context relevant reference info

Question 37

This contains a tag affixed to an object or a person that functions as a radio frequency transponder and provides a unique ID code, a reader that receives and decodes the info contained on the tag and an antenna that transmits the info between the tag and the reader

Answer 37

RFID tech

Question 38

These are being used in in HC facilities to better engage patients and families in the hospital experience, when the caregiver enters the room, the RFID tag announces to the patient on a monitor who has entered the room

Answer 38

smart rooms

Question 39

This tech provides the ability to wear a small, unobtrusive monitor that collects and transmits physiological data via cell phone to a server for clinician review

Answer 39

wearable tech, body area networks or patient area networks

Question 40

What are the 10 V's of big data?

Answer 40

volume velocity variety veracity variability validity vulnerability volatility visualization value

Question 41

This in big data refers the the sheer amount of the data

Answer 41

volume

Question 42

this in big data refers to the speed at which big data are generated

Answer 42

velocity

Question 43

this in big data refers to the diversity of the data or resources

Answer 43

variety

Question 44

this in big data refers to facts that data collected for one purpose may have issues involving missing info or poor data quality when put into secondary use

Answer 44

veracity

Question 45

this in big data refers to the new insights derived from big data

Answer 45

value