Nursing infomatics

What is the deadline for hospitals' compliance with the 'Meaningful Use' requirements of the American Reinvestment and Recovery Act (ARRA)?

2015

Define Nursing Informatics?

A specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice

Define the term 'computer fluency'

Ability to perform various tasks with a computer. Also, a lifelong commitment to acquiring new skills for being more effective in work and personal life

Name two factors that cause a research practice gap

Access to knowledge resources Attitudes towards new research

How can informatics be used to monitor errors and support a Just Culture?

Administrators can see what errors are being made, how often each error is being made and can address the issue to prevent further mistakes from happening. Charge nurses can also view mistakes based on charts and can ask the staff how they like the system.

What is BCMA and how does it contribute to patient safety

Barcode medication administration; makes sure medication is administered safely and correctly with the correct dosage.

Discuss examples of barriers to a Just Culture; how can these barriers be reduced

Barriers include the fact you can't please everyone, so not everyone will like the system or use it correctly. Barriers can be reduced by incorporating bits that everyone desires or can benefit from.

Name an example of a health numeracy skill

Basic computation skills such as calculating dosages, blood sugar and cholesterol levels or refilling prescriptions.

According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by: a. Beginning Nurses?

Basic information management and computer technology skills. Ability to access data Use a computer for communication Use basic desktop software Use decision support systems

Name 4 ways a nurse can follow HIPAA guidelines for securing patient data

Be careful of where computer screen is Log off before leaving the computer Do not say names when discussing patient information Properly dispose of paper files

What are the benefits and limitations of clinical decision support systems

Benefits include increase in quality of care, more efficient, and reduces the number of errors. Limitations include information overload.

What are some benefits and limitations of telenursing

Benefits include patient convenience, increase in amount of people you can help, no traveling needed, cost effective. Limitations include technology issues, not everyone can afford this, and things can be missed so diagnosis may be inaccurate, lost human interaction.

Define bioinformatics

Bioinformatics is the combination of biology and computer science. It stores and complies biological data in a meaningful form.

Name 3 nursing literature bibliographic databases

CINAHL MEDLINE Cochrane Library

How did the Human Genome Project utilize bioinformatics

Collected RNA from variety of tissues at different points of development and reversed the transcription to make CDNA and sequences the genes. Needed a computer to store the 3 billion pairs of DNA.

According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by: d. Informatics Innovators

Conduct informatics research and generate informatics theory

Describe at least 2 examples of patient assessments that may be accomplished using telenursing.

Devices in home that take vital signs and send them to the nurse. Look at wound care through video chat

Describe the differences between an EMR and an EHR

Electronic Medical Record-A medical record that is used by one healthcare agency. These medical records cannot interface with outside agencies. Electronic Health Record-EHR's make health information available from any location where there is internet access. Can interface with outside agencies.

Give an example of data about a specific quality indicator and describe how that data could be obtained from a clinical information system.

Examples include nosocomial infections, falls, ventilator-associated pneumonia (VAP), pressure ulcers or readmissions within 30 days. Data can be obtained by management "dashboards" to monitor quality, staffing, productivity, and costs

What are 4 basic guidelines for quality documentation and reporting

Factual Accurate and complete Current Organized *Acronym-Foul And Cruel Odor

What are 3 benefits and 3 limitations of a PHR?

Healthcare providers can view allergies, beneficial in a state of emergency like an ER visit, patient-centered care. Limitations-Patient doesn't have health insurance, upkeep can be a burden, security isn't guaranteed.

According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by: b. Experienced Nurses?

Highly skilled in using information management and computer technology to support their major area of practice Make judgements on the basis of trends and patterns within data elements and to collaborate with nurses to suggest improvements in nursing systems

Describe how a clinical information system (EMR or EHR) contributes to patient safety

Improves legibility Provides greater continuity of care Supports safe medication practices Improves nursing workflow; eliminates redundant documentation Provides access to up-to-date, accurate data for informed decision- making Decision support based on assessment data

Define the 7 Levels of Evidence described in the Sewell & Thede textbook

Level 1: Evidence from a systematic review or meta-analysis of all relevant randomized. controlled trials of evidence based clinical practice guideline based on systematic review of RCT's. Level 2: Evidence obtained from at least one well-designed RCT. Level 3: Evidence obtained from well-designed controlled trials without randomization. Level 4: Evidence from well-designed case-control and cohort studies. Level 5: Evidence from systematic reviews of descriptive and qualitative studies. Level 6: Evidence from single descriptive or qualitative study. Level 7: Evidence from the opinion of authorities and/or reports of expert committees .

