MSN 5500 Weekly PQ's
Which considerations should be included in your system evaluation criteria? (Select all that apply.)
- Cost - Vendor experience - Vendor's market and industry understanding
which type of stored data is considered instance data?
data collected for a specific patient at a point in time
A nurse gives a patient the wrong drug. This is an example of an error of:
Commission
Practice-based studies differ from traditional observational designs in several main ways. What is one of those main differences?
Exhaustive attention paid to patient characteristics
A diagnostic decision support system, such as the Quick Medical Reference (QMR), proposes a list of candidate diagnoses based on a patient's signs and symptoms. What type of clinical decision support (CDS) does this exemplify?
Expert system
Which international organization organizes an international conference on nursing informatics?
International Medical Informatics Association - Nursing Informatics SIG (IMIA-NI)
Which international organization deals with harmonization among standard development organizations in healthcare?
International Standard Organization Technical Committee 215 (ISO/TC 215)
Which organization has developed a set of principals to guide systematized nomenclature of medicine-clinical term (SNOMED-CT) development and quality improvement?
International health terminology standards development organization (IHTSDO)
What does the acronym STEEEP stand for?
Safe, timely, effective, efficient, equitable, patient-centered
What is the safest method for ensuring patient identification?
Scanning the bar code on the arm band
Which characteristic is an advantage that practice-based evidence studies have over RCTs?
Study efficacy is greater
Which would be considered a niche application?
Surgical information system (SIS)
How is change theory defined?
The study of change in individuals or systems
Healthcare providers should friend patients only if
They check their social media policy at work
Business practices and information systems in the supply chain must:
Work together to best manage the system and support patient care
telehealth technology increases access to care and improves healthcare outcomes. what are the first documented report of healthcare delivery at a distance?
a case of croup diagnosed by a physician via telephone
Why are expert diagnostic decision support systems not integrated into clinical settings? (select all that apply)
- Clinicians generally must go out of their routine workflows to use the systems, and these systems generally require time-consuming data entry - There are limited financial incentives to use such systems
Which are management systems utilized to deliver course training? select all that apply
- Portals - Blackboard - Moodle
What factors contribute most to the errors in healthcare that clinical decision support (CDS) aims to prevent? select all that apply
- Process errors - Knowledge gaps - Information overload
Which personal data can be gathered with a portable electronic device? select all that apply
- Pulse - Electrocardiogram (ECG) - Oxygen saturation (O2) - Mood - Sleep patterns
Which groups are relevant stakeholders for health IT governance? (Select all that apply.)
- Quality department - IT department - Health services researchers
what is the benefit of using a longitudinal-based repository? select all that apply
- data may extend over a lifetime - data are stored across all encounters - data that do not change are not reentered at each visit
Which international organization develops and maintains a family of international classifications such as the International Classification of Diseases?
World Health Organization (WHO)
The ONC-sponsored Standards & Interoperability Framework completes its health IT standards development initiatives using:
Consensus-based decision making through a moderated online wiki.
A nurse is asked by the nursing manager to review electronic comments left by patients on the unit's Facebook page. The nurse examines the comments for common themes. This is an example of:
Content analysis
Which of these best describes participatory medicine?
Cooperative care model
How can patient medical devices cause a security concern?
Cybersecurity threats on medical devices that might harm a patient
Which governmental entity certifies electronic health records (EHRs) based on the meaningful use (MU) requirements?
Office of the National Coordinator for Health Information Technology (ONC)
A nurse forgets to walk a patient during the nurse's shift. This is an example of an error of:
Omission
What is a potential solution for people going to hospital emergency rooms (ERs) for care when unable to obtain primary care appointment?
Online telehealth direct care
After discharge, what is the best method for the patient to easily provide feedback for healthcare services?
Responding to an electronic survey
Which list includes the 3 levels of theory relevant to evaluation?
Scientific, implementation models, and program theories
What is meaningful use (MU)?
A certified EHR technology to improve outcomes
Which category of objectives contains the need for the system to be intuitive and easy to use?
Efficiency
The first book to include the term nursing informatics in the title was written in the:
1980s
What patient care technology allows a healthcare professional to enter a medication order into the electronic medical record (EMR) and reduce medication errors?
Computerized provider order entry
Powers granted to both the federal state and governments are known as what?
Concurrent powers
Immunizations information systems are used to record at least some of the immunizations for about 75% of children in the United States. Which benefits are provided by the use of these systems? (select all that apply)
- A high return or investment - The ability to improve vaccination rates by integrating data across the country - The ability to provide consolidated immunization histories to avoid over-or-under vaccinating
What do healthcare organizations need to have to attain the benefits of analyzing patient data science? select all that apply
- A system with the ability to analyze the patient data - Educated personnel to implement the analytical process - Identification of the required analytical capabilities of all levels of the healthcare organization
Which of the following describe information system functionality? (Select all that apply.)
- Accuracy - System response time - Ease of use for end users
How does a clinical decision support (CDS) system enhance patient care? select all that apply
- Alerts for care risks - Estimates risk for falls - Provides medication reconciliation - Contains patient-specific reference information
What outcome risks are most associated with poor adherence to bar code scanning with medication administration? select all that apply
- Allergic response - Renal failure
Which methods are examples of data mining? (select all that apply)
- Bayesian networks - Artificial neural networks - Decision trees
What are the concepts used to structure an information system? select all that apply
- Boundary - Attributes - Environment
The future of nursing report listed all of the following opportunities to transform nursing practice through technology EXCEPT:
Fast tracking nurse education to grow the ranks of nurse practitioners
The Health Information Technology for Economic and Clinical Health (HITECH) Act has influenced healthcare delivery because it is:
Federal legislation that promotes the use of electronic health records
Which is included in an RFP but not an RFI?
Financial considerations
An agency has just implemented electronic medication administration records (eMARs). This would be an example of what level of change?
First-Level change
Why is it difficult to establish effective health IT governance?
Fundamentally, effective governance means that some stakeholders' informatics needs will need to be de-prioritized.
The nurse who wants to advocate for healthcare reform and public policy changed requires a basic knowledge of health policy and what other key factor?
