NURS 319 - Nursing Informatics: Chapter 13

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A patient asks a nurse about variation in patient care by different providers. What is the best response by the nurse? a. "Variation occurs when clinicians perform the same function in different ways and is minimized with standardization." b. "Variation occurs because healthcare providers have individual preferences. This does not affect patient care." c. "There is little variation in patient care because technology has been incorporated into health care." d. "Variation occurs only with very customized and complex care circumstances."

a. "Variation occurs when clinicians perform the same function in different ways and is minimized with standardization."

A new clinical technology has been implemented to improve care so that little waste is incurred. This is known as which of the following? a. Efficient delivery of care b. Effective delivery of care c. Transformative delivery of care d. Innovative delivery of care

a. Efficient delivery of care

An informatics nurse is integrating a new clinical technology and understands that to optimize success in integration, which of the following must be considered? a. End-user involvement b. Collaboration with leadership c. Coordination with computer programmers d. Input from administration

a. End-user involvement

A nursing executive would like to improve a nursing process. Which of the following will he or she need to collect metrics on? a. The current performance of the process b. The past performance of the process c. Nursing research on nursing processes d. Quality indicators on nursing care

a. The current performance of the process

A health system is taking on a transformation initiative, which will be initiated by whom? a. The health system's leadership b. The healthcare professionals c. The information technology department d. The informatics nurses

a. The health system's leadership

Many healthcare organizations experience the effects of poorly implemented clinical technology solutions. These effects may be manifested in the form of redundant documentation, non-value-added steps, and additional time spent at the computer rather than in direct care delivery. a. True b. False

a. True

We must minimize preventable errors, and one of the most important tools for this purpose is the use of electronic records and information system to provide point-of-care decision support and automation. a. True b. False

a. True

When workflow changes begin to fail and workarounds develop, the new processes need to be evaluated further. a. True b. False

a. True

Workflows integrating technology provide the nurse with the data necessary to make informed decisions. a. True b. False

a. True

Quality improvement (Ql) projects are very different from workflow analysis and therefore rarely use process mapping, change theories, or metrics. a. True b. False

b. False

Workflow analysis must be conducted as a stand-alone effort. a. True b. False

b. False

Workflow is a term used to describe: a. the action or execution of a singular task. b. a progression of steps (tasks, events, interactions) that comprise a work process, involve two or more persons and create or add value to the organization's activities. c. the delegation of work to staff members. d. All of these are correct.

b. a progression of steps (tasks, events, interactions) that comprise a work process, involve two or more persons and create or add value to the organization's activities.

An efficient workflow is characterized by: a. end products that are in the best state possible. b. motions and transportation being limited. c. overprocessing. d. None of these is correct.

b. motions and transportation being limited.

Which of the following strategies are instrumental in managing change? a. Education and communication b. Facilitation and support c. Negotiation and agreement d. All of these are correct.

d. All of these are correct.


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