NURS 231: Test 3 (Health Care Technology and Nursing Informatics) – Flashcards
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EMR/EHR
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electronic medical record/electronic health record
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what is the meaningful use behind an EMR/EHR? (six things)
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1) time efficiency 2) easy to send information 3) more privacy 4) standardization 5) accuracy 6) providing ease in maintaining an ongoing health record of a client's condition
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challenges regarding an EMR/EHR
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1) learning the system 2) knowing how to correct errors 3) maintaining security
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e-health enables the client to do what four things regarding their health
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1) make appointments online 2) review laboratory results 3) refill an electronic prescription 4) review billing information
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what is the goal of e-health?
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improved health care outcomes due to 24-access by the client and provider to the client's health care information
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describe the interoperability and compatibility behind an EMR/EHR?
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it can be used to interface with each other
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an EMR/EHR is (inexpensive/expensive)
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expensive
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how are hospitals able to afford EMR/EHR?
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the ARRA of 2009 gave money to fund electronic health systems in hospitals
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describe the Braden scale
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a scale used for predicting pressure ulcer risk developed by 1987 Barbara Braden
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purpose of the Braden scale
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to help health professionals, especially nurses, assess a patient's risk of developing a pressure ulcer
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point of care technology
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medical diagnostic testing at or near the point of care (at the time and place of patient care)
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four reasons as to why point of care technology is beneficial
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1) can do a lot of care in the room 2) useful for patients on isolation 3) won't forget to chart something 4) you are at the patient's bedside
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three ways in which point of care technology aids in clinical decisional support
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1) may need physical therapy to come and look at ROM 2) may need blood work for a RBC or WBC count 3) may need surgery (look for signs and symptoms)
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telethealth
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a collection of means or methods for enhancing health care, public health, and health education delivery and support using telecommunications technologies
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how is telehealth used?
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nurses can communicate with patients through use of a tablet, computer, or other device screen
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who can benefit from telehealth?
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1) patients who are not able to come into the hospital 2) patients in rural areas
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main benefit of telehealth
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the ability to deliver specialized, skilled nursing through communication systems that transfer information easily between providers improves access to health care
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main benefit of home care services
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emerging technology allows nurses to provide care to clients at home, while working from a central location such as an office or health care agency
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what should the nurse consider when using telehealth?
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with the use of telehealth, it is important to balance the use of these services with actual hands-on care, because a combination of these services is needed for optimal client outcomes
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agencies transitting or storing electronic health data must take measures to ensure what two things?
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1) confidentiality 2) security of client information
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telecommunication technologies can transmit what three types of data?
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1) physical 2) audio 3) visual data
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seven types of physical data
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1) blood pressure 2) weight 3) blood oxygenation 4) blood glucose 5) heart rate 6) temperature 7) ECG results
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four types of audio data
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1) voice conversation 2) heart sounds 3) lung sounds 4) bowel sounds
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two types of visual data
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1) images of wounds 2) images of surgical incisions
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besides holding meetings and giving care, how else can nurses use technology?
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as an outreach tool to educate the public. For example, public service announcements about intimate partner violence have been used to prevent violence and connect community members with appropriate resources
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electronic record keeping is widely used in public health for what four things?
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1) create client clinical records 2) document services provided 3) maintain financial records 4) creating and managing organizational plans
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true or false: you can take vitals and do assessments with telehealth
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true
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five elements of simulations
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1) safety 2) education 3) training 4) practice 5) debriefing
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six types of health care technologies
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1) biomechatronics 2) SMART equipment 3) POE 4) bar coding 5) robotic surgery 6) automated dispensing
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biomechatronics
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an applied interdisciplinary science that aims to integrate biology, mechanics, and electronics
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biomechatronics encompasses what other two fields?
