Ch 9 - Clinical Information Systems
AN RIS may perform all of the following radiological tests except:
CBC
Which of the following statements is true about telehealth?
Documentation requirements are the same as the typical face-to-face patient care
Which of the following is an example of a clinical information system?
Laboratory information system
Scanning workstation
PC that controls the scanner
Which of the following is a benefit of scanning after the chart is complete?
Physicians do not need to be trained in online chart completion
Which of the following is a true statement about the document management system?
The DMS captures clinical data only through scanning documents.
Critique this statement: The DMS is used only by the HIM dept
This is a false statement as it is used by many departments across the hospital
Optical character recognition (OCR)
a method of encoding test from analog paper into bitmapped images and translating the images into a form that is computer readable
Teleradiology
ability of images to be viewed from any location by the radiologist and other users
Annotation
ability to alter an image in some way
Picture archival communication system (PACS)
an integrated computer system that obtains, stores, retrieves and displays digital images
Demographic data:
are generally obtained from the hospital information system
Pharmacy information system (PIS)
assists the care providers in ordering, allocating, and administering medication
Target sheet
blank pages, except for barcode, that will tell the scanner and ultimately the computer the content of the pages that follow
Interdisciplinary charting system
can be used by any healthcare professional to collect and store the patient assessments, progress notes, and care plans
Clinical information system (CIS)
collect and store information related to patient care
Anesthesia information system
collects information on preoperative, operative, and postoperative anesthesia related clinical information
Cardiology information system
collects, stores, and manages cardiology images such as electrocardiograms, cardiac catheterization, and their associated reports
Laboratory information system (LIS)
collects, stores, and manages lab tests and results
Emergency department system (EDS)
designed to meet the unique needs of the emergency dept - tracking patients from triage to discharge and record test results and other clinical information
Scanner
device that converts characters, images, and text into digital data
Nursing information system (NIS)
documents the nursing care provided to the patient
Document management system (DMS)
electronic method of capturing and managing documents
A PACS system allows the x-ray dept to be totally digital, so there is no need for the use of physical:
film
Symbiology
format used in barcodes
Data such as graphic information and activities of daily living would typically be found within which of these clinical information systems?
nursing information system
Which of the following clinical information systems easily operates with the CPOE?
pharmacy information system
Smart cards
plastic card embedded with a computer chip that stores information and incorporates security features
The term used to describe routing documents to someone for quality control review is:
routing
A portable method of storage of health data is known as:
smart card
Pages that tell the scanner information about the pages that follow are called:
target sheets
Telehealth
telecommunications system that links healthcare orgs and patients from diverse geographic locations and transmits text and images for consultation and treatment
The term used to describe viewing images from a remote location is:
teleradiology
Backscanning
the process of scanning past medical records into the system so that there is an existing database of patient information, making the system valuable to the user from the first day of implementation
Telesurgery
the use of robotics to perform surgery remotely
Many believe that the greatest advantage of telehealth is the elimination of;
travel
Patient monitoring system
type of system that automatically collects and stores patient data from other various systems used in healthcare such as fetal monitoring, vital signs, oxygen sat rates
Radiology information system (RIS)
used to collect, store, and provide information on radiologic tests such as x-rays, ultrasound, MRI, PET
Barcode
used to index documents scanned within a document management system
