399 11-14

The future of health care will be driven by an integration of new technology with:

(NOT data collection software)

Which domain name do Internet users consider to be a reliable source of quality health education information?

.org

Which system primarily solves the problems of poor handwriting and incomplete medication orders?

CPOE

The gap between those who have access to online information and those who do not is called the:

Digital Divide

The first step in implementing an EHR into an organization is the vendor selection process. The other factor included in the first step is:

Documenting the desired functions of the EHR

Estimating how much exposure to the potential hazard would cause varying degrees of health effects is known as:

Dose-response assessment

What estimates how much exposure to a potential hazard would cause varying degrees of health effects?

Dose-response assessment

Which statement is false?

EBP takes away from the critical-thinking skills used by healthcare professionals.

Online communication among healthcare teams is called:

Electronic communication and connectivity

What seeks to determine the type of health problems that could be caused by exposure to a potentially hazardous material?

Hazardous Identification

Individuals having the capacity to obtain, process, and understand health information is known as:

Health literacy

An example of a nonclinical use of telehealth is:

NOT Administrative supervision

A safety culture is a blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment. Conversely, a just culture emphasizes individual accountability and:

NOT Encourages error reporting and seeks to understand workflow and process issues that lead to errors

The benefits of EHR use recognized in early studies include all of these, except:

NOT Enhanced capacity to perform surveillance and monitoring for disease conditions

Epidemiology is:

NOT Incidence, prevalence, and control of disease)

An adverse event response team:

Reenacts or simulates adverse events to better understand the organizational or procedural processes that failed

What assesses the risk of the hazardous material causing illness in the population?

Risk characterization

What is an important need for public health informatics regarding data collection?

Standardizing vocabulary and coding structure.

What is considered the most familiar communication tool in telehealth?

Telephone

Healthcare professionals have an ethical duty to ensure patient safety.

True

The overall question the risk assessment has to answer is, "How much risk is acceptable?"

True

In addition to organizational commitment of resources to address safety concerns, what is a key feature of a safety culture as identified by the AHRQ?

All of these are correct (Acknowledgment of the high-risk nature of an organization's activities and the determination to achieve consistently safe operations., A blame-free environment where individuals are able to report errors or near misses without fear of reprimand or punishment., Encouragement of collaboration across ranks and disciplines to seek solutions to patient safety problems.)

Healthcare Information and Management Systems Society (HIMSS) has been tracking EHR adoption since 2005 through its Stage 7 awards program. HIMSS Stage 7 (the highest level) consists of:

All of these are correct (EHRs with data sharing, EHRs with data warehousing, Totally paperless documentation)

Healthcare technologies frequently result in all of the following, except:

Elimination of patient safety issues

What occurs to determine the length, amount, and pattern of exposure to the potentially hazardous material?

Exposure assessment

A proactive method for developing a safety culture that learns from mistakes is:

Failure modes and effects analysis

An EHR may help to lower healthcare costs by integrating patient information from multiple sources

False

What represents a challenge that healthcare organizations face in their ability to exchange information with other organizations?

Lack of public trust for privacy

A sense of ownership must initially be secured from which of the following to prevent a disruption in the implementation plans for the electronic health record?

Leadership

What defines interdisciplinary collaboration?

NOT Nurses attending a state nurses' association meeting

What is an example of nonclinical use of telehealth?

NOT administrative supervision

The system approach used by public health to detect early outbreaks of disease is called:

Surveillance data

A benefit for healthcare professionals of using technology for patient education is:

To improve the compliance and documentation of education

A challenge to the American healthcare system is improving the quality of care while controlling costs.

True

A comprehensive surveillance effort supports timely investigation and identifies data needs for managing the public health response to an outbreak or terrorist event. Informatics tools are becoming increasingly important in these public health efforts.

True

A risk assessment may also be called a "threat and risk assessment." A "threat" is a harmful act, such as the deployment of a virus or illegal network penetration. A "risk" is the expectation that a threat may succeed and the potential damage that can occur.

True

An important part of the safety culture is cultivating a blame-free environment.

True

Interoperable EHRs are a foundation of developing HIEs

True

When RFID tags are embedded in patient identification bracelets, they can help with patient tracking during procedures and testing, or function as part of the EHR by communicating pertinent information to clinicians at the bedside.

