UAH 309 Final – Flashcards

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swimlane flowchart
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How can the nurse manager illustrate the workflow among team members on a unit?
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alert fatigue, medication errors, patient safety issues
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What may result from workarounds?
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patient throughput
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movement of patient from one unit to another
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gap analysis
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After instituting a new health IT nurses have noticed several inefficiencies. In order to find a solution to this what could the team perform?
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When planning for health IT
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When is workflow analysis appropriate?
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workflow
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Refers to processes such as the delivery of meds and supplies, and patient movement through health care system
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Tonsilitis
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The school nurse is most likely to utilize telehealth when managing care of a student with what condition?
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they may reside in an area with few health care providers
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Patients living in rural communities may benefit from telehealth services because?
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Telemonitoring
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The nurse is caring for a patient suffering from diabetes. The nurse suggest that which type of telehealth service would be most appropriate for this patient?
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True
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The term "telehealth" is defined as the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, and health administration.
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Airstrip patient monitoring
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Healthcare providers can access real-time and historical patient data using this app
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Electromyography (EMG) sensor
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A client is wearing a tier 1 wearable monitor to assess muscle activity. The client recognizes that this is called?
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Photoplethysmography (PPG)
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This sensor is used in tier 1 to monitor a patient's pulse and blood oxygen saturation?
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BrainAttack
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This app facilitates determining tissue plasminigen activator (tPA) eligibility
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can legally provide care to patients in any other participating states
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Under the national council of state boards of nursing interstate compact agreement, a licensed nurse in a participating state
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Initiate teletrauma services immediately with the level 1 trauma center
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A patient is brought to a rural ER following a motor vehicle accident. The patient has suffered massive trauma to the chest and abdominal regions. The nurse expects to receive which of the following provider orders in caring for this patient?
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Predict future disease occurrence, have significant implications for family members, uniquely identify people
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Some argue that genetic information is different from other health information because it can:
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1st generation cephalosporins
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(Dropped from quiz) Nigel has an increasingly painful wound in his leg. The healthcare team determines by genetic testing the wound is infected with MRSA. The nurse knows that the healthcare provider will avoid prescribing
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Malignant hypothermia
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Don is being prepared for coronary bypass surgery for clogged arteries. His mother had a near-fatal reaction to anesthesia during a routine hysterectomy that included rapid heart rate and rigid muscles. Testing shows that Don has an RYR1 gene mutation. This genetic mutation is associated with what disease?
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Native Americans
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Which people are excluded from genetic information nondiscrimination act (GINA) protection?
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Exome
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Which term refers to the approximately 1% of the genome that primarily encodes proteins?
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Karyotype
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The G-banded ______________ was the first DNA based diagnostic test.
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Genomics
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What term encompasses the study of all the genes in the human genome, including the interactions between genes and the environment?
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Hudson Alpha
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The team of researchers that first identified the XIAP mutation in a young child with a life threatening GI disorder work at?
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sequence once, read often
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Based in current genome sequencing technology and costs, it is recommended that physicians take a _____________ approach with their patients.
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2
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A reasoning engine requires at least ____ data point(s) to construct a rule and generate alerts for safe care.
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reference information, order sets, alerts, condition-specific information
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What is included in a clinical decision support system (CDSS) that is available to healthcare providers in order to make critical decisions?
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clinical decision
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To meet the requirement for implementation of ______ rules, an electronic health record (EHR) must have a functioning clinical decision support system
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when research evidence shows new findings important for patient care
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The nurse informaticist knows that the knowledge base in a clinical decision support system should be updated
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artificial intelligence
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A clinical decision support system contained in an electronic health record uses principles of ______ and information science to provide active knowledge systems combined with patient data to generate clinical, patient specific advice
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CDSS alerts only occur when a patient is experiencing a true medical emergency
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A new nurse is being oriented to the health IT system. What statement by the nurse about clinical decision support systems indicates that the nurse needs more education?
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Alert fatigue
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A nurse is documenting at the point of patient care. An alert appears on the screen and the nurse dismisses it without reading it. This is an example of?
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artificial intelligence
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The ability of a computer to perform human like behavior and/or analysis.
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natural language processing
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The term _____ refers to a method of taking free text and analyzing it for patterns and added meaning to create added rules and generate more patient specific alerts
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alert fatigue
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While working on a pediatric unit, the tech hears an alarm beeping down the hall. Without checking on the patient, the nurse states "Don't worry about that, it's the pulse oximeter in room 352. The patient is so active that the pulse oximeter doesn't pick up." This statement is an example of:
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Getting research articles in advance, discussing the application of findings to nursing practice, having well informed, knowledgeable moderators
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Sortedahl developed an online journal club for school nurses and assessed nurses' satisfaction with the method after three months and found that nurses valued which key elements?
