Week 8- Informatics and Tech

Question 1

Nursing informatics ia a combination of what?

Answer 1

Computer science, information science, and nursing science

Question 2

Nursing informatics are designed to assist in

Answer 2

the management and processing of data and information to support the practice of NRSG and the delivery of care

Question 3

Purpose of health and nursing informatics (7)

Answer 3

1. Consistent, comparable clinical information
2. Accountability
3. Effective care, opportunities for improvement
4. Visibility of nursing work in digitized health systems
5. Safe and effective care (ICTs)
6. Timely research
7. Evidence informed practice and decision making

Question 4

What is a competency

Answer 4

Complex know-act based on combining and mobilizing internal and external resources to apply appropriately to specific types of situations

Question 5

Challenges in health informatics (2)

Answer 5

Usability- increased burden of data entry, workarounds, slowing care
Interoperability (most difficult)- most information systems use poprietary programs

Question 6

Interoperability

Answer 6

The ability for systems to reliably exchange data and operate in a coordinated, seamless manner

Question 7

Example of interoperability

Answer 7

GP clinic data, acute hospital care data, and specialist data stored in various electronic health information systems that can be accessed and exchanged among one another

Question 8

Examples of Management systems

Answer 8

electronic health records (EHRs)
electronic medical records (EMRs)

Question 9

Communication systems facilitate

Answer 9

communication between health professionals or between health professionals and patients.

Question 10

Communication systems can be used for (5)

Answer 10

diagnostics
management
counseling
education
support purposes

Question 11

Computerized decision support systems (CDSS)
support

Answer 11

decision-making for health professionals and
assist them in practicing within clinical guidelines and care pathways.

Question 12

Information systems do not

Answer 12

Replace clinical judgement

Question 13

Management systems EMR and EHR are equivalent to

Answer 13

a hard copy medical chart (with key differences).

Question 14

Management systems EMR and EHR allow for

Answer 14

viewing and documenting patient data at the point of care.

Question 15

When are Electronic Medical Records (EMR) usually used

Answer 15

within one setting (single practice)

Question 16

Electronic Health Records (EHR) are designed to be

Answer 16

Shared with multiple providers and across settings (e.g., link between primary care, hospital, community care) using interoperable systems.

Question 17

Terminologies and data standards can be

Answer 17

Interchangable in terms of purpose

Question 18

Purpose of terminologies and data standards

Answer 18

Take rich clinical knowledge to create machine/computer readable parts. It is taking an agreed upon set of terms and putting a computer code to it, so that when this information is entered into an electronic health record where there can be sense made out of it.

Question 19

Data standards and standardized terminologies provide

Answer 19

a common language (different words for pressure ulcer)

Question 20

Importance of nursing-sensitive data standards:

Answer 20

• Providing clarity about what we do as nurses is crucial
• Addresses the question: What is it about nurses do that makes a difference in influencing health of Canadians

Question 21

International Classification for Nursing Practice (ICNP) provides (2)

Answer 21

• an agreed set of terms that can be used to record the observations and interventions of nurses across the world
• framework for sharing date and comparing practice

Question 22

SNOMED-CT is the most

Answer 22

comprehensive multilingual clinical healthcare terminology in the world

Question 23

Indicators of competencies are

Answer 23

assessable and observable manifestations of the critical learnings needed to develop the competency

Question 24

nursing informatics competencies and indicators are intended to provide

Answer 24

direction for
curriculum development

Question 25

The competencies incorporate the minimum

Answer 25

knowledge and skills new registered nurses require to practice in an increasingly technology-enabled environment.

Question 26

Technology induced error arise from (3)

Answer 26

- Design and development of a technology - Implementation and customization of a technology - Interactions between the operation of a new technology and the new work processes that arise from the technology’s use.

Question 27

2 classifications of error

Answer 27

information errors human-computer interface flaws

Question 28

Nurses role in reporting

Answer 28

Nurses needs to report malfunctions and errors of technologies as per their organization’s policies

Question 29

Workarounds

Answer 29

a term coined by Powell-Cope and colleagues to describe the quick fixes to temporarily solve the problem of a device malfunction or error (e.g. using paper to write down notes)

Question 30

Competency 2

Answer 30

professional responsibility and accountability to report

Question 31

Health information and communication technologies should be a tool that

Answer 31

supports nurses's clinical judgement not a replacement for it

Question 32

ICTS add

Answer 32

efficiency and effectiveness

Question 33

Privacy act

Answer 33

-federal counterpart to the parts of FOIPPA that govern the collection, use and disclosure of personal information in the public sector. -It governs the collection, use and disclosure of personal information by federal government institutions.

Question 34

The Freedom of Information and Protection of Privacy Act (FOIPPA) sets out

Answer 34

the access and privacy rights of individuals as they relate to the public sector.

Question 35

The E-Health Act permits

Answer 35

the BC government to designate large databases of health information held in the public system (generally by a health authority) as a Health Information Bank (a “HIB”) and require it to be filled with information from doctors, other health care providers, labs and others.

Question 36

Intent of the E-Health Act

Answer 36

enable the creation of a  province-wide electronic system  for storing and accessing patient records. 

Question 37

AI can combine

Answer 37

evidence base + empirical data from patients + best practice guidelines to provide recommendations for nurses

Question 38

OCAP

Answer 38

assert that First Nations have control over data collection processes, and that they own and control how this information can be used.

Question 39

3 nursing competencies with nursing informatics

Answer 39

1. HOW DO WE USE THIS INFORMATION TO HELP WITH PATIENT CARE, use of those information that is out there, deliver safe care 2. Professional and regulatory accountability, when you you see something wrong you need to speak up and keep patients safe 3. How to use the technology, knowing how to use it…ICTs

Question 40

what do management systems do?

Answer 40

Allow for the acquisition, storage, transmission, and display of administrative or clinical activities related to patients, such as electronic health records (EHRs) or electronic medical records (EMRs)

Question 41

Types of communication technology

Answer 41

There are a wide range of communication systems, varying from email and mobile phones to telemedicine and telecare systems.

Question 42

EMR and EHR typically include:

Answer 42

documentation, medical history, medications, and diagnostic and imaging reports, notes and communication between healthcare providers

Question 43

What are terminologies and data standards?

Answer 43

Facilitate coherent communication, collection, and aggregation of healthcare data.

Question 44

What are terminologies and data standards?

Answer 44

Facilitate coherent communication, collection, and aggregation of healthcare data.