UNIT 3- INFORMATICS AND THE HEALTHCARE INDUSTRY Flashcards

1
Q

emerging field of medical informatics

A

eHealth

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2
Q

Organization and delivery of health services and information
using the Web and related technologies.

A

eHealth

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3
Q

The term characterizes not only technical development but
also a new way of working, an attitude, and a commitment
for networked, global thinking to improve healthcare locally,
regionally, and worldwide by using information and
communication technology.
 Represents optimism, allowing patients and professionals to
do what was previously impossible.

A

eHeallth

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4
Q

is the use of information exchanged from one site to another via electronic communications to improve
patient’s health status.

A

Telemedicine

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5
Q

which often used to encompass a
broader definition of remote healthcare that does not always
involve clinical services”

A

telehealth

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6
Q

____uses the
terms telemedicine and telehealth interchangeably.

A

American Telemedicine Association (ATA)

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7
Q

can be considered a delivery mechanism for
ehealth.
 Refers to the use of a wireless communication device that
supports public health and clinical practices

A

mHealth

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8
Q

is viewed as the new generation of telemedicine
that is laying the foundation for a new generation of healthcare (Waegemann, 2010).
A valuable tool as the digitalization of health and wellness
data increases.

A

mHealth

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9
Q

Transforming the practice of healthcare

A

 Wearable and portable monitoring systems
 Telenursing and decision support tools
 Possibility of virtual worlds
 Health portals and web 2.0
 mHealth applications

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10
Q

Ethical Issues

A

 Privacy
 Confidentiality
 Data security
 System security

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11
Q

contains all relevant information about a
patient’s diagnosis, the goals of treatment, the specific nursing
orders (including what observations are needed and what
actions must be performed), and a plan for evaluation. Over the
course of the patient’s stay, the plan is updated with any
changes and new information as it presents itself.

A

nursing care plan

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12
Q

are products of nursing informatics systems capable of
comparing actual assessment findings of a patient entered to thesystem versus a preset database or programs that has built in

A

Computer Generated NCPs

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13
Q

Advantages of Computer Generated NCPs

A

 Can import certain patient data (i.e. recorded vital signs) as
part of nursing assessment from other areas of the system
 Uniformity of nursing diagnoses throughout a healthcare
facility
 Provides a ready selection of nursing interventions based
on diagnoses
 Accessibility of the NCP for evaluation.
 Time Saver
 Space Saver

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14
Q

Disadvantages of Computer Generated NCPs

A

 Nursing Diagnoses may be limited to the current database
version of a specific EHR system
 May be difficult for less tech savvy nurses
 Computerized NCPs are only as good as the actual patient
assessment of the nurse utilizing the system.
 Risk of total data loss if system crashes.

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15
Q
  • cardiac related conditions and management
A

American Heart Association (AHA)

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16
Q

for communicable diseases

A

Research Institute for Tropical Medicine (RITM)

17
Q

the global health authority

A

World Health Organization (WHO)

18
Q

enumerate the principles of a good CPG

A
  • clarity
  • compatibility
  • clear rationales
  • sensitivity to practical issues
19
Q

All terms are clearly defined - what principle is this

20
Q

All components must be accepted by various
concerned disciplines.- WHAT PRINCIPLE?

A

COMPATIBILITY

21
Q

IS THIS AN EXAMPLE OF COMPATIBILITY?

  • A CPG states that a nurse, in the absence of
    a physician for more than 3 minutes, may by himself
    administer 1 ampule of epinephrine on a crashing
    patient.
A
  • NOT IT IS NOT AN EXAMPLE OF COMPATIBILITY- this is unacceptable in nursing practice
22
Q

also provides rationales for every
recommendation it has
 Evidence-based
(which principle)

A

clear rationale

23
Q

Not simply because a resource is available, a CPG
should outright recommend it.

-Culture, Economy and other logistics should be
considered

(which principle?)

A

SENSITIVITY TO PRACTICAL ISSUES

24
Q

how can you say it is a good CPG which shows a sensitivity to practical issues

A
  • not recommending certain products where said products may be too expensive for the population/locally
25
give a few benefits of CPG
 Helps improve health outcomes  Can potentially reduce mortality and morbidity for certain conditions  Improve consistency of care  May improve frequency of performance of procedures for patient management and care  Promotes standardization of care  May help reduce healthcare costs
26
Set of structured, multidisciplinary plans of care devised to augment or support the implementation of a clinical guideline or protocol - EVIDENCED-BASED
Critical or Clinical Pathways
27
when and where was clinical pathways introduced?
- 1980 in the US and UK
28
A pathway should clearly define the coverage as well as other time elements to be considered in any of the steps or procedures it has.
- timeline
29
Pathways group sets of care together according to distinct categories which may include, but not limited to the following:
categories of care: - Assessment - Diagnosis - Diet Therapy - Nursing Care - Medical Regimen and etc.
30
what are the 4 components of a clinical pathway
-timeline -categories of care -intermediate and long term outcome criteria - variance period
31
Pathways provide clear expected health outcomes through a list to aid the healthcare provider in evaluating care and patient response
Intermediate and long term outcome criteria
32
a quality that is divergent or inconsistent with the expected outcome
 Variance
33
are periodical publications in digital format and can be found in the internet.
E-Journals or electronic journals
34
Benefits of E-Journals
 Search toolbars  Filter options  Data is portable  Some e-journals have embedded links to related concepts for supplemental reading  E-journals can be interactive. Some have the option to email the author to initiate discourse or consultations  Most printed journals have an electronic version
35
Limitations of E-Journals
 Not all journals are free to access  Requires connectivity  May lead to bulk downloading of journals during research without initial filtering or scrutiny  Like with printed journals, requires critiquing of searched content.  Limited local (Philippine) nursing journals