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It allows you to identify other papers that have cited a specific article
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What is the benefit of using google scholar for research?
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cultivate a spirit of inquiry
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What is the first step in the EBP process?
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quality, economics
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Evidenced based practice is a process that has developed from a need to improve the ______ and manage the _____ of healthcare delivery
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Their articles are provided for free.
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What statement about open access journals is true?
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Plan-Do-Study-Acy
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What does the abbreviation PDSA stand for?
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Select key term using the PICOT question
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What is the first step when the nurse begins a search of the evidence in PubMed, CINAHL, or other search engine regarding a research question?
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cite while you write
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When references are cited in the narrative and added to a reference list in the word-processing document in real time using software it is called?
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The nurses value's and preferences
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The components of EBP do not include:
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Rich site summary (RSS) feeds
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Simplified, aggregated summaries of the information provided on whole websites is called?
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data sources
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There are different components to a data warehouse. Which layer would the informaticist expect to include various databases in which users and applications interact?
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query
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The nurse needs to retrieve information from a database concerning pressure wounds. The nurse would complete which operation to find the appropriate information.
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Proprietary, open source and embedded
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What are the three primary types of relational database systems?
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Proprietary
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Typically, large healthcare facilities need to customize their databases. Because of this, they tend to use which type of relational databases.
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Learning management system (LMS)
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It is time for the hospital to verify competencies of their clinical staff. Which type of relational database would the facility use to complete this task?
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Integrity
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When using a relational database, the nurse knows that these rules protect the validity of the data.
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"Databases can store large amounts of data efficiently."
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After teaching a class on databases in the hospital setting, the nurse informaticist overhears participants discussing the information. Which statement made by a participant, shows that the information was correctly understood?
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Embedded relational database
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A nurse practitioner group is looking for the best database for their practice. They would like the data to be linked together and would also like to be able to utilize mobile applications. Which type of database would be best for this practice?
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decision support systems, data sources
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A data warehouse consists of which of the following components
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virtual dashboards
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The reporting capacity of the Collaborative Alliance for Nursing Outcomes (CALNOC) system allows those hospitals who are members to create their own _________________, which contains selected performance measures to meet their needs for projects such as performance initiatives.
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modeling, simulation
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The Wii game "Hysteria Hospital Emergency Ward" is an example of the possibilities of both __________ and _____________ applied to health care.
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diagnostic
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Bayes' theorem is used for ______________ reasoning.
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dashboards
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Visualization components to effectively communicate and display analysis results, usually to end users.
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k-means
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A partitional clustering algorithm where the desired number of clusters to partition the data is specified.
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FAERS
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database of adverse drug events
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model
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A ______________ is a set of mathematical terms used to create a computer application capable of anticipating a response to a situation
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identifying diagnoses
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What are ICD-10-CM codes used for?
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neurons
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An artificial neural network is constructed upon the assumptions that information processing involves many simple elements called:
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adverse drug events
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Pharmacovigilance is a process that requires early detection of:
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Lag time exist between the time data are reported and released to the public, data are duplicated in files or reports
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Drawbacks of the FAERS database
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The members of the health IT implementation team should continue the adaptation process.
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A nurse informaticist and health IT implementation team are working with a small group of nurses testing a health IT system prior to full implementation. The team discovers that the health IT system does not perform as expected during the test. What should the implementation team do next?
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a workaround
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A nurse is using a bar code medication administration system to deliver medications to patients. The system requires a series of specific steps in order to safely administer medications. The nurse has discovered a way to override the system and eliminate some of the required steps. This override is known as
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increase the potential for errors in care processes, decrease the efficiency of healthcare providers
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Failures in health IT design and implementation to support workflow and practice patterns of providers will
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"This is a type of technology called RFID sensors that can help prevent infant abductions."
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While working in the newborn nursery, a new father asks the nurse about the bracelet placed on the infant with a small box attached. The nurse is correct in telling the father
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Data entry must be done in standardized formats. data components should ideally include contextual information. Data elements must have definitions assigned to them.
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Data entry in the electronic health record can be a matter of patient safety. Which of the following statements are true regarding data entry?
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slip
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The nurse in the neonatal ICU is about to feed a baby expressed breastmilk. The nurse makes an error and gives the baby breastmilk which is labeled for another patient. This type of error is called a
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a system fault alarm
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The nurse is caring for a patient that is on telemetry. When one of the leads becomes displaced, the system alerts the nurse. This type of alert is known as
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All medical devices should be designed for use by particular health care providers or patients and their families
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The Food and Drug Administration (FDA) has the responsibility for regulating the approval and recall of medical devices. Which of the following are a part of their guidelines?