Funding
Which term is analogous to futures research?
Futurology
Evaluating data from all relevant sources, including technology, to inform the delivery of care is a competency for a(n):
Generalist
Which an example of a sensor in a patient's personal health ecosystem?
Glucose meter
Which model is considered the foundation for most definitions of nursing informatics?
Graves and Corcoran model
Which group is not a major information technology research firm?
HIMSS
Which is the primary piece of U.S. federal legislation that most deals with patient privacy?
Health Insurance Portability and Accountability Act (HIPPA)
Which international organization develops and maintains standards for data exchange?
Health Level 7 (HL7)
Which recommendations did the IOM make to address health IT safety concerns and make patient care safer? (select all that apply)
- HHS should establish a mechanism for vendors and patients to report health IT-related deaths, serious injuries, or unsafe conditions - HHS should fund a new Health IT safety council - ONC should work with the private sector to make comparative user experiences publicly available
Which administrative structures were established to achieve the goals of the health information and technology for economic and clinical health (HITECH) Act? select all that apply
- Health IT policy committee - Health IT Standards committee - Office of National Coordinator for Health Information Technology (ONC)
Which international organizations develop international standards? (Select all that apply.)
- Health Level 7 (HL7) - International Health Terminology Standards Development Organization (IHTSDO) - International Standard Organization (ISO)
Information literacy has established online standards for which types of online programs? select all that apply
- High schools - Elementary schools - Higher education
Which are standardized datasets used in home health and hospice settings for the purpose of enhancing the quality of community-based care? select all that apply
- Hospice item set (HIS) - Patient experience surveys - The outcome and assessment information set (OASIS)
Which of the following are challenges or barriers to CDS adoption? (select all that apply)
- Inadequate EHR adoption - Misaligned financial incentives - Lack of widely adopted standards for CDS
Which factors represent internal and external forces that require effective informatics governance? (Select all that apply.)
- Increasing demand for decision support and analytics - Greater expectations for information access and transparency - Meaningful Use and healthcare reform
Which international organizations develop terminology? (Select all that apply.)
- International Health Terminology Standards Development Organization (IHTSDO) - International Council of Nurses (ICN) - World Health Organization (WHO)
Why is CDS important for healthcare institutions? (select all that apply)
- It can help improve care value - It is a required element of meaningful use regulations - It can help reduce medical errors
Why is health IT governance needed? (Select all that apply.)
- It ensures the alignment of informatics resources with institutional priorities - It optimizes the return on investment on informatics investments. - It effectively prioritizes the use of informatics resources.
Which duties can a smart autonomous mobile robot perform? select all that apply
- Linen delivery - Lab specimen delivery - Meal delivery
Which of the following are evidence summaries: (select all that apply)
- Literature reviews - Integrative reviews - Systematic reviews
Standardized terminology is requisite for: (select all that apply)
- Locating evidence - Tagging evidence - Classifying evidence - Naming evidence
Which safeguards are implementation specifications for security awareness and training? (Select all that apply.)
- Log-in monitoring - Protection from malicious software - Security reminders
What are some examples of indirect costs to organizations that have security breaches? (Select all that apply.)
- Lost productivity - Remediation costs - Damaged public trust
qWhich of the following are phases in the systems development life cycle (SDLC)? (Select all that apply.)
- Maintenance - Implementation - Design
Which activities represent dimensions of the National Health Service's Informatics Capability Maturity Model? (Select all that apply.)
- Managing information - Using business intelligence - Aligning business and informatics
When the AMIA model is used, which subfields are categorized as clinical informatics? (select all that apply)
- Medical informatics - Dental informatics - Nursing informatics
Social media policies should contain: (Select all that apply.)
- Methods for handling unacceptable behaviors - Guidance on acceptable behavior. - Statement to promote ethical behaviors
Which principles are included in IMIA's Code of Ethics for informatics? (Select all that apply.)
- Openness - Accountability - Information-Privacy and Disposition - Legitimate Infringement
Which components are necessary for effective health IT governance? (Select all that apply.)
- Organizational structures responsible for clearly defining institutional priorities - Organizational structures responsible for ensuring that informatics efforts are aligned with institutional priorities and optimally utilized - Accompanying processes to operationalize the governance
In which aspects does practice-based evidence differ from evidence-based practice? (Select all that apply)
- PBE is prospective, while EBP is retrospective - PBE attempts to capture the complexity and variability of actual clinical care - EBP determines best practices using best evidence like results from RCTs
The Stark Law considers which of the following Designated Health Services? (select all that apply)
- Physical therapy services - Prosthetic devices and supplies - Home health services
Which clinical initiatives require informatics to be optimally effective? (Select all that apply.)
- Population health management - Reduction in care variability - Care pathways
Which of the following practices are included in the CDS Five Rights? (select all that apply)
- Providing to the right person - Providing the right information - Providing at the right point in work flow
Using social media tools for research purposes helps: (Select all that apply.)
- Recruit patients. - Identify new variables to study - Provide insight into the patient's experience
In order to meet the meaningful use (MU) requirements, which components are included in complete certification of the electronic health record (EHR)? select all that apply
- Required data elements - Relevant logic support - System functionality
Which are examples of secondary use of health information? (Select all that apply.)
- Research - Marketing - Surveillance
The supply item master is:
A list of all items available to order in the organization
A vendor master file is:
A list of suppliers used by the organization
What defines the "Google generation?"
A person who desires immediate access to information and is Internet savvy
What defines "Google generation?"
A person who desires immediate access to information and is internet savvy
What is the interdisciplinary professional specialty and scientific discipline that integrates the health sciences, computer science, and information science, as well as a number of other analytic sciences, with the goal of managing and communicating data, information, knowledge, and wisdom in the provision of healthcare for individuals, families, groups, and communities?
Health informatics
Which statement concerning educational programs in health informatics is correct?
Health informatics programs range from certificate programs offered at the community college level to post-doctoral programs offered at major research institutions
Which social media site was developed by healthcare agencies?
Heart.org
Why is the PSQRD a useful framework for research and practice?
