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Informatics
| Question | Answer |
|---|---|
| Best description of evidence-based practice? | integrating best research results, clinical practice, and patient values. |
| An error occurred that required a pt to be sent to the ICU and intubated for 2 weeks. What type of error does this event describe? | A sentinel event. The Joint Commission defines a sentinel event as “an unexpected occurrence involving death or serious physical or psychological injury. |
| What is a major impact of using a computerized provider order entry (CPOE) system? | Improved patient safety. CPOE removes the issue of transcription errors, ensures doses, and integrates evidence based guidelines. |
| What site would provide information re: nursing licensure examination? | National Council of State Boards of Nursing. NCSBN is the national licensure agency. They update and modify the NCLEX test plans. |
| Information literacy is essential for... | Evidence-based practice |
| When evaluating a web site for health info, which question would be important for the nurse to ask when determining the validity and quality of the info? | Is the data of the site's last update clearly specified? Validity & quality speak to currentness (the date) |
| A nurse is teaching patients how to use the email communication system. Additional teaching is needed when the pt states... | "We should be Very Specific in our message, making sure it is Detailed." |
| When talking about type of electronic health records, which is the current focus of most healthcare agencies? | Electronic patient record (EPH). The EHR is womb to tomb. The PHR is maintained by the pt. The eMAR is a medical record. |
| Informatics is defined as... | Use of information technology. Informatics improves pt care and safety. |
| A nurse states, "I'm pretty good with computers, so I should become an informatics nurse." How should the informatics nurse specialist respond? | "The computer is just a tool for the real focus, information management." |
| A clinical alert system tied to a CPOE for a medication would alert... | drug incompatibilities, allergies, and drug-drug interactions. |
| What would the nurse administrator least expect to use when collected data for core measurements? | Gastric upset. Core measures integrates EBP and monitors pt outcomes and compliance with interventions. |
| What is a poor primary source for obtaining evidence-based nursing research? | The internet. Can have inaccurate info |
| Flo Night used nursing informatics to... | demonstrate an unnecessary death rate to soldiers d/t unsanitary conditions. |
| A nurse informatics specialist... | develops processes to help professional nurses use informatic strategies to enhance the delivery of patient care. |
| In 1992, who recognized nursing informatics as an approved specialty for the professional nurse? | the American nurses association (ANA) |
| Nursing informatics is... | an integration of nursing science, computer science, and information science. |
| The GOAL of nursing informatics is... | to improve health by optimizing information management and communication. |
| A pt tells a nurse "According to the internet, all breast cancer results in death." The nurse responds with... | "Not all resources on the internet are reliable." |
| When looking on the internet for legitimate information, the pt should look for... | a disclaimer that the info is not to replace medical advice, the name of the author and their credentials, and a date that states when the information was updated. |
| One challenge with providing pt access to online medical records is... | information may be complex and require explanation by a qualified health care provider with knowledge of the pt's case. |
| CPOE can address which medication safety issues? | Transcription, prescriber ordering, high alert meds, and electronic MARs |
| T/F Using bar-coding and eMAR to administer and document meds negates the need for 3 check and 6 rights of med admin. | False. |
| A nurse puts the wrong med in a pt's cup. The nurse realizes in the pt's room it is the wrong med and returns to the med room. He reports this near miss. Why? | Willingness to identify near misses indicates that safety is a valued part of the hospital's culture. |
| A root cause analysis (RCA) is used to... | evaluate systems when an error is made. |
| The National Patient Safety Goals (NPSG) are... | published by the JC and updated annually. |
| T/F The definition of an error is the failure of a planned action to be completed as intended or the use of the wrong plan to achieve an aim. An error can be an act of commission or omission. | True |
| Most errors are caused by... | system failures |
| The Institute of Medicine (IOM) identifies several factors which contributed to the errors in the health care setting. | the need for swift decision making, inadequate training, inconsistent technology, poor communication, and higher pt acuity d/t increased co-morbidities |
| T/F Airline safety has been cited as an example for the adoption in health care organizations to improve pt safety | True |
| What is one potential med error and informatic strategy that could prevent this? | Forgetting to check ID bands. With eMAR, med cannot be documented unless ID band is scanned. |
| Discuss bar-coding and pt safety. | Bar-coding reduces adverse events by preventing giving the wrong dose at the wrong time to the wrong patient. |
| What is a potential work around for a medication dispensing unit? what type of error could occur? | Pulling multiple meds at once & confusing it w pts. A sentinel even oculd occur from this. |
| Describe SMART pumps. | An infusion pump alerting the nurse if infused med is outside the parameters. Contain a drug database & could stop a sentinel event. |
| Root cause analysis vs failure mode analysis? | RCA is the review of an event after it has occured. Failure mode is "proactive" review of situation. |
| Discuss airline safety improving pt care. | Using a checklist, briefing and debriefing |
| Discuss a 2010 JC pt safety goal. Identify 1 informatic strategy addressing this goal. | "Improve the safety of using medication." Use bar-coding and CPOEs |
| Discuss clinical alerts and how it improves pt outcomes. | CPOE alerts drug incompatibilities, pt allergies, and drug-drug interactions. CPOE creates faster and more efficient situation. |
| Electronic med record vs electronic health record vs personal health record. | EMR = computerized healthcare record. EHR = comprehensive womb to tomb PHR = maintained by pt |
| A common example of using a handheld computer in the clinical setting? | Barcode medication administration |
| A nurse is presenting about telehealth. Which would she include re: e-ICU or e-intensive care? | Workflow typically requires redesign |
| T/F An example of telenursing, as part of telehealth, is in non-disaster settings as a nursing specialty. | True |
| T/F Telenursing utilizes the nursing process to assess, plan, intervene, and evaluate outcomes | True |
| What's true about advant/disadvantages of e-learning programs? | Can set own pace for learning with the program. |
| A nurse is in a face to face course involving virtual presence. She's involved in which? | A hybrid course |
| What is an example of technical standards for telehealth and telemedicine? | System for network connectivity |
| What is associated with real-time telehealth? | Same-time interaction of the pt and provider via video |
| A combo of robotics and virtual reality to perform surgery by manipulating surgical instruments at a remote site is... | telepresence |
| What's true about e-learning? | Need to be motivated and disciplined with this type of learning |
| What should be addressed prior to using a virtual reality learning program? | Navigating the virtual world |
| Telehomecare is cost-effective because... | it allows for early detection, reducing the need for unnecessary emergency visits |
| Least expect to find teleMental health where? | Large cities |
| What is true of teletrauma? | The use of trauma care experts for second opnions |
| T/F One of the main issues with telehealth includes licensure and practice across state lines | True |
| Which describes telenursing? | It promotes autonomous practice. |
| Patient safety is enhanced with the use of clinical simulation in the following ways: | Simulation allows for the practice of high risk, low volume procedures and pt care scenarios in a controlled, simulated setting; use mannequins; practice in risk-free setting |
| Goals of public health dz surveillance includes: | determining baseline level of dz; detecting epidemic; assessing public health interventions |
| Community health risk assessments may help identify: | unmet needs and opportunities for action that may help setting new priorities; and monitor the impact of prevention programs |
| Public health informatics (PHI) vs nursing informatics? | PHI focuses on the promotion of health and dz prevention in population and communities. |
Created by:
candie1639
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