Nursing informatics #2 Flashcards

1
Q

emerges when there are differences between clinical practice and the research on effective clinical practice; nurses must expedite closing this in order to make dramatic, needed improvements to our healthcare delivery system

A

research practice gap

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2
Q

2 factors that cause a research practice gap

A
  • Attitudes towards new research

* Limited access in some situations

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3
Q

interdisciplinary field mainly involving molecular biology and genetics, computer science, mathematics, and statistics

A

bioinformatics

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4
Q

what is leapfrog group and how can a healthcare organization meet the CPOE criteria to be recognized by this group

A

national nonprofit organization driving a movement for giant leaps forward in the quality and safety of American health care
2 criteria:
-assure that physicians enter atlas 85% of inpatient medication orders via CPU system that involves prescribing error prevention software
-demonstrate that their inpatient CPOE system can alert physicians to at least 60% of common, serious prescribing errors.

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5
Q

how can CPOE contribute to patient safety

A

CPOE essentially eliminates the need for handwritten paper orders and achieve cost savings through increased efficiency

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6
Q

an initiative for improving patient safety where healthcare workers feel safe in reporting errors, incidents, injuries, and near misses

A

just culture

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7
Q

How can informatics be used to monitor errors and support a Just Culture?

A

By supporting a culture that is less focused on blame and more focused on the data and trends at hand. staff will feel more safe to use informatics to monitor errors and to report concerns

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8
Q

What is BCMA and how does it contribute to patient safety?

A

bar code medication administration. it can improve patients safety by leveraging technology to improve accuracy throughout the medication administration process. it helps to report medication errors

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9
Q

to provide home nursing care. it can be done by visual or audio versions, while being a viral method of care

A

telenursing

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10
Q

Describe at least 2 examples of patient assessments that may be accomplished using telenursing.

A
  1. remote monitoring on chronic conditions ex. cardiovascular
  2. patients who need care that is not accessible in their home
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11
Q

Nursing care delivered at a distance using technology. Video conferences or phone conferences are a few examples.

A

telenursing

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12
Q

Name two examples of nursing or medical decision support

A

Pediatric early warning system

Caregivers being notified when blood glucose levels are too low

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13
Q

Name 4 ways a nurse can follow HIPAA guidelines for securing patient data

A

Be careful of where computer screen is
Log off before leaving the computer
Do not say names when discussing patient information
Properly dispose of paper files

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14
Q

What are 4 basic guidelines for quality documentation and reporting

A
Factual
Accurate and complete
Current
Organized
*Acronym-Foul And Cruel Odor
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15
Q

Define an eMAR and describe the information it contains.

A

electronic medical administration records

one provider or facility

describes the care that a patient received during an encounter with the healthcare agency

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16
Q

the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions

A

health literacy

17
Q

example of health literacy

A

the ability to understand instructions on a medication bottle.

18
Q

the ability of a consumer to interpret and act on all numerical information such as graphical and probabilistic information needed to make effective health decision.

A

health numeracy

19
Q

example of health numeracy

A

laboratory values and medication schedules.

20
Q

describes people who become distressed and frightened after repeated and excessive web searches for health information

A

cyberchondriac

21
Q

those who search for health information online

A

online diagnosers

22
Q

difference between cyberchondriac and online diagnosers

A

difference: online diagnose is just looking for additional information

23
Q

cpoe

A

computerized physician order entry

24
Q

Evidence from a systematic review or meta-analysis of all relevant randomized controlled trials of evidence-based clinical practice guideline based on systematic review of RCTs

A

level 1

25
Q

Evidence obtained from at least one well-designed RCT

A

level 2

26
Q

Evidence obtained from well-designed controlled trials without randomization

A

level 3

27
Q

Evidence from well-designed case-control and cohort studies

A

level 4

28
Q

Evidence from systematic reviews of descriptive and qualitative studies

A

level 5

29
Q

Evidence from single descriptive or qualitative study

A

level 6

30
Q

Evidence from the opinion of authorities and/or reports of expert committees

A

level 7

31
Q

methods of recording

A

narrative
PIE- problem, intervention, evaluation
SOAP- subjective, objective, assessment, plan

32
Q

reduces transcription errors

A

CPOE

33
Q

clinical decision support system

A

a computer application that uses a complex system of rules to analyze data and presents information to support the decision making process of the knowledge worker