It supports implementation, performance improvement, and rigorous research methodologies.
The stages of change identified in diffusion or innovation theory are:
Knowledge, persuasion, decision, implementation, and confirmation
In considering a telehealth operation to promote health, which component of the B.E.L.T. framework concerns change theory and policy aspects?
Leadership
Meaningful Use refers to:
Leveraging the EHR to facilitate practice and payment change for healthcare transformation
Why have most CDS systems not shown to significantly impact patient outcomes in clinical trials, despite the fact that a majority of systems have been shown to significantly improve care processes?
Many CDS system evaluation trials are underpowered to detect changes in care outcomes
You are asked to perform a heuristic evaluation of the new orders management module of your inpatient system. You discover that the flow of the orders is different than the way providers are taught in school. This is an example of:
Match between system and world.
The historical roots of computer science can be traced to:
Mathematics and engineering
The historical roots of information science can be traced to:
Mathematics and engineering
Which healthcare professional is eligible to participate in the Medicare EHR Incentive Program?
Medical doctor
A case manager wants to communicate with her clients on a regular basis by sending short messages that encourage health promotion tips. The tool best suited for this task is:
Microblogging
Public health could benefit from improved technical architectures in the future. which of these is not a likely technology architecture for building the future of public health?
Mobile devices such as the iPhone
For which discipline is the systematized nomenclature of medicine clinical terms (SNOMED-CT) intended to be used?
Multidiscipline
Which issue is a deterrent to global interoperability?
Multiple terminologies used in describing and documenting healthcare
Which minimum data set is recognized by the American Nurses Association (ANA0 as a framework for collecting nursing data?
NMDS
An organization decides to utilize a silver nanoparticle in the production of a product in order to make the product antimicrobial. This is an example of:
Nanofabrication.
National efforts to improve the user experience are under way in the U.S. One organization involved with this effort is the:
National Institute of Standards and Technology.
If you choose to evaluate an informatics intervention by examining the impact on a clinician's ability to think ahead about future events, which level of situation awareness would you be measuring?
Projection
According to the STEEEP principals, what is the definition of "equitable?"
Provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status
When evaluating quality and patient safety, which approach defines the framework for Patient Safety and Quality Research Design (PSQRD)?
Quality and safety are based on organization structure, management and clinical processes, and their linkages to patient outcomes.
When evaluating quality and patient safety, which approach define the framework for patient safety and quality research design (PSQRD)?
Quality and safety are based on organization structure, management, and clinical processes, and their linkages to patient outcomes
The nurse views an article that has a grade B recommendation for a specific nursing practice. What level of evidence does this grade represent?
Recommend
Which terminology serves as a resource to represent domain knowledge of interest and thus facilitates data collection, processing, and aggregation using computer processing?
Reference terminology
The clinical data repository (CDR) is the storage component for all pieces of information collected by manual or automated means for a specific patient at a point in time. The data within the repository is considered the most essential aspect of the electronic health record (EHR). Regular performance reviews and maintenance are part of which important aspect of the CDR?
Reliability
Which is associated with the administrative processes component of the electric health record (EHR)?
Scheduling
Which is the major application for virtual world creation and interaction?
Second life
A hospital has just implemented bar-coded medication administration (BCMA). This would be an example of what level of change?
Second-level change
What is a healthcare organization providing when protecting healthcare information from unauthorized access?
Security
An epatient is best describes as one who:
Seeks health information from various sources and uses the information for decision making with health providers
Which specialized methods are used in knowledge discovery and data mining?
Selection of the optimal subset of variables/textures for use in modeling
Which concepts are components of the Shannon-Weaver information-communication model?
Sender, channel, noise, receiver
Which is a device that detects and responds to some type of input from the physical environment?
Sensor
A hospital has an integrated clinical decision system embedded in the EHR. According to Donabedian's model, this would be considered:
Structure
What is the "digital divide?"
Suggests certain populations are less likely to adopt personal health records (PHRs)
As EHR adoption expands to include data from multiple healthcare entities, more opportunities for error exist. Which process can affect data integrity?
System failure
Which type of review is considered the most rigorous?
Systematic reviews
Existing resources that promote meeting the challenge of teaching informatics in the health professional curriculum are:
Teaching materials and assignments.
What is the process that faculty members at higher educational institutions must undergo to secure a career position?
Tenure
There are four main types of personal health records (PHRs). A PHR used by a single women's health center is an example of which type?
Tethered
A vendor provided all advanced practice registered nurses with free mobile devices to stimulate referrals. Which regulation is being violated?
The Anti-Kickback Statue
What are the three stages of planned change according to Lewin?
Unfreezing, moving, refreezing
International classification of nursing practice is a:
Unified nursing language system into which nursing terminologies can be cross-mapped
the physician is ordering a procedure using the computerized provider order entry (CPOE) software system. how will this system improve healthcare?
reduces order transcription errors
the nurse uses a laptop computer with an interpreter service and video and audio to communicate with an Arabic-speaking patient. what type of telehealth technology is the nurse utilizing?
synchronous technology
telehealth technology can be classified as clinical and non-clinical. which example of clinical telehealth technology that can benefit healthcare outcomes?
text messages offering advice to pregnant patients
how are global morbidity and mortality tracked in order to compare data worldwide?
using the international classification of diseases (ICD)
A popular continuing education program that teaches informatics knowledge, skills, and attitudes is:
AMIA 10x10
How do electronic health records (EHRs) meet the meaningful use (MU) requirements established by the centers for Medicare and Medicaid (CMS)?
Certification
The nurse is reviewing specific expert clinical statements regarding factors and nursing actions for reducing central line blood stream infections. What is the name of this resource?
Clinical practice guidelines (CPGs)
What is a negative impact of the increased use of mobile devices in transmitting health data?
They increase the risk of a security breach
UTAUT is a theory of:
Acceptance and use of technology
Which group represents the United States to the International Organization for Standards (ISO)?
American National Standards Institute (ANSI)
Which measure is most important for evaluating the performance of classifiers, models, that predict class membership?
