Informatics SG Exam 2
The scientific study of the interaction between people, machines, and their work environments is which of the following?
-Human factors
When the steering committee of an acute care institution is appointed to select a new computer system, site visits are requested at a number of organizations to see the live systems. During these visits, which statement provided in staff interviews should alert the committee to potential bias?
-"Vendor support is always wonderful. Here is one of the company representatives who can best explain that to you."
The members of a steering committee should be carefully selected. Which committee would be most effective?
-A 15-member committee consisting of multidisciplinary representatives from each unit/department
A 512-bed acute-care community hospital is planning to install a wireless system. The steering committee is planning a site visit to observe the wireless system in action. Which site would be the most suitable for the committee to visit?
-A 485-bed acute-care community hospital utilizing the same vendor's equipment and services
Which statement best fits a request for information (RFI) on a wireless cardiovascular (CV) monitoring system?
-A brief document is sent to several CV monitoring vendors outlining plans for expansion to a wireless cardiovascular monitoring system.
Among the following computer-related policies, which of the following are appropriate?
-A nursing student shared confidential lab results obtained from the system at the request of one of the student's relatives. The policy is to dismiss the student from the clinical site. -Both students and employees sign documents that explain the consequence of termination for misuse of the system. -Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone. -A radiology student makes a copy of a client's MRI report to prepare for the next days clinical. The copy is accidentally left in the waiting room and found by a staff member. The policy is to dismiss the student from the clinical site.
Which description best fits a work breakdown structure (WBS)?
-A timeline is developed to determine who will do necessary tasks for the implementation of each project phase.
Once the go-live date of the system has been established, the production environment is in effect. Which planning is most necessary at this time?
-A website is constructed so employees may answer questionnaires relating to system satisfaction and ask questions as needed. -A 24/7 support schedule is initiated to answer questions when necessary. -Information back loading is scheduled the day that the system is to go live. -The implementation of the system will begin in the emergency department and will move to other units when they signal that they are ready.
Which of the following factors should be considered when selecting a training site?
-Classroom cost -Network connectivity -Classroom capacity -Training environment
During the course of client care, the 21-year-old client tells the nurse that she had an abortion last year but that no one in her family knows. Which of these terms best describes the situation?
-Confidentiality
The methodology to assure the request for proposal (RFP) is structured to ensure successful system selection includes which of the following criteria?
-Develop well constructed questions
The role of the nurse in the system integration efforts should include which of the following?
-Ensuring that data will be collected in only one system and shared as needed among others -Involvement in the formation and maintenance of the electronic health record -Identifying and defining data element
Which of the following qualities should be considered desirable by the health care institution's steering committee when selecting an information systems consultant? (Select all that apply)
-Highly organized and follows a clearly defined work plan -Considerable experience with hospital mainframe legacy systems
Which of the following qualities should be considered desirable by the health care institution's steering committee when selecting an information systems consultant? (select all that apply)
-Highly organized and follows a clearly defined work plan -Considerable experience with hospital mainframe legacy systems
Interface engines work in the background and are not seen by the user. This technology allows applications to interact with hardware and other applications. Which of the following are considered benefits associated with the use of interface engines?
-Improves timeliness and availability of critical administrative and clinical data -Improves data quality because of data mapping and consistent use of terms -Allows clients to select the best system for their needs -Preserves institutional investment in existing systems -Preserves institutional investment in existing systems
Which of the following is the protection of information against threats to its integrity, inadvertent disclosure, or availability?
-Information security
Web-based tools can provide benefits of an alternative method for obtaining patient information from diverse information systems. Which of the following is accurate regarding recent advances toward interoperability?
-Interoperability of electronic health data will be costly.
The steering committee must consider much information in order to arrive at the best system. Which statements would be considered as favorable during the evaluation of systems for purchase consideration? (select all that apply)
-Minimal downtime is required nightly for complete system checks and backup. -Connectivity between the application and inputting clinical information, such as vital signs, can be achieved through customization. -Open system architecture is utilized for system protocols.
Which of the following phases is the first step of the information system life cycle?
-Needs assessment
The information system life cycle can be divided into main phases that cover the life span of information systems. Which of the following phases of the life cycle apply to the organization's information system? (select all that apply)
-Needs assessment -System selection
The information system life cycle in the text is divided into phases. Which of the following are considered part of the life cycle process? (select all that apply)
-Needs assessment -System selection -Implementation -Maintenance
What is the primary purpose of system integration in a health care facility?