According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by: c. Nursing Informatics Specialists

Meet the information needs of practicing nurses by integrating and applying information, computer and nursing sciences

How do the Boolean operators affect a literature search?

Named after George Boole. There are three concepts that make up Boolean logic: "AND," "OR," and "NOT." By using this search, the data in the field will either be combined or not.

What are the 3 sciences involved in Nursing Informatics?

Nursing Science Computer Science Information Science

Define telenursing and describe how it occurs

Nursing care delivered at a distance using technology. Video conferences or phone conferences are a few examples.

If you were a nursing manager, what report data could help you monitor the use of BCMA technology on your nursing unit

One could monitor how long it takes to administer using this method, ask how staff likes the system, and see if inaccurate documentation is reduced.

Name the 6 categories of QSEN

Patient-centered care Teamwork and Collaboration Evidence-based Practice Quality Improvement Safety Informatics

Name two examples of nursing or medical decision support

Pediatric early warning system Caregivers being notified when blood glucose levels are too low

What is a PHR? Who is responsible for its maintenance

Personal Health Record Patients are responsible for their upkeep

Describe Information Theory

Processing data to produce information and, in combination with knowledge and wisdom, using information to provide care

How can CPOE contribute to patient safety

Prompts that warn against the possibility of a drug interaction, allergy or overdose Accurate, current information that helps physicians keep up with new drugs as they are introduced into the market Drug-specific information that eliminates confusion among drug names that sound alike Improved communication between physicians and pharmacists Reduced healthcare costs due to improved efficiencies

What does the acronym QSEN mean?

Quality and Safety Education for Nurses

Describe an example of data about a specific disease or condition that could be contained in a bioinformatics database

Research in regards to Alzheimer's, psychiatric disorders and diabetes

Define the term 'research practice gap'

Research practice gap is the discrepancy between research on effective clinical practice and the direct care provided to patients

Provide a brief definition of a 'Just Culture'

System used to implement organizational improvement, presenting a set of design laws that influence the ability to create the societal outcomes we desire. It is designed to help change an organization's culture by placing less focus on events, errors and outcomes and more focus on risk, system, design and the management of behavioral choices.

Describe another theory involved in Nursing Informatics

Systems theory- Interaction with a system will create something bigger/better than just the sum of the parts Socio-technical theory- Study how people work and what they do to create improved interaction between technology and an organization's culture Chaos Theory- Focus on design improvements that account for the conditions that exist in an organization

What is the Leapfrog Group and how can a healthcare organization meet the CPOE criteria to be recognized by this group

The Leapfrog Group is a voluntary program aimed at mobilizing employer purchasing power to alert America's health industry that big leaps in health care safety, quality and customer value will be recognized and rewarded. Assure that physicians enter at least 75% of medication orders via a computer system that includes prescribing-error prevention software Demonstrate, via a test*, that their inpatient CPOE system can alert physicians to at least 50% of common, serious prescribing errors CPOE= Computerized Provider Order Entry

What are some of the limitations of BCMA

The process can become tedious, staff can figure out shortcuts to the system, it can be costly, and the system can also have errors.

Define the term 'cyberchondriac' and discuss its positive attributes

The searching by consumers for health information on the web. It improves the conversation patients have with their physicians and gives people a better understanding of their health problems.

What are potential barriers to CPOE

The upfront cost of implementing Cultural obstacles such as some physicians resist utilizing computerized decision-support tools, relying instead on practice experience Alert fatigue

Define the term 'seminal work'

Work frequently cited by others or influences the opinions of others

What does the term 'alert fatigue' mean and how can it impact decision support systems

You get so many alerts that you get numb to them and begin ignoring them

Name 5 types of patient data typically found in a hospital's clinical information system

a. Vital signs b. -Lab/lab results c. Diagnosis d. Height/weight e. Demographics