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1) robotics 2) neuroscience
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three benefits of SMART equipment
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1) leads to better diagnostic tools 2) leads to better treatment and quality of life for patients 3) reduces costs of public healthcare systems
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two types of SMART equipment
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1) artificial organs like artificial pancreas or cochlear implants 2) miniaturized devices
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bar coding
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the use of optical machine-readable representation of data in a hospital or healthcare setting
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two benefits of bar coding
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1) prevents errors in administration 2) ensures correct medication, dose, route, and time of administration
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automated dispensing
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a computerized drug storage device or cabinet designed for hospitals
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four benefits of automated dispensing machines
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1) ensures safety 2) provides documentation of inventory 3) regulatory compliance 4) tracks and responds to adverse events
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purpose of automated dispensing
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to allow medications to be stored and dispensed near the point of care while controlling and tracking drug distribution
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genomics
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the branch of molecular biology concerned with the structure, function, evolution, and mapping of genome
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four examples of genomics and technology in nursing
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1) The Human Genome Project 2) genetic engineering 3) pharmacogenetics 4) stem cells
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The Human Genome Project
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an international scientific research project with the goal of determining the sequence of chemical base pairs which make up human DNA, and of identifying and mapping all of the genes of the human genome from both a physical and functional standpoint
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genetic engineering
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the deliberate modification of the characteristics of an organism by manipulating its genetic material
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pharmacogenetics
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the branch of pharmacology concerned with the effect of genetic factors on reactions to drugs
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describe stem cell research and what the stem cells are used for
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stem cell research and stem cells are useful for medical and research purposes because they can produce cells for almost every tissue in the body
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nursing informatics
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the combination of nursing science with information and communication technologies in the delivery of nursing care
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describe the technological advances in health care
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1) they have led to drastic changes in the delivery of health care 2) the availability of new technologies results a disruption of old delivery methods while simultaneously creating new opportunities
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three ways a nurse can use technology
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1) as a tool to increase awareness 2) provide education to clients 3) collect data
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some types of technology can assist with ____________ control
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cost
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how should the nurse consider the cost of technology?
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the nurse should consider the expense of new technology compared to the potential cost savings prior to implementation for client care
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three ways nurses can use technology to collect data
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1) social media campaigns 2) electronic surveys 3) use of health literature databases
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technology has had an effect on increasing life _________________________
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expectancy
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technology can also lead to ________________ dilemmas in some situations
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ethical
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nurses must remain informed of new ________________________ in order to deliver optimal care
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technologies
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four types of nursing informatics that are commonly used within the current health care industry
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1) electronic health records 2) electronic medical records 3) databases 4) billing
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three other types of technologies that play a role in the delivery of health care
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1) hand-held computers ad smartphones 2) geographic information systems 3) the Internet
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how can interprofessional teams and clients use informatics?
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they can hold meetings electronically
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nurses can use chat rooms and asynchronous discussions as alternative delivery methods for what four things?
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1) client health education 2) to facilitate support groups 3) as a mechanism of peer collaboration 4) in staff orientations/training
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the use of ________________________ by members of the nursing profession is common practice
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social media
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three benefits of using social media as a nurse
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1) provides a mechanism for nurses to access current information about health care 2) enhances communication among nurses, colleagues, clients, and families 3) provides an opportunity for nurses to express concerns and seek support from others
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the right to ___________________ is a fundamental component of client care
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privacy
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invasion of privacy as it relates to healthcare
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the release of client information to others without the client's consent
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_____________________________ is the duty of the nurse to protect a client's private information
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confidentiality
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four consequences of using social media inappropriately
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1) termination of employment 2) discipline by the board of nursing 3) charges of defamation or invasion of privacy 4) federal charges for the violation of HIPAA
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six ways to protect yourself and others when using confidential information
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1) become familiar with facility policies about the use of social media and adhere to them 2) avoid disclosing any client health information online (ex. be sure no one can overhear conversations about a client when speaking on the telephone) 3) do not take or share photos or videos of a client 4) remember to maintain professional boundaries when interacting with clients online 5) never post belittling or offensive remarks about a client, employer, or coworker 6) report any violations of facility social media policies to the nurse manager
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two examples of how a nurse can use the electronic format while providing client care
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1) laptops for documentation 2) the use of an automated medication dispensing system to dispense medications
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______________________ in diseases and medications are available for the nurse to review
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databases
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how might databases on diseases and medications be used by a nurse?