-Offer seamless data exchange among disparate information systems
Survivability is the capability of a system as a whole to fulfill its mission, in a timely manner, in the presence of attacks, failures, or accidents. United States Hospitals (USH) is a large national hospital corporation with processing centralized at their headquarters. USH is reviewing their information security plan. Part of their mission is to provide emergency services to each regional area during catastrophic events. Which of the following indicate that survivability has been specifically considered in the plan?
-One hospital in each regional area has multiple sources of communication with USH central processing. -One hospital in each regional area has an emergency protocol in place for communicating directly with the Department of Homeland Security. -One hospital in each regional area is especially prepared to maintain information system functionality for the emergency, operating room, lab, and pharmacy units.
The security of any information system is part of the strategic planning process. Information system security is planned for with the intention of achieving which of the following goals?
-Patient confidentiality protection -Information integrity protection -Timely availability protection -Cybercrime prevention
Which of the following are examples of ongoing systems technical maintenance?
-Problem solving and debugging -Performing a file backup -Maintaining a backup supply of hardware -Maintaining and updating the disaster recovery plan -Configuring, testing, and installing system upgrades
Among the following, which indicate that an organization has identified and is managing human factors in the work environment? (select all that apply)
-Tent cards with name and unit of trainees are placed in the classroom at each meeting. -A series of noon meetings (lunch provided) called "LunchBytes" are offered for demonstrations and discussion sessions. -An article announcing the implementation of the new system and recognizing the staff appears in the local paper
This week, the attending physicians for a large urban primary care facility have set the goal for the implementation of the new technology system to coincide with the opening of the cardiology wing. The unit is scheduled to admit patients in six months; however, a needs assessment must first be completed. Which of the following statements accurately defines the purpose of the needs assessment?
-The needs assessment identifies the organization's information needs.
Ergonomics focuses on which of the following?
-The physical design for safety, comfort, and convenience
When evaluating a request for proposal (RFP) for the installation of a wireless system, the health care facility would be most impressed with which of the following? (select all that apply)
-The proposal was received a week before the deadline date. -A proposal that includes precise answers to specific steering committee questions -A proposal that is written clearly, precisely, and professionally
Which statement accurately reflects the union of the mission statement with identification of the technology needs?
-The staff of St. Francis Hospital are dedicated to the provision of quality, individualized patient care from a Roman Catholic tradition through the incorporation of values, holistic care, and state of the art technology.
Which statement best fits a request for proposal (RFP) for a wireless system?
-The steering committee sends a formal document to several vendors to ask for specific information about their wireless system.
Which strategy might cause problems during implementation of a new information system?
-The vendor is asked to fully customize the information system for a specialty organization.
Which of the following are specific factors to consider when selecting a training method?
-Time required to develop program -Cost of development and training -Application training strategies -Learning styles of trainees -Learning retention strategies
Usability is a subset of HCI and one of its major components. Which of the following are usability topics?
-Using an application -Learning to use a system -User satisfaction -Efficiency -Error-free/error-forgiving interactions
Which of the following answers are factors that slow systems integration?
-Vendors' false claims that their information systems are interoperable with other systems -Unrealistic institutional timetable set due to a lack of understanding of the complexity of the integration process. -Vendors who do not provide enough support and assistance to facilitate the integration efforts. -Existing systems are insufficiently documented. -Merged institutions do not agree on which systems to use
A _____________________ will facilitate the evaluation of complicated request for proposal responses from vendors and will improve the ability of the steering committee to make an informed decision.
-weighted scoring tool
An overlay occurs when one individual is assigned in the master patient index to another individual's health record. A health care facility has discovered that an overlay has occurred resulting in invalid data being stored in key identifying fields. Which of the following information security areas does this breach affect?
Integrity
The Health Insurance Portability and Accountability Act (HIPAA) requires organizations to determine threats and appropriate protective measures for information, not only in electronic formats, but in all formats. Which of the following measures cannot be incorporated by organizations to secure all data?
Spyware
Which of the following questions is not appropriate for a committee to ask when the vendors submit the response to a request for proposal (RFP)?
Will the vendor select the hardware and software needs of the organization?