Area under the receiver operating characteristic (ROC) curve
The public health supply chain needs to evolve to an information ecology approach. This would involve:
Being partners with others to receive, reuse, and republish data
The percentage of adults using social media to seek healthcare information is:
Between 40% and 60%
ICD-9 and ICD-10 are examples of which category if terminology?
Billing Codes
An example of a learning management system is:
Blackboard
As knowledge develops and expands within a discipline, which information source will include the oldest but best organized representation of that knowledge?
Books
Which nanotechnology product provides a lightweight conductor of electricity 100 times stronger than steel?
Buckypaper
How can patient health data be used for marketing and research in compliance with the 2013 Health Insurance Portability and Accountability Act (HIPPA) Omnibus final rule?
By de-identifying patient data
Educating students about informatics includes working with EHRs and:
Communication tools
Which component of an electronic health record (EHR) contains medical vocabulary terms used to store data within the repository?
Data dictionary
A healthcare provider forgets to update a patient's medications. Which fair information principle is being violated?
Data quality and integrity
What term describes changing ciphertext back to the original, understandable data?
Decryption
Discuss how the application of data knowledge impacts population and public health. The patient is reading trending reports regarding a health hazard. Who shares the most reliable information related to public health?
Department of health and human services (HHS)
Transparency of PHR data is limited due to:
Differing philosophies over governance
One trend that is influencing healthcare reform is:
Disruptive technology
A nurse is reviewing an online research article for qualified data in tables and charts to support a new policy. Which type of literacy is required?
Document
A recently graduated nurse is orienting to the hospital's electronic health record (HER) system. The nurse is aware that which clinical decision support (CDS) type is the most commonly used type?
Drug interaction alerts based on a patient's clinical data
You are part of a knowledge management team that is interested in improving the user experience for your organization. The team members know you have taken a course in informatics and ask your advice about how to get started with usability in the organization. You recommend:
Examining the support call lists and system change requests.
Which is an example of apomediation?
Healthcare providers direct patients to high-quality information on the web.
The Quality and Safety Education in Nursing (QSEN) project developed competencies based on work completed by:
IOM
Public health systems have implemented vocabulary and messaging standards, are used to make public health decisions in a clinical setting and provide data for public health policy. One of the best examples of a public health system that does all of these is:
Immunization information systems
In a social network analysis, each node is usually a(n):
Individual or unit of analysis
You decide to interview all the key stakeholders involved in an informatics intervention as part of the planning process. Together you identify the resources available, the likely barriers, and the short-term and long-term objectives. Which kind of theoretical model are you using?
Logic model
A physician is consulting the electronic health record (EHR) for a patient in the emergency department (ED). The physician is looking at the results from a laboratory test from a previous visit to determine the patient's status in the current visit. Which repository model is exemplified in this scenario?
Longitudinal-based storage
The process of knowledge discovery and data mining is best characterized as:
Machine learning, uses of statistical methods, large amount of data
Which metrics give providers some flexibility in meeting Meaningful Use criteria?
Menu elements
The public health office must show reliable data in the reporting of quality care. Which measure is an example that most illustrates quality care data?
Number of HgA1c levels reduced
The health information management systems society (HIMSS) developed an EMR adoption model that includes eight stages toward creating a paperless patient record environment. All application capabilities within each stage must be operational before the next stage can be achieved. Your organization has implemented systems for stages 1 and 2. which system should your organization consider as stage 3 adoption?
Nursing/clinical documentation (flow sheets) and clinical decision support
Which group is allowed to share personal health information on social media sites?
Patients/consumers
Which President initiated the Office of National Coordinator?
President George W. Bush
Which describes a comprehensive, orderly, non-exhausted, mutually exclusive taxonomy designed to identify diverse patient health-related concerns?
Problem classification scheme
A nurse uses a CDS system to make an informed clinical decision regarding a drug dosage ordered for a patient. According to Donabedian's model, this would be considered:
Process
The institute of Health (IOH) released a report in 2003 identifying essential components of the electronic health record (EHR). Which function most accurately describes the decision support component?
Provides reminders, alerts, and resource links to improve the diagnosis and care of the patient
Public health differs from clinical practice in important ways. Which statement reflects the difference?
Public health is focused on the prevention and health of populations before they are ill
What component of the public health informatics provides actionable health information to the public?
Public health surveillance
Which indicators have been established for healthcare improvement and for public reporting?
Quality indicators
Mobile health (mHealth) has increased access to healthcare for people in which type of community?
Rural
Wright and colleagues' taxonomy classifies clinical decision support (CDS)system types into how many categories?
SIX
__ and __ are ANA recognized "multidisciplinary terminologies" a. SNOMED, LOINC
SNOMED, LOINC
What Health Insurance Portability and Accountability Act (HIPPA) de-identification method results in no actual residual information that can identify a patient?
Safe harbor
The EHR incentive Meaningful Use criteria are adapted from work done by:
The National Priorities Partnership.
The Center for Medicare & Medicaid Innovation was created by:
The Patient Protection and Affordable Care Act.
A vendor provided all advanced practice registered nurses with free mobile devices to stimulate referrals. which regulation is being violated?
The anti-kickback statue
Which description best defines nanofabrication?
The development of materials used in structures, electronics, and commercial products
Which technical development created a tension between centralized and decentralized computer management in healthcare
The development of the personal computer
What is the first factor in deciding on an optimal health IT governance for an institution?
The organizational culture
Which two hurdles does the STAR model address in employing evidence-based practice?
The quality and form of knowledge
Which definition most accurately describes privacy?
The rights of individuals to control access to their person or information about themselves
What is the difference between the safe harbor and expert determination methods of de-identifying data?
The safe harbor method involves removal of 18 types of identifiers, and the expert determination method involves the application of statistical or scientific models.
What is the primary goal of nanomedicine?
The use of nanotechnology for the prevention, diagnosis, and treatment of disease
Nanoparticles appear to have a very bright and meaningful future in the world; however, what is one potential issue with nanoparticles?
There are cytotoxicity and ethical concerns regarding the use of nanoparticles
Which statement related to certification in health informatics is correct?
