OA 1 & OA 2 (2) Flashcards
What data source is used to track specific diseases & conditions
Disease surveillance
Non-maleficence & fidelity, promote accuracy & integrity.
Fundamental principles
HIPPA stands for and what year did it form
Health Insurance Portability & Accountability Act 1996
What year did Hitech Act form
2009
Two nurses are in the cafeteria talking about lab reports & they commit HIPAA violations what is the action
Fines
A medication alert pops up. What system is alerting
Clinical Decision Support (CDS) System
Monitor the patient’s glucose level you need
nurse flow sheets
What is the barrier to using biometrics
Financial
During which phase of the systems development life cycle should a system be activated to effectively be used by end users
Implementation
Homeless man IV drug user
Find in the EMR which information helps you put him in isolation.
Treatment of patients related to blood pressure measures
Medication administration
When does Discharge planning
Starts on admission.
Discharge teaching patient with diabetes
Important what the time of day
Single event & doing root cause analysis
Fishbone
Stroke patient & analysis
Statistical, fishbone
Rapid dictation advantages of template-based charting
They are available immediately and eliminate human errors @ more accurate documentation.
D/C teaching
The 5th-grade level starts on admission, time of day, and increase font size.
A high number of data-entry fields in electronic health records can be overwhelming for staff & make it difficult to find where information should be documented. Which informatics solution could solve this problem?
Cascading documentation
How can informatics be used to assess a person’s health literacy
Informatics can evaluate the current state & determine the resources needed to determine a patient’s level of understanding.
Pie
Percentages chart
Bar graph
Nouns
Ensures the app still functions as expected after an update or change in improvement.
Regression testing
Life insurance wants records
don’t release.
HIPAA
Name, birthdate/year, test results, and lab results are protected.
Nurse finds 100 errors in coding
AHIMA & report to nurse manager
Glucose stabilizing & Blood Pressure stabilizing
trending graph
Clean & accurate, quality of care, can be used to evaluate patient safety, and quality performance, measure & compare services, improve performance, sets standards of excellence, identifies learning gaps (pt falls)
Benchmark
Covid graphing
Scatterplot
Statistical analysis
stroke patient
Review ICU fall risk
Different reviewer’s conduction research
Benefit of Internet/externet
Improve communication & teamwork
Ethical/legal issue with rural hospital & tele-radiology
State licensing issue
What is an example of the benefit of MD using Computerized Provider Order Entry (CPOE) & DSS
Alerts when ordering Viagra (sildenafil) when patient is taking a cardiac med
Staff is resistance to Tele-ICU. What are the benefits
resources & expertise
HIPAA violations
Civil monetary fines
Healthcare staff members become overwhelmed when using EHR, & they begin to ignore clinical decision support messages. Why is it important to control the number of warnings in an EHR?
Alert fatigue
Which act in 2009 did MU originate?
ARRA act in 2009
Which two technologies support the standardization of healthcare data?
HL7 (Health Level 7) & DICOM
An informatics nurse & an ER nurse are conducting an analysis of a patient admission form the er. Which tool should these nurses use for a process analysis?
SWOT
Which government agency recommended to use of bar code medication administration?
FDA
A laboratory manager requested a report of all patients that had a blood glucose greater than 400 mg/dL for the month of July to provide to the corporate office. Which type of report should the nurse informaticists create using information stored in the electronic health record for this one-time request?
Short time report
Process for discovering root causes of problems & ID the solution?
Root cause analysis
Which is a physician’s clinical informatics assessment?
Vital signs
Which EHR challenge can a nurse informaticist help support & change?
Analyzing & redesigning workflows
What describes the goal of EHR incentive programs, such as meaningful use?
To promote the achievement of quality, safety, & efficiency measures
What is the role of the informatics nurse working with EHR?
To improve patient safety
Health systems can be inoperable with other health systems. What are 2 barrier that prevent interoperability
Data blocking. Interface cost.
Unit managers want to be assured nurses are signing completed clinical documentation. What can managers do to determine documentation completion?
Randomly run EHR reports & list noncompliant nurses.
Reported falls on the med surg unit as compared to the previous quarter. Which data set informs the decision to review the protocol for falls on the med-surg unit?
The radiology reports of pts with a reported fall on the med-surg unit
Which data in a medical record informs the management of the pt’s condition following a surgical procedure?
Nursing assessment from the prior shift & the doctor’s orders