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level 1 alert
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The nurse caring for Mr. Jones has not given his ordered dosage of ampicillin. An alert is received through the barcode medication administration system. The nurse recognizes that this is a
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errors
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According to Reason's Swiss Cheese Model, __________ are risks that pass through the gaps in protective barriers that normally defend patients from harm
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dismissed alerts without taking the information into account
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Alert fatigue commonly results in:
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rule based error
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Penicillin is the medication of choice when treating syphilis, but if it is given to a patient that is allergic to penicillin simply because it is known as the best choice which type of error is made?
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taking a family health history
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What is the first step in a genetic risk assessment?
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Florence Nightingale
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This famous person said, "In attempting to arrive at the truth, I have applied everywhere for information, but in scarcely an instance have been able to obtain hospital records fit for any purposes of comparison." Who is this person?
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Performance
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Any system designed to assess and improve quality of care must begin with a thorough breakdown and understanding of the aims of the organization. The institute of medicine describe several goals for improving quality of care. What is NOT a goal set by the IOM?
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Fragmentation of healthcare
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Disconnected healthcare delivery which places patients at greater risk for poor outcomes is called
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Wisdom
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The proper used of knowledge to solve real-world problems is called
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Opportunities for children to receive necessary immunizations
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Fragmentation of care can lead to a decrease in
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Nursing informatics
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Defined as the science and practice that intergrates nursing, it's information and knowledge, with management of information and communication technologies to promote the health of people, families and communities worldwide
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Expert systems
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Systems that apply knowledge through wisdom are known as
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size
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The utility of any knowledge is directly dependent on its perceived accuracy and validity. In the past, validity was based on the opinions of a few well-respected experts. However, with the advent of the computing and information age, validity is largely based on the _______ and representativeness of the data set upon which the knowledge is based.
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information literacy
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TIGER defines ______ as "the ability to identify information needed for a specific purpose, locate pertinent information, evaluate the information, and apply it correctly."
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Personalized, participatory, preventive, predictive
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The Ted talk youtube video described the future of healthcare as P4 medicine. P4 medicine includes:
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Standing order sets
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EHR systems that utilize _______ can allow nurses to carry out specific protocols of patient care prior to examination or approval by HCP
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Interface
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The point at which the separate components of an EHR system meet and communicate is called the?
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interoperability
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Nurses working in a hospital using an EHR have the ability to access patient records from any area of the facility. This IT system and software app can communicate, exchange data, and used the information exchanged. This is known as what?
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Need for a common clinical vocabulary
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SNOMED CT addresses which barrier to adoption of EHR systems?
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Personal identification number
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What is an example of an access control tool?
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Have automated remote back up systems located off campus,have battery powered back up systems that plug directly into the server
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What are ways in which a healthcare organization can maintain normal operating procedures to prevent the loss of data during unplanned system downtime?
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encryption
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The process of converting data into an unreadable format is known as?
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confusing presentation of order options, juxtaposition errors, system design issues
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The use of computerized provider order entry has been linked to a potential cause of patient care mistakes. What could be a potential cause of patient care mistakes related to CPOE?
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identify gaps in an EHR system's security
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Penetration testing is used to:
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superusers
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It is important that healthcare facilities identify nurses who emerge as _______ who are willing to serve as leaders and as a resource for other staff and HCPs in the implementation and ongoing use of the EHR systems.
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An individual's right to protection and confidentiality of health information
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What definition most accurately defines privacy?
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The patient's insurance information, the date of a patient's upcoming appointment, the patient's address
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What is considered protected health information
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Release the information with or without the patient's express authorization
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The nurse is caring for a patient who has been admitted to the hospital with TB. The local health department has called to obtain medical information about the patient. What must the nurse do about releasing medical information?
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Notify the hospital's privacy security officer
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A nurse overhears another nurse sharing a patient's PHI with someone on the telephone. It is clear that the person on the phone is not involved with the patient's care. What is the nurse's most appropriate response?
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sharing a password and log in information with a co-worker, allowing a nursing student to observe a medical procedure without prior consent, disposing of medical records in the garbage can
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What practice could violate a patient's right to privacy and confidentiality?
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biometric markers
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What is the most secure means of authenticating users attempting to access PHI?
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patient safety organizations analyze reports of patients' events and safety concerns
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What statement about Patient safety organizations is correct?
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an ethical issue
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The nurse overhears a provider intentionally giving false information over the phone to a patient. The nurse recognizes this is:
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