To be certified in clinical informatics in association with AMIA, one must first be a physician
What does it mean to authenticate a person?
To verify that the person is who he or she claims to be
Where do clinical findings fall in the hierarchal tree structure of systematized nomenclature of medicine clinical terms (SNOMED-CT)?
Top level
A quantified selfer is best described as one who:
Tracks personal metrics
A quantified selfer is best describes as one who:
Tracks personal metrics
On what does the American Medical Informatics Association (AMIA) Public Policy Committee focus its efforts?
United states and globally
A patient communicating with a nurse via a mobile phone with video capability to describe symptoms is an example of which type of patient care technology?
mHealth tool
which is an example of patient health information entered into the electronic health record that is used to make important clinical decisions?
medical diagnosis
Which are attributes of quality information that contribute to an effective computerized system? select all that apply
- Objective - Coherent - Accurate - Comprehensive
Which terminology contains nursing problems? (select all that apply)
- Omaha System - NANDA - SNOMED
Well-defined policies are necessary to ensure that: (Select all that apply.)
- Clinical decision support is adopted. - Confidentiality of protected health information is safeguarded - Data capture is being automated
Which electronic health record (EHR) functionalities assist in care process tasks, resulting in improved productivity? select all that apply
- Care coordination - Interclinician messaging - Notification functions - Physician signature applications
Which tools are examples of CDS? (select all that apply)
- An order set - An infobutton - A reminder
Which of the following would the FDA consider a Call II medical device? (select all that apply)
- A device of medium safety risk - A powered wheelchair
Which terminologies are recognized by the ANA? (select all that apply)
- LOINC - NOC - ICNP
Which app uses a patient's reported symptoms along with global positioning system (GPS) data to support decisions around treatment?
AllergyCast
Nielsen coined the term "Discount Usability Testing" to indicate the design of tests that conserve resources, including funding and time. One example is a reduced number of users who need to participate. He indicates that as few as how many users can find 80% of design issues?
5
Research has shown that clinicians raise about two domain knowledge questions for every three patients seen. How many of these questions are estimated to go unanswered?
50%
What can be caused by a technology's overuse of safety notifications?
Alert fatigue
Which statement is not part of the Ten Commandments of CDS?
Alerting is the most effective approach to CDS
What is the goal of usability for a healthcare organization's electronic health record (EHR) system in supporting patient safety?
Effectiveness
Which type of clinical information system does a nurse use to capture patient-specific data?
Electronic health record (EHR)
Your organization hires you to conduct a formative evaluation of a new informatics intervention. Which areas would you focus on in a formative evaluation?
Intervention fidelity, implementation quality, and types of personnel
The NIC system includes:
Interventions for illness prevention
The maxim "Doctors know best":
Is the paradigm for the paternalistic care model
What defines Health 2.0? (Select all that apply.)
- Health-related mobile applications - Social networks - Web-based content
Which key issues are the focus of the healthcare information and management systems society (HIMSS) policy center? select all that apply
- Meaningful use - User experience - Privacy and security - Health information exchange interoperability and standards
Which applications might be useful for recording reflective student clinical journals? (select all that apply)
- Microsoft word - Blackboard
The IOM report, HIT and Patient Safety: Building Safer Systems for Better Care, documented that safe use of health IT relies on: (Select all that apply.
- The interplay of people, process, and technology - Vendors, users, and government. - Clinicians and patients
The IOM report, HIT and patient safety: Building Safer Systems for Better Care, documented that safe use of Health IT relies on: (select all that apply)
- The interplay of people, process, and technology - Clinicians and patients - Vendors, users, and government
Which agencies can accredit hospitals for participation in Medicare and Medicaid programs? (select all that apply)
- The joint commission - Det norske veritas
Which initiatives are a policy priority for Meaningful Use? (Select all that apply.)
- To engage patients and families - To improve care coordination - To ensure adequate privacy and security of patient information
A healthcare system has implemented a functionality where patients who are overdue or almost due for a mammogram are sent letters notifying them to schedule a mammogram based on available data and current clinical care guidelines. Which type of CDS system is this?
A reminder system
Which of these best describes an example of usability?
A researcher is conducting a study of how nurses interact with electronic documentation to organize care handoffs.
Which example constitutes an internal security event?
A system administrator installed a new server without any security measures.
Which of the following is not a member organization but rather a group of organizations?
ANI
Which description best defines electronic health record (E.H.R)?
An electronic record of patient health information created by encounters across multiple settings
A pharmacy information system that assists with inventory, prescription management, billing, and dispensing medications is an example of which application?
Ancillary system
Which characteristics can be used to understand how an organization will respond to innovation?
Complexity
As the U.S moves toward the implementation of interoperable EHR, which statement about the future "ownership" of the patient record is appropriate?
Ownership may be driven by who has control and access to the data
Which staff member plays a role in safeguarding protected health information (PHI) by controlling access to buildings?
Security guard
An epatient is best described as one who:
Seeks health information from various sources and uses the information for decision making with health providers
The Internet of Things (IoT) refers to the revolution of what kind of data-gathering technology monitoring everything?
Sensors
The NANDA-I classification is a:
Set of nursing diagnoses of actual problems, risks, and health enhancement of needs
Which incentive has the strongest potential to spur the nationwide adoption of advanced CDS?
Shift of healthcare payment from a free-for-service model to approaches rewarding the delivery of better quality and outcomes at lower cost
What is the form of knowledge in discovery research?
Single research studies
Which technology provides medication error-reduction capabilities via preprogrammed drug library with dose limit alerts?
Smart infusion pump
Advocating for users' needs and acting as a liaison between the users, the IT staff, and the vendor are competencies for a(n):
Specialist
The American National Standards Institute (ANSI) is an example of which type of organization?
Standards-setting organization
A hospital has an integrated clinical decision support system embedded in the EHR. According to Donabedian's model, this would be considered:
Structure
One-way that organizations like the American Health Information Management Association (AHIMA) and healthcare Information and Management Systems Society (HIMSS) influence health care standards is by issuing recommendations for a course of action that reflects their stances on an issue. What are these recommendations called?
