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Nur 272 Exam 1 Questions And Correct
Answers
Informatics - answer✔use information and technology to communicate, manage knowledge,
mitigate error, and support decision making
Health Informatics - answer✔discipline that uses technology to sort, process, organize and
retrieve information in healthcare so it can be shared among providers and consumers. Focus is
on providing optimal care for patients.
Health care information system (HIS) - answer✔group of systems/programs used within an
organization to support and enhance healthcare.
examples of HIS - answer✔Clinical Information Systems
Administrative Information Systems
Nursing Information Systems
Clinical Information Systems - answer✔programs used for lab, radiology, pharmacy, social
work, providers, therapies and nurses. Disciplines can enter and communicate data and
coordinate patient care.
Examples of clinical information systems - answer✔The EHR
EMR
Clinical Decision Support System within the EHR/EMR
Monitoring Systems
Order Entry Systems
The EHR - answer✔central component of the health informatics infrastructure. Can be shared
among multiple facilities/agencies.
EMR - answer✔individual health record within a facility. disciplines within a facility record
patient information for that visit.
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Clinical Information Systems are used most often for - answer✔documentation
Clinical decision Support System - answer✔within the EHR/EMR. Those documenting may see
reminders, alerts, prompts, reports, links which help make clinical decisions at the point of care.
supporting information is evidence based.
example of clinical decision support system - answer✔allergy- penicillin and alerts for that
allergy. What should I do with this information?
Monitoring System - answer✔record information directly into EMR
example of monitoring systems - answer✔a patients VS are automatically monitored while in the
ICU. this information is automatically recored to the EHR.
Order Entry Systems - answer✔Allows disciplines to order supplies from another department.
Providers place orders for patient care.
Administrative Information Systems - answer✔Program to input patient information for
appointments, staff scheduling, etc.
Nursing Informatics - answer✔technology to manage and communicate using nursing practice
Nursing Information Systems - answer✔Type of Clinical information System. Allows nurses to
document, view data, access information to help make decisions.
Organizes documentation path in user friendly format
Nursing Clinical Decision Support Systems - answer✔Clinical Decision Support System specific
to nursing. Supporting information is evidence based.
Links information
Alerts, warnings
example of links information - answer✔you identified your patient as a smoker. information on
smoking cessation is available.
example of alerts, warnings - answer✔1) the nurse does a fall risk assessment on a patient and
the score is low indicating a fall risk. Fall risk interventions are automatically added to the
patients nursing intervention list.
2) Before you order medications for your patient (as ordered by the physician), an alert appears
on the screen identifying the patients allergies
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Standardized information systems and terminology - answer✔for nursing, the standardized
terminology is ANAs Nursing Process and the approved NANDA language for nursing
diagnosis. This standard language eliminates confusion when records are shared.
policies and procedures are - answer✔set up by the government when implementing an EHR
Certified System - answer✔doesn't mean every hospital has the same system, but certain
components must by present.
CMS (Centers for Medicare and Medicaid) payment - answer✔Must show meaningful use to
receive payment. By 2009, or you fo not get payment.
Privacy and security - answer✔measures to prevent EHR's from being viewed by just anyone.
use log-in codes, firewalls, auto sign-off modes etc.
HIPPAA - answer✔Health Insurance Portability and Accountability Act is legislation that
provides data privacy and security.
HIPPAA is a - answer✔meaningful use item
People and workforce - answer✔must have the right skills set and competencies.
Nurses - answer✔provide input, work in sales and implement systems, can become a certified as
an Informatics Nurse
By-in - answer✔when implementing an EHR there may be reluctance. need to educate staff on
the potential of technology. also need to train staff how to use it.
Basic computer - answer✔word processing, presentations, browsing, use of databases etc.
Competencies of by-in: - answer✔basic computer
information literacy
information management
information management - answer✔how to use and navigate an EHR and keep it secure
Informatics concept to health care - answer✔has the potential to improve the quality, safety, and
efficiency of health care for all.
-better communication, increased safety, reduced errors, decreased cost and time, better access to
information for comparison/trends/education, quality of documentation is better
Informatics concept to nursing - answer✔-increased job satisfaction because more time spent
with patients
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-patients can share information with family which increases coordination of care
Interrelated Concepts with Informatics - answer✔-Critical thinking, clinical reasoning, and
clinical judgement
-leadership
-communication
-collaboration
-safety
-evidence based practice
-health care quality
-ethics
-health law and policy
critical thinking, clinical reasoning, and clinical judgment - answer✔use of clinical decisions
support system
leadership - answer✔know how to use technology and train others
communication - answer✔technology allow for better communication
collaboration - answer✔technology allows for more collaboration
safety - answer✔use of clinical decision support system, safe transfer of info
health care quality - answer✔technology decreases cost, emphasizes safety
ethics - answer✔privacy, meaningful use of information
health law and policy - answer✔government guidelines must be followed to be reimbursed
the beginning of informatics in healthcare: - answer✔Health Information technology for
economic and clinical health act (HITECH)- part of the American Recovery and Reinvestment
Act (ARRA) of 2009.
Converted to EHRs
What impact has HITECH had on informatics in health care? - answer✔Better communication
among health care teams
