Quiz 5

Optimization is:

the process of moving conditions past their current state and into more efficient and effective method of performing tasks.

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

Variation occurs when workers

All of these are correct

A decision support system in the EHR consists of:

All of these are correct.

Advantages of EHR use include:

All of these are correct.

Although healthcare professionals have an ethical duty to ensure patient safety, increasing demands on professionals in complex and fast paced health care environments may lead to workarounds. What is a workaround?

All of these are correct.

Key aspects of the health informaticists role in patient safety include:

All of these are correct.

Patient data in an electronic health record (EHR) includes demographics, medical and nursing diagnoses, and:

All of these are correct.

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

All of these are correct.

The 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.

Which of the following is a type of behavior leading to patient safety compromises?

All of these are correct.

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 these are correct

John, a 78-year-old male patient in a hospital is referred to a pulmonary specialist for a consult on his breathing problems. The specialist orders a CT scan of the lungs and is alerted by the EHR that a CT scan was performed 1 week ago. This alert is designed to prevent duplicate testing and is part of which essential EHR component?

Decision support system

The MACRA QPP has which of the following paths that will be in effect through 2021 and beyond?

Merit-based incentive payment system (MIPS) or alternative payment models (APMs)

_________________ is the ability to manage results of all types electronically including laboratory and radiology procedure reports, both current and historical.

Results management

What is a nonvalue-added activity?

Steps in a process that are necessary for regulatory or compliance reasons but do not bring the process closer to completion or do not change the product or service for the better

Smart pumps are designed for safe administration of high-hazard drugs and to reduce adverse drug events (ADE) during intravenous (IV) medication administration. What happens when a hard alarm is generated by a smart pump?

The pump must be reprogrammed so that the rate and dose for administration of the high hazard IV drug falls within the facility's safe infusion parameters.

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

both encourages error reporting and seeks to understand workflow and process issues that lead to errors and emphasizes zero tolerance for reckless behavior.

Multiple false alarms may lead to alarm fatigue and compromise patient safety by slow response or no response to physiologic alarms. Strategies to improve alarm response include:

both feeding alarm data into a reporting database for further analysis and encouraging healthcare professionals to round with physicians to provide input into alarm settings.

An integrated CIS/EHR system supports administrative clinical analytics functions such as:

both staffing and acuity data and outcomes measures

Workflow is a term used to describe:

both the action or execution of a series of tasks in a prescribed sequence and 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.

A change management plan developed for implementing an EHR will include all of the following except:

disciplinary measures for addressing resistance by professionals.

The American Association for Justice (2016) suggested that to improve care delivery and to minimize error, the most important tools to employ are:

electronic records and information systems to provide point-of-care decision support and automation.

When the Drummond Group or the Certification Commission for Healthcare Information Technology certifies an EHR, this means that the EHR meets the minimum qualifications for:

meaningful use

Although first proposed in 2004, EHR implementation blossomed after passage of the HITECH act in 2009 because:

monetary incentives and potential penalties were administered by CMS

The EHR function that allows a clinician to enter medication and other care orders directly into a computer including laboratory, microbiology, pathology, radiology, nursing, supply orders, ancillary services, and consults is known as the:

order entry management.

The universal denominator in the development of EHRs is:

patient safety.

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.

An adverse event response team works to:

reenact or simulate adverse events to better understand the organizational or procedural processes that failed.

According to the Joint Commission, a patient safety issue that results in death, serious harm, or temporary harm is termed a:

sentinel event