Position statements
If a hospital loses its backup tapes containing 315,000 unencrypted records, it is necessary to notify:
The media outlets
All of the following are core functions of public health except:
Treatment
What were the findings in the study of an antibiotic assistant by Evans and colleagues?
Use of the antibiotic assistant led to reduced length of hospital stay and lower total hospital costs
You decide to base the evaluation plan of your informatics project on the theory of planned behavior. Which constructs will you use to develop your measurements?
Values, expectations of others, behaviors, and perceiving self-efficacy
what patient would most likely benefit from telehealth utilization?
a patient exhibiting stroke symptoms 200 miles from a stroke center
what type of informatics has been used to address global outbreaks of communicable disease?
public informatics
What are the limitations of employing a virtual environment as a teaching method? (select all that apply)
- Access - Cost - Interface
Which is an example of a sensor component in a telehealth system?
Baby monitor
Which organization works on an international level to improve information privacy?
Electronic Frontier Foundation (EFF)
Which clinical decision support (CDS) system type contains more sophisticated computer logic than other forms?
Expert systems
Your team developed a prototype for a mobile health (mhealth) device for diabetics to track their glucose levels, insulin, and preventive care appointments. You want to assess whether the application includes the appropriate content for users (consumers). You plan to ask patients from an ambulatory clinic to participate. The kind of test you would plan is a(n):
Exploratory test.
A centralized health IT governance structure is always the most effective.
False
Which factor is considered when monitoring how the quality of a healthcare application achieves its purpose?
Function
According to the National Quality Forum (NQF) taxonomy, what term describes the additional information used in the background to constrain or modify the clinical decision support (CDS)?
Input data
It is important to monitor and track unintended consequences of Health IT implementation because:
Not much is known and we need to learn more
It is important to monitor and track unintended consequences of health IT implementation because:
Not much is known and we need to learn more.
The implementation specialist, practice workflow specialist, and health information exchange specialist are informatics roles identified and described by:
ONC's HITECH Workforce Plan.
Which is not a common step in a practice-based evidence study?
Obtain patient consent
Which statement best describes open systems theory?
Open systems can interact with the environment
What is the term for the patient care technology that uses electronic tags embedded in an identification badge to track and monitor activities?
Radio frequency identification (RFID)
What is the office of the department of health and human services that is charged with overseeing nationwide efforts to implement and use Health IT and electronic exchange of health information?
The office of the national coordinator (ONC)
When there is a breach of one unsecured patient record, it is necessary to notify:
The patient
Several critical steps exist for successful Telehealth program implementation to improve healthcare outcomes. what is the first step in implementing a successful program?
conducting a needs assessment
You decide to conduct an evaluation of a new informatics intervention for nurses in the ICU. You decide to use only qualitative methods. Which methods would be conducted? (select all that apply)
- Collecting log reports for computer access, grouping sites accessed by nurses into similar categories, and seeing what the categories look like - Observing nurses in the ICU at randomly selected time periods and recording their activities - Conducting semi-structured interviews and conducting thematic analysis
Well defined Health IT polices are necessary to ensure that: (select all that apply)
- Confidentiality of protected health information is safeguarded - Clinical decision support is adopted - Data capture is being automated
Which rankings best help the healthcare provider determine which app to recommend for a patient? select all that apply
- Consumer ratings - Clinical outcomes - Functionality
Which issues are considered impediments to a fully functional electronic health record (EHR) system? (select all that apply)
- Cost - Standardization - Organizational culture - Privacy and confidentiality
The general attitude of consumers toward health information technology is positive. Which terms are perceived E.H.R benefits for the consumer? (select all that apply)
- Customize care through reminders - Timely access to personal health information - Online access to educational materials - Collaborative interaction between patients and providers
What is patient-generated health data (PGHD)? select all that apply
- Data gathered by patients - Data recorded by patients - Data gathered from the patient by the family - Data that can be transmitted to the electronic health record (EHR)
What are the essential care delivery components of an electronic health record (EHR) as defined by the 2003 Institute of Medicine (IOM) report? select all that apply
- Decision support - Results management - Administrative processes - Health information and data - Communication and connectivity
According to the Institute of Medicine (IOM), which are core competencies that all healthcare professionals should achieve during their education? select all that apply
- Delivering patient-centered care - Using health informatics to guide practice - Working as part of an interdisciplinary team - Focusing on quality improvement of patient care
Which strategies are required when nurses prepare to engage in public policy efforts? (Select all that apply.)
- Demonstrate leadership skills - Leverage a professional network - Acquire knowledge of basic health policy and funding
Practice-based evidence requires close partnering with informatics specialists to: (select all that apply)
- Design screens and terms to capture interventions - Create and maintain the databases required for PBE studies
What are some software examples of eportfolio creation? (select all that apply)
- Desire2learn eportfolio - Eportfolio
Task analysis is a collection of many different techniques. You can use task analysis to: (Select all that apply.)
- Determine crucial errors with CPOE - Analyze users' cognitive processes - Observe workflow in a cardiology clinic.
Which methods will provide information useful in requirements identification? (Select all that apply.)
- Direct observation - Interview - Survey
A patient care technology that has improved the safety of the medication administration record (eMAR). Which pieces of information does the eMAR display to the nurse in a patient's electronic chart for a new medication order? select all that apply
- Dose - Route - Drug name - Administration time
Think aloud protocol is a method for generating rich data when users talk aloud as they use a product. This method is used: (Select all that apply.)
- During mature product design. - After the product is released - During initial product development.
The university hospital is getting ready to implement computerized provider order entry and some decision support capabilities to include drug-drug and drug-allergy alerts. Which actions should the implementation team take to increase user acceptance of the system? (select all that apply)
- Educate clinicians on how to use the systems features - Design the new system to support communication and workflow - Plan for continuous safety monitoring - Involve users early in the design, testing, and implementation of the system
Which objectives are included in the stage 3 meaningful use (MU) measure? select all that apply
- Electronic prescribing - Health information exchange (HIE) - Computerized provider order entry (CPOE) - Patient electronic access to health care information
The 2013 Health Insurance Portability and Accountability Act (HIPPA) Omnibus Final Rule modified which aspects of the law? select all that apply
- Enforcement - Security - Privacy
What should be considered when identifying and selecting a healthcare information system? (Select all that apply.)