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they can be used as a teaching tool when nurses are educating clients
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the nurse can review what four things while using an electronic format?
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1) medications 2) diseases 3) procedures 4) treatments
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computers can be beneficial for use with clients who have __________________ impairments
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visual
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the __________________ is a valuable tool for clients to review current medications and or health questions especially those who have chronic illnesses
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Internet
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nurses should instruct clients to only review valid and credible websites by verifying what four things?
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1) author 2) institution 3) credentials 4) how current the article is
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clients can access their _________________________________________ which is part of e-health
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electronic health record (EHR)
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purpose of the Health Insurance Portability and Accountability Act (HIPAA)
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sets guidelines for managing, sharing information
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purpose of the Health Care Information and Management Systems Society (HIMSS)
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provides guidelines for sharing information through electronic interfaces
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purpose of the Health Information Technology for Economic and Clinical Health Act (HITECH)
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encourages facilities to adopt HIMSS guidelines
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two benefits of understanding federal initiatives governing electronic information
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1) helps keep information confidential 2) allows adherences of regulation and management of electronic health care information
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three elements of standard nursing language
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1) describes what you do 2) impacts of your actions on client outcomes 3) clients receive the same quality, safe, and appropriate care
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three goals of informatics
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1) combine, manage nursing, computer science to effectively communicate data, knowledge 2) improve health care delivery, efficiency 3) facilitate integration of data, information, knowledge to aid in decision-making
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four advantages of integrating nursing informatics
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1) assess, document without leaving a client's side 2) locate, compare, analyze local, national, global data through one access point 3) improve quality of health care delivery 4) strengthen relationship between nurses and clients
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North American Diagnosis Association (NANDA)
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communication method to emphasize independent practice of nurses and individual client plans that is made up of diagnostic labels
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Omaha system
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research-based, comprehensive, standardized taxonomy that is across the care continuum for all clients
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three elements of Nursing Interventions Classification (NIC)
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1) standardized nursing terminologies 2) use across settings, specialties 3) includes interventions nurses do on behalf of clients
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two elements of Nursing Outcomes Classification (NOC)
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1) standardized classification of client outcomes 2) evaluates the effect of nursing interventions
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purpose of Nursing Management and Minimum Data Sets (NMDS)
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quantifies and qualifies nursing care
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three elements of Nursing Management and Minimum Data Sets (NMDS)
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1) nursing care elements 2) demographic elements 3) service elements
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three functions of Systemized Nomenclature of Medicine (SNOMED)
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1) online communication mechanism that defines each scope of practice 2) facilitates consistent, uniform storage of data 3) enhances research capability worldwide
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three purposes of reporting data
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1) measures how well facilities are providing care to clients 2) identifies trends, patterns 3) reflects actions in meeting standards of care
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goal of interdisciplinary care
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client-centered care that's safe, timely, and efficient
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describe how a clinical decision support system works
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the nursing process helps coordinate and make decisions regarding client care
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three benefits of a clinical decision support system
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1) prevent medical errors, assist with improved decision-making 2) can be used at bedside 3) immediate access to evidence-based practices, medical alerts
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external threats to health information
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factors outside facility that attack information management systems, compromise personal information
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three examples of external threats to information security
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1) hackers or spyware 2) viruses 3) interaction with outside agencies
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internal threats to health information
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people or activities within the system
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personal or individual threats to health information
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actions of people with access to protected information
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two examples of organizational threats to information security
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1) real-time access by multiple users 2) sharing information through online, electronic communication
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example of personal threats to information security
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unauthorized access by authorized users
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eight ways to safeguard information
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1) review acceptable use policies 2) limit use of personal electronic devices 3) use secured systems to transmit client information 4) don't share protected information through personal email 5) don't share information used to access EHRs 6) don't share passwords, login 7) log off systems, minimize screens when not in use 8) be alert to surroundings
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blog
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online journal where people can write about common interests and post hyperlinks to related websites
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forums
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online discussions where one can communicate with a group of people and post or respond to others publicly or privately
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avatar
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digital image that represents a person online