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Question 2
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BSNV 456 Comprehensive Test
What is the main idea of the subsection titled “Why Informatics Is Needed in Healthcare: An Example”? An interoperable healthcare system that provides clear, concise patient data and information among institutions is lacking in many facilities, and its presence would greatly facilitate things such as patient transfers. The quality of discharge communication during transfers of geriatric patients from hospital to nursing home is generally high. Skilled nursing facilities aren’t trained enough to identify the information they need to facilitate a high-quality transition of a patient into their facility. Healthcare informaticians alone are responsible for building interoperable systems that will facilitate communication between and among healthcare facilities. This subsection takes the specific case of the transfer of geriatric patients from a hospital setting to a long-term skilled nursing facility (SNF) and uses it to illustrate the great need for an interoperable healthcare system that allows patient data to be transferred quickly, clearly, and concisely among facilities. The chapter makes the argument for increased automation for such things as managing supplies, because studies have shown that. only 70% of a nurse’s day is actually spent at patients’ bedsides
nurses waste “an hour a shift” finding equipment
Question 5
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You have altered the menu of food items served to your patients. However, the change has greatly expanded the number of refrigerated items needed on hand. You need to buy a new refrigerator, but the electric circuit in the kitchen cannot handle the extra load and needs to be upgraded at significant expense. This set of unintended consequences down the line, produced by an initial change, is called: dynamic homeostasis. semi-planned change. negentropy. reverberation. Change within any part of a system will be reflected across the total system through a process termed reverberation. Reverberation can be intended or unintended consequences of change. Knowledge is the point of convergence across the areas of: evidence-based practice, quality assurance, and informatics. evidence-based practice, improvement, and informatics. evidence-based practice, quality assurance, and improvement. improvement, quality assurance, and informatics.
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Question 7
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Knowledge is the point of convergence across the areas of evidence-based practice, informatics, and improvement. None of the other answers include all of these aspects. A(n) is considered the gold standard research design for answering questions about the efficacy of treatments. RCT PBE TeamSTEPP NQMC An experimental design, often called a “randomized controlled trial (RCT),” has emerged as the gold standard research design for answering questions about the efficacy of treatments. A system that incorporates evidence-based content and clinical decision support includes: building multiple aliases. using Tall Man lettering for select medications. enforcing the use of only CMS-approved abbreviations.
Question 10
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Public and unwavering support for the project by the organization’s leadership Building a large number of aliases for orders and alerts for select clinical scenarios Input from representatives from different disciplines over the course of the project Default clinical information and responses to order prompts on orders and fill in as much as possible on order sets Physicians will count clicks and do not want to be stopped during order entry unless it is necessary. An overuse of alerts will cause alert fatigue. National efforts to improve the user experience are under way in the United States. One organization involved with this effort is the: Office of Technology and Disasters. American Nurses Association. National Institute of Standards and Technology. National League for Nursing. An organization involved in national efforts to improve the user experience is the National Institute of Standards and Technology. The Office of Technology and Disasters, American Nurses Association, and National League for Nursing are not involved with the user experience.
Question 12
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Question 11
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Which of these best describes an example of usability? The IT department is surveying your unit to determine the placement of new computer workstations. A researcher is conducting a study of how nurses interact with electronic documentation to organize care handoffs. The leadership in your institution is asking for your help to determine oncology patient flow across regional institutions. The administration has asked you to take responsibility for orientation of new hires and the retraining of selected current employees on use of the automated medication administration system because there have been a consistent number of user errors. An example of usability would be when a researcher is conducting a study of how nurses interact with electronic documentation to organize care handoffs. The other items describe ergonomics, non-HIT workflow, and education/training. Your organization acknowledges that providers want to improve their user experience with health information technology (IT) products. You want to raise awareness of the potential benefits to the organization. You could draw on stated benefits such as: improved productivity, patient safety, and decreased customer support costs. improved cognitive support, increased maintenance costs, and patient safety.
Question 15
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Question 16
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Data quality and integrity Safeguards By not keeping a patient’s records current and up-to-date, the healthcare provider is violating the fair information principle of data quality and integrity. Correction involves allowing individuals to dispute the accuracy of their information, openness and transparency involve keeping patients informed on policies regarding PHI, and safeguards are actions implemented to protect sensitive data. Which definition most accurately describes privacy? The means to ensure health record privacy and confidentiality Accuracy and completeness of health information The rights of individuals to control access to their person or information about themselves An act that has the potential to cause harm to an informational asset Privacy is the rights of individuals to control access to their person or information about themselves. Security is defined as the means to ensure health record privacy and confidentiality. Data integrity is defined as the accuracy and completeness of health information. A threat is an act that has the potential to cause harm to an informational asset.