- Enterprise and information technology goals and objectives - Strategic alignment - Strategic vision
Using the STAR model, which of the following points indicate knowledge transformation has occurred? (select all that apply)
- Evaluation of process and outcomes - Translation to guidelines - Evidence summary - Practice integration - Discovery Research
The Healthcare Information and Management Systems Society (HIMSS) published a clinical decisions support (CDS) implementer's guide which describes the five rights of CDS. Which are included in the list of five rights? select all that apply
- Format - Person - Channel - Information - Point in workflow
Which organizations have relationships with the Health Informatics Building Blocks Program aimed at health informatics workforce development in Africa? (Select all that apply.)
- Global Health Informatics Partnership (GHIP) - American Medical Informatics Association (AMIA) - Health Informatics in Africa (HELINA)
You want to make sure you consider crucial components as you design your first usability study. One of these components is to consider users and their characteristics. Other components are:
A developmental timeline, tasks, information, product, and context.
The health Evaluation Through Logical processing (HELP) system, a clinical information system developed in the 1960s, includes a broad range of clinical decision support (CDS) tools for healthcare providers. What are the main categories of CDS tools that are utilized by the HELP system? select all that apply
- Retrospective quality assurance dosing - Tools that provide on-demand diagnostic suggestions - Alerts as a response to the presence of certain clinical data
Which items are included in the IOM six aims for improvement? (Select all that apply.)
- Safe - Effective - Innovative
Which items are included in the IOM six aims for improvements? (select all that apply)
- Safe - Effective - Patient-centered
The goal of the intersection of informatics and evidence-based practice is to transform healthcare to be: (select all that apply)
- Safe - Effective - Reliable
Which axes are used to create each logical observation identifiers names and codes (LOINC) observation? select all that apply
- Scale - Property
When using the online billing and payment tool, which functions directly benefit the patient? (Select all that apply)
- Self-management of open accounts - Ability to update address or demographic changes - Secure communication on a 24/7 basis with the business office - Ability to pay outstanding balances
What defines health 2.0? (Select all that apply).
- Social networks - Health-relates mobile applications - Web-based content
Which costs should be considered in determining the total cost of information system ownership? (Select all that apply.)
- Software costs - Hardware costs - Resource costs
To automatically track the quality of care, standardized quality measures are needed in order to: (select all that apply)
- Standardized data collections - Use consistent metrics - Benchmark
Which entities have the authority to enforce penalties for a breach of PHI? (Select all that apply.)
- State attorney general - Office of Civil Rights
The supply chain in healthcare includes: (select all that apply)
- Storage of supplies - Transportation of supplies - Management of supplies
When planning for implementation of telehealth technology using the BELT framework, which main components must a healthcare organization consider? select all that apply
- Technology - Education - Bandwidth - Leadership
Which examples represent proprietary applications suitable for real-time-in-class student responses? (select all that apply)
- TurningPoint - iClickr
What are some reasons institutions are hesitant to adopt information management and technology tools? (select all that apply)
- Uncertainty about how to structure and determine costs of new courses - Fear of change among faculty and students - Prohibitive costs of purchasing technologies
5. The core set of stage 1 Meaningful Use objectives requires hospitals and providers to take which actions? (select all that apply)
- Use computerized provider order entry for medication orders - Provide patients with discharge instructions or summary of office visit - Maintain current problem and diagnoses list - Transmit prescriptions electronically
To automatically track the quality of care, standardized quality measures are needed in order to: (Select all that apply.)
- Use consistent metrics - Standardize data collection - Benchmark
Supply charge capture is a process that: (Select all that apply)
- Uses the CDM to charge a patient for supplies used in the patient's care - Closely links the supply chain to the revenue management system
What are the core competencies recommended by the Institute of Medicine (IOM) that should be achieved by all healthcare professionals? select all that apply
- Using informatics - Delivering patient-centered care - Focusing on quality improvement
Social media tools include: (Select all that apply.)
- Wikis and blogs - Video and picture sharing - Social networks and microblogging.
which examples of telehealth technology are asynchronous? select all that apply
- a dermatologist sending a treatment plan via web server - radiology images sent by e-mail to a provider for treatment - a patient's completed survey with a chief complain for nurse review
the nurse is preparing to administer medication to a patient. what should the nurse do to safely administer the medication? select all that apply
- access for any contraindications - verify the medication is not expired - determine if the medication is the correct dose - determine if the medication is being given at the correct time
which security measures should be implemented to preserve data integrity? select all that apply
- adult trails - rigorous system testing - penalties for fraudulent activities
A process of ongoing evaluation must be developed to: (Select all that apply.)
- determine if any changes to the system are needed. - validate appropriate responses. - Identify areas of omission.
how do electronic health records (EHRs) affect patient outcomes? select all that apply
- improve the quality of patient care - assist providers in utilizing evidence-based practice - provide seamless communication among healthcare workers
The term informatics is derived from: (select all that apply)
-English - Russian -French
What percentage of hospitals did the European Commission report provided telemonitoring to patients in 2011?
8%
A financial information system (FIS) includes:
Accounts receivable management, accounts payable management, and fiscal reporting management
According to the National Quality Forum (NQF) taxonomy, what term describes alternatives offered to the clinical decision support (CDS) user?
Action steps
An organization implements a policy on installing software service packs on all its computers. This is an example of which type of control?
Administrative
The center to champion nursing in America envisions a healthcare system where:
All Americans have access to high-quality care
The Center to Champion Nursing in America envisions a healthcare system where:
All Americans have access to high-quality care.
What organization defines the type of health informatics in which a nurse is participating when gathering data from electronic health records (EHRs) for research on disease prevention?
American Medical Informatics Association (AMIA)
Which organization recognizes nursing terminologies as supporting nursing practice?