True

Digital natives, or Generation Y, would be most receptive to education delivered by:

Video games

Employers may use telehealth in a wellness program to:

All of these are correct (Reduce absenteeism and increase productivity, Lower healthcare costs and associated insurance premiums, Create financial incentives for achieving healthcare objectives)

Electronic prompts in a technology-based medication administration system warn against the possibility of drug interaction, allergy, or medication overdose when:

All of these are correct (the physician enters the order in the CPOE system, the pharmacist verifies and dispenses the medication, the medication is about to be administered)

What is the driving force for the increased use of telehealthcare?

All of these are correct. (Demographics, nursing/healthcare worker shortages, excessive costs of healthcare services)

Positive impacts noted with using an informatics system to manage patients with chronic illness include:

All of these are correct. (Guidelines adherence, a decrease in emergency department visits, improved provider documentation

Electronic health records may help promote public health initiatives by:

All of these are correct. (Promoting early detection of potential pandemic occurrences, Automating syndromic surveillance of emergency department records, Generating population-level alerts to be sent to clinicians)

Interactive screening forms housed on a patient portal have been shown to increase the number of emergency room visits.

False

Stage 1 Meaningful Use criteria focused on health information exchange and patient control over health data.

False

Storing healthcare data through cloud computing would allow for expandability and increased security.

False

The eHealth Initiative is largely successful because of interoperability among healthcare systems and the adoption of national data standards.

False

The health educator is aware that health literacy is the same as being able to read and write.

False

RFID technology may gradually replace bar-code technology in the medication administration cycle, because RFID provides:

NOT all of these are correct

What creates information that becomes the basis for knowledge in the field of public health?

NOT examination of school aged children

Which factor will support the increased use of telehealth in the future?

NOT increased need for immediate healthcare information

When persons living with a chronic disease use the Internet for blogging about their health challenges or participating in online discussion forums, this is known as:

NOT self-management

What describes the impact the informatics specialist has on the practice of nursing?

NOT using a portable medication cart

How is public health informatics different than health informatics?

PHI focus is on promoting health and disease prevention in populations and communities.

To become a successful owner of an EHR in the healthcare organization, it must be:

Part of the facility's long term vision

Integrating technology into the medication administration cycle helps to reduce errors by:

Performing electronic checks against a database of safe medication administration parameters and providing alerts

Clinical decision making is guided by targeted information delivery ensuring that the five rights of CDS are implemented: the right information provided to the right person in the right format through the right channel at the right time in workflow.

True

Embedding EBP into professional documentation can increase the compliance with Joint Commission core measures, such as providing information on influenza and pneumococcal vaccinations to at-risk patients.

True

Implementation best practice data would be available if more healthcare organizations moved more quickly to adopt use of the electronic health record.

True

Many health-related websites now support a Spanish language format.

True

Most EHR benefits studies are hypothesis-testing studies.

True

Once technology is integrated into the organization, biomedical engineers can become valuable partners in promoting patient safety through appropriate use of these technologies.

True

One of the most important tools to reduce medication errors is the use of electronic records and information systems to provide point-of-care decision support and automation.

True

Organizational leaders must drive the culture change by making a visible commitment to safety.

True

Ownership of the electronic health record must be felt by all levels of staff before implementation will be successful.

True

Public health may be identified as an occupation that focuses on protecting communities through an understanding and blend of science, policy development, and government decisions.

True

RFID technologies have both supply chain and patient care applications to patient safety.

True

Research has shown that patients have expressed satisfaction with telehealth.

True

Risk factor systems are used throughout the United States and may be local, regional, or national in scope.

True

Risk factor systems are used throughout the country and may be local, regional, or national in scope. Similarly, specific risk assessment tools exist for specific health issues.

True

Smart pump technologies are designed to safely administer high-hazard drugs and to reduce adverse drug events during intravenous medication administration. Smart pumps have software that is programmed to reflect the facility's infusion parameters and a drug library that compares normal dosing rates with those programmed into the pump.

True

Surveillance data systems, such as infectious disease trackers that collect data on adverse health effects, are invaluable tools for public health officials to tap for planning, evaluating, or implementing public health interventions.

True

The American Recovery and Reinvestment Act of 2009 was implemented to encourage healthcare organizations to adopt the meaningful use of the electronic health record.

True

The Patient Safety and Quality Improvement Act of 2005 mandates the creation of a national database of medical errors and funded several organizations to analyze these data with the goal of developing shared learning to prevent medical errors.

True

The availability of data and speed of data exchange can have a significant impact on critical public health functions, such as disease monitoring and syndromic surveillance.

True

The data processed into public health information can be obtained from administrative, financial, and facility sources. Included in this data stream may be encounter, screening, registry, clinical, laboratory, and surveillance data.

True

The future of health care lies in an organization's ability to effectively communicate and work together with others via technology in order to improve patient care.

True