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NR 599 midterm exam With Answers
Informatics - well answered science and art of turning data into information what concepts/sciences does informatics apply (3) - well answered computer science cognitive science information science What does computer science study - well answered the theory of underpinning information and computation and their implementation in computer systems Facets of computer science (4) - well answered hardware software communication solutions to related problems What does cognitive science study - well answered how the human mind works from an information processing perspective What does information science study - well answered retrieval and management of information and human-computer interaction What are the 2 levels of NI practice - well answered generalist informatics-nurse specialists Generalist in NI practice - well answered experience in the field and knowledgeable but not educated at graduate level Informatics Nurse Specialist - well answered More sophisticated level of understanding and skills- graduate level training Innovator
Conducts informatics research and generates informatics theory Does every healthcare setting have an informatics nurse or an informatics nurse specialist? - well answered No, but every setting requires at least a basic level of nursing-informatics competencies what is knowledge work - well answered collecting data, turning it into information and creating knowledge/wisdom Why is nursing informatics important - well answered because nurses are knowledge workers (taking data and turning it into information and knowledge) How can technology aid knowledge work - well answered helps to: collect data see trends process information create kowledge According to QSEN is informatics a key skill for optimal patient care - well answered Yes How do standard terminologies contribute to the development of knowledge - well answered ensure all professionals share the same understanding/meaning of a concept clarifies communication facilitates research provides structure for support tools and EHRs In regards to the foundation of knowledge model, what do standard terminologies support - well answered knowledge acquisition dissemination generation processing
what is knowledge generation - well answered creation of new knowledge from old knowledge using experience or other input the model that humans are organic and constantly generate, acquire, process, and disseminate knowledge - well answered foundation of knowledge model the study of storage of information through algorithm is ..... - well answered computer science study of theoretical foundations of information and its application in computer systems - well answered computer science study of the mind and behavior as it pertains to information processing - well answered cognitive science study of the use and application of information in interactions with people / organizations - well answered information science integration of social science, library science, computer science, communication science, and cognitive science - well answered information science terminology approved by general consent or an approving body - well answered standardized terminology nomenclatures, classifications systems, data sets, and code sets are all included in ...... - well answered standardized terminology system of rules for adding terms used in art/science(such as nursing) - well answered nomenclature a system of grouping like terms into categories used to identify costs and outcomes -- not used in clinical documentation - well answered classification classification used to create a catalog for discussion or info retrieval - well answered taxonomy
utilization of classification according to a predetermined system with the resulting catalog being used to provide a conceptual framework for dicussion/analysis/info retreival - well answered taxonomy Collection of data organized in a specific manner - well answered data set what is ICD - well answered international statistical classification of diseases and health related problems diagnosis codes (up to 6 characters) descriptions and classifications of known disease/injuries form of standardized terminology What is ICD used for - well answered collection of morbidity/mortality stats automated clinical decision support assignment of codes to medical dx and procedures associated with hospital utilization what is CPT - well answered Current Procedural Terminology billing codes Who maintains the ICD - well answered World health organization WHO who maintains CPT - well answered American medical association AMA Difference between ICD and CPT - well answered CPT - american medical association, ICD world health organization
HIT is key according to the NQS (National quality strategy) to achieve what 3 improvements - well answered better car affordable care healthy populations what is certified EHR technology - well answered EHR software that is approved by governing agencies and meets specific standards what is electronic enterprise integration - well answered linking healthcare providers, health plans, the government, and other interested parties electronically what is a qualified EHR - well answered an EHR that supports clinical documentation and decisions and is capable of capturing, logging, and sharing that information what does a qualified EHR contain - well answered patients demographic and clinical health information including medical hx and a list of health problems what office was established by the HITECH act - well answered office of the national coordinator for health information technology (ONC) what is meaningful use - well answered -an incentive program to encourage the adoption of EHR -doesn't cover the total cost of EHRs -need to use EHR in a meaningful way (certain criteria had to be met) -fostered faster adoption rates of EHR EHR versus EHRS - well answered EHR - the record, EHRS - the software that enables use of the information EHRS includes - well answered CPOE (computerized practitioner order entry) CDS (clinical decision systems) practitioner documentation capability
the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions --- what is this - well answered health literacy the use of digital technology to locate, navigate, manage, integrate, evaluate, create, and effectively communicate in a rapidly changing information environment in the pursuit of knowledge - well answered information literacy what are the TIGER competencies (3) - well answered basic computer competency information literacy information management what are the 5 competency standards for information literacy for nursing need to know all 5 - well answered determine needed information access information effectively analyze information to determine if search needs to be adjusted use information for a purpose understands the issues with information use and ethically proceeds information literacy competency standards (6) - well answered determine extent of info needed access needed info effectively evaluate info and its source critically
what is the human-technology interface - well answered the interaction between humans and software or technology Clinical Decision Support - well answered provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care. Informatics Competencies - well answered computer skills informatics knowledge informatics skills Beginner nurse informatics competencies - well answered start computer/log on to application access and send email collect and enter patient data into the information system experienced nurse informatics competencies - well answered identify risks and limitations of surfing the internet to find EBP info gather data to draw/synthesize conclusions explain how to maintain integrity of info resources Informatics nurse specialist competencies - well answered fluent in nursing informatics and nursing terminologies applies aspects of human technology interface to screen, device, and software teach nurses how to locate, access, retrieve and evaluate info
informatics innovator competencies - well answered analyze systems transform software programs to support data analysis and aggregation lead rresearch effores to determine application needs scientific underpinning - well answered provides basis pf knowledge for adv nursing practice includes sciences such as biology, physiology, ethics, and nursing NI scientific underpinning - well answered nursing science information science computer science General principles of nursing informatics - well answered health information systems are important to clinical practice ensure confidentiality of protected patient information assure access control of HIT What does informatics provide medical professionals - well answered knowledge, skills, and understanding to harness the tools at hand and use them well to enact improvement why is standard terminology important to the devlopment of EHR - well answered to represent, communicate, exchange, reuse, and report data/information/knowledge in a meaningful way are standard terminologies based on concepts or terms and why - well answered concepts to allow for growth over time Each concept has a unique identifier known as a ....... which is made of............. - well answered code, alphanumeric characters
Patient care support systems (clinical documentation, pharmacy info, lab info, radiology info) Which information system is patient-centered - well answered Clinical documentation system aka CIS clinincal information systems What do patient-centered information systems do - well answered collect, process, and distrubute patient-centered data to aid in managing and providing care Why are Clinical documentation systems concidered to be patient-centered - well answered they contain the observations, interventions, and outcomes about the patient noted by the care team together......create a comprehensive record of the patients medical history and support organizational processes - well answered information systems What is human-technology interface - well answered anytime a human uses technology some type of hardware or software enables and supports that interaction and that hardware/software defines the interface Examples of human-technology interfaces - well answered ID badge cards defibrillator use PCA pump vital sign machine electric thermometers videoconferencing etc human-technology interface problems - well answered complexity of interfaces can cause errors workarounds (i.e. removing armband from pt to easiuly access it)
alarm fatigue - well answered Multiple false alarms or insiginificant alarms causeing nursies to ignore or slowlyy respond to alarms digital natives - well answered young people who have grown up using the internet and social networking typically born after 1982 digital immigrants - well answered late adopters of technology