American Nurses Association (ANA)
Which professional organization's advocacy team provided comments to the national quality forum (NQF) concerning their report, identification and prioritization of health IT patient safety measures?
American health information management association (AHIMA)
Which of the following would be regulated by the FDA?
An app that functions as a medical device
Which system is recommended as a method to address patient safety and reduce error that occur during the actual administration of medicines?
Bar code medication administration (BCMA)
A university hospital wants to implement a "closed-loop" medication management system. Current systems include registration, computerized provider order entry, electronic medication administration record, laboratory, radiology, and pharmacy. Which system is needed to complete the loop?
Bar-coding system
Using telehealth, what is the largest service provided to the United States Army?
Behavioral health
Which group would have financial incentive to implement CDS?
Depends on CDS and healthcare payment model
Which goal applies to the field of nanoinformatics?
Development of a publicly available database of nanoparticle information, nanoparticle structure simulation tools, and data mining techniques for nanoparticle information
ISO 18104:2003, an international standard for integration of a reference terminology model for nursing, does not state specifically the nursing terminologies that should be used in systems.
False
Which describes a longitudinal electronic record of patient health information produces by encounters in one or more care settings?
Electronic health record (EHR)
Which provides a medium for viewing and documenting medication use for individual patients?
Electronic medication administration record (eMAR)
Which provides a medium to view and document medication use for individual patients?
Electronic medication administration records (eMAR)
The emergency department nurse has entered data into the computerized documentation system. Which system provides the best method to communicate home medications to the nursing unit?
Electronic medication record (EMR)
What was the Health Information Technology for Economic and Clinical Health (HITECH) portion of the Stimulus Act (2009) initially designed to do?
Encourage healthcare providers to adopt electronic health records (EHRs)
What term describes the mathematical conversion of data into a ciphertext that cannot be easily understood by unauthorized people?
Encryption
The culture of the patient-clinician partnership always includes:
Epatients and clinicians working in collaboration towards shared goals
An important component of the informatics infrastructure is:
Establishment and adoption of standards to support semantic interoperability
Which region introduced ehealth initiatives such as epSOS and SEHGovIA for interoperability?
Europe
Which statement is true regarding the differences between research and evaluation?
Evaluation is concerned with the goals of a specific program and usually has multiple stakeholders as compared to research, which has specific scientific hypotheses and fewer stakeholders
According to a large number of studies, what kind of care do clinical decision support (CDS) tools help healthcare provides adopt?
Evidence-based care
Knowledge is the point of convergence across the areas of:
Evidence-based practice, improvement, and informatics
Cognitive psychology claims that learning involves memory, motivation, thinking, reflection, and abstraction. Which question is instrumental in teaching critical thinking?
How?
Your organization acknowledges that providers want to improve their user experience with health information technology (IT) products. You want to raise awareness of the potential benefits to the organization. You could draw on stated benefits such as:
Improved productivity, patient safety, and decreased customer support costs.
Financial reporting is a vital part of decision making in healthcare organizations. Which report would be used to show a snapshot of the bottom line?
Income statement or statement of operation
Many healthcare providers are using mobile devices when accessing patient electronic health records (EHRs). Which ethical dilemma is involved with using mobile devices?
Increased risk of security breach
In addition to computer fluency, what is required to proficiently demonstrate digital health literacy?
Information literacy
which generic term describes the technology that replaced the traditional chalkboard in classrooms?
Interactive white board
What is a comprehensive, orderly, nonexhaustive, mutually exclusive taxonomy designed to identify diverse patients' health-related concerns?
Intervention scheme
According to the National Quality Forum (NQF) taxonomy, what term describes the possible actions that result from the clinical decision support (CDS) system?
Interventions
When preparing to provide testimony or serve as an expert witness, the nurse should:
Interview individuals who are knowledgeable in the topic area.
Which two events led to the expansion of the field of nanotechnology?
Invention of the scanning tunneling microscope and the discovery of fullerenes
The nursing manager must pay bills for new equipment. Which document will provide the information required to pay the bill?
Invoice
Open shift management:
Is a form of web-based self-scheduling
A unit has been experiencing a high rate of patient falls for the past three months. According to Donabedian's model, patient falls would be considered:
Outcome
What is the purpose of personal health records (PHRs)?
PHRs serve as an information aggregator and storage system that individuals or caregivers can use to manage health
To achieve the goals of the HIMSS Nursing Informatics Position Statement, all nurses should:
Participate in advocacy and educational efforts directed to policymakers.
___ refers to the assignment of individual records or rows in a data set to a specific purpose: model development (training, incremental, testing of models during development) or validation (data held off from the development process for the purpose of unbiased performance estimation)
Partitioning
Return on investment (ROI) in financial information systems (FISs) is challenging because:
Patient accounting is considered an intangible asset
Incorporating usability principles into software configuration and implementation is a competency of:
The implementation support specialist
Which factor has influenced the epatient movement?
The internet
Who "owns" health IT governance?
The type of institution
A facility calls in experts to review evidence developed in research and develop guidelines for clinical practice. Which stage of EBP is represented?
Translation to guidelines
According to the National Quality Forum (NQF) taxonomy, which term describes the events that initiate clinical decision support (CDS)?
Triggers
What term refers to the technology that combines electronic sensors with everyday apparel?
Wearables
In the future, social media in healthcare is likely to be:
Widely used but with some pockets of non-users such as those lacking Internet access or choosing to be private.
E-mailing fraudulent claims from an office in Houston, Texas to a Medicare facility in Washington D.C., for a medical care not actually would constitute what?
Wire Fraud as well as a violation of the false claims act
which technology is an example of synchronous technology?
a cardiologist transmits a live video of surgical case to a group of students in another state and answers questions during the procedure
what is the most accurate example of mobile health (mHealth) utilization?
a patient using a smart phone to video conference with a physician
which telehealth technology implementation would be the most successful?
an urban area, patient safety education in telehealth technology, stakeholder support, and interoperability
healthTap allows patients to ask their providers questions directly. to which category of telehealth technology does HealthTap belong?
mobile application
the nurse is documenting a baby's progress in the maternity care information system. what type of software program is this system?
niche application