Question 17
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What is the difference between the safe harbor and expert determination methods of de-identifying data? The safe harbor method involves removal of 18 types of identifiers, and the expert determination method involves the application of statistical or scientific models. The safe harbor method involves the application of statistical or scientific models, and the expert determination method involves removal of 18 types of identifiers. The safe harbor method involves removal of all identifiers, and the expert determination method involves the removal of 18 types of identifiers. The safe harbor method involves securing identifiers in an encrypted database, and the expert determination specifically determines the riskiest identifiers to remove. The safe harbor method involves removal of 18 types of identifiers, and the expert determination method involves the application of statistical or scientific models to de- identify data. None of the other options accurately describes these two methods. An organization implements a policy on installing software service packs on all its computers. This is an example of which type of control? Administrative Technical Physical Electronic
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Question 21
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the federal government is interested in this information. this is a prevalent issue. Research in this area is just beginning, but even without knowing all the details, monitoring and tracking of the unplanned or unexpected consequences are important, so we can learn more about the issues to inform the future. The EHR incentive Meaningful Use criteria are adapted from work done by: the National Quality Forum. the National Priorities Partnership. The Joint Commission. the Institute of Medicine. The EHR incentive program’s Stage 1 criteria for meeting Meaningful Use are divided into five initiatives adapted from work done by the National Priorities Partnership. What is the office of the Department of Health and Human Services that is charged with overseeing nationwide efforts to implement and use health IT and electronic exchange of health information? MARCA
Question 22
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Question 23
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The Institute of Medicine (IOM) The Office of the National Coordinator (ONC) The American Medical Informatics Association (AMIA) The ONC is the only governmental agency reporting to the DHHS; its role is to coordinate implementation of health IT and electronic information exchange. To achieve the goals of the HIMSS nursing informatics position statement, all nurses should: have a central role in drafting health IT policy. run for political office or sit on a healthcare board. participate in advocacy and educational efforts directed to policy-makers. develop innovative and disruptive technologies. The HIMSS Nursing Informatics Position Statement states that nurses, as leaders, should be knowledgeable and well versed in current public policy initiatives and participate in advocacy and educational efforts directed to policy-makers. The Future of Nursing report listed all of the following opportunities to transform nursing practice through technology EXCEPT:
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Which international organization develops and maintains standards for data exchange? World Health Organization (WHO) Health Level 7 (HL7) International Health Terminology Standards Development Organization (IHTSDO) International Medical Informatics Association (IMIA) Health Level 7 is an international organization that develops and maintains standards for data exchange. The WHO, IHTSDO, and IMIA do not develop and maintain standards for data exchange. The eHealth network is a voluntary network of representatives from where? State medical societies within the United States Latin America and the Caribbean Europe Africa, the Americas, Europe, Asia, and Australia
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Question 28
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The eHealth network is made of up EU member states, with representatives meeting annually to discuss how to enhance interoperability between eHealth systems and ensure access to safe and high-quality healthcare. Which international organization organizes an international conference on nursing informatics? International Council of Nurses (ICN) International Medical Informatics Association – Nursing Informatics SIG (IMIA- NI) Nursing Working Group of HL International Standard Organization (ISO) The International Medical Informatics Association – Nursing Informatics SIG (IMIA-NI) organizes an international conference on nursing informatics. The ICN, HL7, and ISO do not organize an international conference on nursing informatics. Which international organization develops and maintains a family of international classifications such as the International Classification of Diseases? International Health Terminology Standards Development Organization (IHTSDO) World Health Organization (WHO) International Medical Informatics Association (IMIA)
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Question 32
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health information exchange. nanoinformatics. The purpose and goal of nanofabrication is to utilize nanoparticles to improve existing structures, devices, products, etc. Nanoparticles appear to have a very bright and meaningful future in the world; however, what is one potential issue with nanoparticles? Development of the field of nanoinformatics and nanomedicine is difficult. Creation of nanoparticles has not yet come to full fruition. There are cytotoxicity and ethical concerns regarding the use of nanoparticles. No methods exist to successfully combat cytotoxicity and clearance of nanoparticles. A potential issue with nanoparticles is that there are cytotoxicity and ethical concerns regarding the use of them. Development of the field of nanoinformatics and nanomedicine is difficult, creation of nanoparticles has not yet come to full fruition, and the lack of methods to successfully combat cytotoxicity and clearance of nanoparticles are not potential issues with nanoparticles. Which description best defines nanofabrication? The study of controlling and altering matter at the atomic or molecular level
Question 33
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The development of materials used in structures, electronics, and commercial products A subdiscipline of nanotechnology centering on the application of nanoparticles and nanoscience techniques to healthcare and clinical research The use of biomedical informatics techniques and tools for nanoparticle data and information to improve research in the field of nanotechnology Nanofabrication is the development of materials used in structures, electronics, and commercial products. Nanotechnology is the study of controlling and altering matter at the atomic or molecular level. Nanomedicine is a subdiscipline of nanotechnology centering on the application of nanoparticles and nanoscience techniques to healthcare and clinical research. Nanoinformatics is the use of biomedical informatics techniques and tools for nanoparticle data and information to improve research in the field of nanotechnology. A nurse is asked by the nursing manager to review electronic comments left by patients on the unit’s Facebook page. The nurse examines the comments for common themes. This is an example of: trend analysis. scenarios. content analysis. backcasting. This is an example of content analysis. The content of the comments left by the patients is examined for common themes.
