UNIT 3- INFORMATICS AND THE HEALTHCARE INDUSTRY

Question 1

emerging field of medical informatics

Answer 1

eHealth

Question 2

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

Answer 2

eHealth

Question 3

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.

Answer 3

eHeallth

Question 4

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

Answer 4

Telemedicine

Question 5

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

Answer 5

telehealth

Question 6

____uses the
terms telemedicine and telehealth interchangeably.

Answer 6

American Telemedicine Association (ATA)

Question 7

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

Answer 7

mHealth

Question 8

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.

Answer 8

mHealth

Question 9

Transforming the practice of healthcare

Answer 9

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

Question 10

Ethical Issues

Answer 10

 Privacy
 Confidentiality
 Data security
 System security

Question 11

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.

Answer 11

nursing care plan

Question 12

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

Answer 12

Computer Generated NCPs

Question 13

Advantages of Computer Generated NCPs

Answer 13

 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

Question 14

Disadvantages of Computer Generated NCPs

Answer 14

 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.

Question 15

• cardiac related conditions and management

Answer 15

American Heart Association (AHA)

Question 16

for communicable diseases

Answer 16

Research Institute for Tropical Medicine (RITM)

Question 17

the global health authority

Answer 17

World Health Organization (WHO)

Question 18

enumerate the principles of a good CPG

Answer 18

• clarity
• compatibility
• clear rationales
• sensitivity to practical issues

Question 19

All terms are clearly defined - what principle is this

Answer 19

CLARITY

Question 20

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

Answer 20

COMPATIBILITY

Question 21

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.

Answer 21

• NOT IT IS NOT AN EXAMPLE OF COMPATIBILITY- this is unacceptable in nursing practice

Question 22

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

Answer 22

clear rationale

Question 23

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

-Culture, Economy and other logistics should be
considered

(which principle?)

Answer 23

SENSITIVITY TO PRACTICAL ISSUES

Question 24

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

Answer 24

• not recommending certain products where said products may be too expensive for the population/locally

Question 25

give a few benefits of CPG

Answer 25

 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

Question 26

Set of structured, multidisciplinary plans of care devised to
augment or support the implementation of a clinical
guideline or protocol

• EVIDENCED-BASED

Answer 26

Critical or Clinical Pathways

Question 27

when and where was clinical pathways introduced?

Answer 27

• 1980 in the US and UK

Question 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.

Answer 28

• timeline

Question 29

Pathways group sets of care together according to
distinct categories which may include, but not limited
to the following:

Answer 29

categories of care:
- Assessment
- Diagnosis
- Diet Therapy
- Nursing Care
- Medical Regimen and etc.

Question 30

what are the 4 components of a clinical pathway

Answer 30

-timeline
-categories of care
-intermediate and long term outcome criteria
- variance period

Question 31

Pathways provide clear expected health outcomes
through a list to aid the healthcare provider in
evaluating care and patient response

Answer 31

Intermediate and long term outcome criteria

Question 32

a quality that is divergent or inconsistent with the
expected outcome

Answer 32

 Variance

Question 33

are periodical
publications in digital format and can be found in the
internet.

Answer 33

E-Journals or electronic journals

Question 34

Benefits of E-Journals

Answer 34

 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

Question 35

Limitations of E-Journals

Answer 35

 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