Introduction to Information Systems in Healthcare

 Computer and Information Literate

1. Which healthcare providers are challenged with becoming and staying computer and information literate to facilitate the delivery of safe, quality care? Select all that apply.

Nursing Skills

2. Which nursing skill involves integrating health information with computerized systems to increase information management and client safety?

Nursing Informatics

3. Nursing informatics concentrates on finding ways to impact which aspects of health care? Select all that apply.

Informatics Influences

4. Integration of informatics influences which aspects of health care? Select all that apply.

Technology Informatics Guiding Education Reform Initiative

5. The technology informatics guiding education reform (TIGER) initiative was designed to use health information technology in nursing practice by focusing on which initiatives? Select all that apply.

Reference

Literacy

6. What type of literacy using standardized terminology is required by the nurse documenting a client's plan of care in the electronic health record?

Competencies

7. Healthcare providers understand which nurse competencies help to mitigate error and increase communication and access to information? Select all that apply.

Competencies in Informatics

8. Read each description and identify the correct competency essential in nursing practice.

• includes the use of basic computer operating systems and software for word processing, spreadsheets, and presentation software as well as computer use to find information rapidly and efficiently.
• involves knowledge, skills, and attitude (KSA) in finding and assessing information. Knowledge of basic and advanced search techniques in library databases and the internet allows the nurse to find relevant information.

Informatics literacy

• involves integrating health information with computerized systems to increase information management and patient safety. It enables the KSAs to use technology to not only input information into a clinical system but also retrieve and manage the information to improve client safety and quality outcomes.

• Computer fluency
• Information literacy
• Informatics literacy

Competency Development

9. To deliver safe, quality patient care, the competencies of nursing informatics were determined from which of the following categories? Select all that apply.

Standardized Language

10. Standardized terminology in the electronic health record is used to achieve which primary outcome?

Reference

Nursing Skill

11. Which skill demonstrates an initiative to prevent errors and improve client safety?

Literacy

12. Health care providers use computer fluency, information literacy, and informatics literacy to achieve which outcome?

Nursing Practice

13. How does technology enhance nursing practice? Select all that apply.

Human Tasks

14. Computers can only facilitate nursing care and are not a substitute for it. Which human tasks cannot be performed by computers? Select all that apply.

Computers can manage large sets of data. Literacy

15. What type of literacy includes the use of technology to input information into a clinical system and retrieve and manage the information?

What is Literacy?

16. Distinguish the various types of literacy to its description. You can use a type more than once.

Foundation of Knowledge Framework

Foundational Concepts

Drag the correct terms to match with the descriptions given below:

• --------- is described objectively without interpretation. For example, documenting vital signs.
• --------- is use of the data that has been interpreted, organized, or structured. For example, you see how the vital signs are organized in the patient’s chart and the heart rate is trending higher than normal.
• --------- is synthesized information so that relationships can be made about the information and formalized. For example, you identify that your patient’s heart rate has continued to increase over the last eight (8) hours and the patient continues to be tachycardic, it is not an isolated incident.
• ------- is the appropriate use of knowledge to manage and solve human problems. For example, the patient is tachycardic due to ineffective pain management post-operatively. The patient’s pain level is 8/10 on pain scale. Only acetaminophen is prescribed for pain. You contact the surgeon to relay the SBAR information and the physician orders a narcotic pain medication.
• ------- is described objectively without interpretation.
• ------- is use of the data that has been interpreted, organized, or structured.
• ------- is synthesized information so that relationships can be made about the information and formalized.
• ------- is the appropriate use of knowledge to manage and solve human problems.

Nursing Role

When nursing professionals use data, information, knowledge, and wisdom as a foundational framework to provide care, they are working in which nursing role?

Nursing Informatics

Which statement best describes the main goal of nursing informatics?

Processing Data

A health care provider is reviewing a client’s heart rate and the number is elevated. This is an example of the provider utilizing

Knowledge Workers

When a health care manager creates a new policy based on experience, education, and evidence-based practice, they are utilizing which type of knowledge?

Generating new knowledge

Wisdom Verses Knowledge

Which statement describe ways that wisdom and knowledge are different?

Data to Wisdom

Read the sentence description and identify if it is data, information, knowledge, or wisdom.

Information and Knowledge

Drag the components of clinical judgement to identify the best use of knowledge for each condition below:

Correct matching:

Have a high level of empirical knowledge to understand the client care situation. – Recognize and analyze cues

Knowledge Workers

The nurse is reviewing the client's electronic health record and recognize a diagnosis that they are unfamiliar with. Where should the nurse start to look for information?

Recognizing Cues

The nurse is reviewing the client’s electronic health record prior to interacting and completing their admission assessment. The nurse is acquiring

data and information

In the electronic health record, data is reviewed and described objectively without interpretation. For example, documenting vital signs. The information is use of the data that has been interpreted, organized, or structured. For example, you see how the vital signs are organized in the patient’s chart, collaborative provider notes, orders, laboratory results, etc.

Foundations of Knowledge

After reviewing the client’s electronic health record and collecting vital signs, the nurse observes a rapid decline in the client’s blood pressure and the client states feeling lightheaded and dizzy. The provider places the client in Trendelenburg position, opens the IV fluid, replaces the oxygen nasal cannula with a venti-mask, and places a stat call to the rapid response team. What healthcare informatics aspects is the nurse utilizing?

Knowledge and wisdom

You used knowledge to recognize the client’s blood pressure has rapidly declined and became hypotensive; dizziness and lightheaded are their relationship to hypotension. You used wisdom by utilizing the appropriate use of that knowledge and subsequent interventions to manage and solve human problems (placing client in Trendelenburg position, opening IV fluids, & venti-mask, contacting rapid response team).

Clinical Judgment Case Study

Mr. Jones’s blood pressure is rapidly declining, client is hypotensive and states feeling lightheaded and dizzy. The nurse places the client in Trendelenburg position, opens the IV fluid, replaces the oxygen nasal cannula with a venti-mask, and places a stat call to the rapid response team. The nurse is using foundational knowledgeand wisdom to quickly intervene.

Clinical Judgment Case Study

Mr. Jones’s blood pressure is rapidly declining, client is hypotensive and states feeling lightheaded and dizzy. The nurse places the client in Trendelenburg position, opens the intravenous (IV) fluid, replaces the oxygen nasal cannula with a venti-mask, and places a stat call to the rapid response team. The nurse is using foundational knowledge and wisdom to quickly intervene.

Interpretation of Data

The nurse performs a fingers tick blood glucose lab test. The glucometer identifies the number as “high” on the monitor screen. What is the correct interpretation of this finding?

Recognize Cues

The nurse reviews the client’s electronic health record and identifies a drug-drug interaction that can occur with the prescribed medications. Which informatics skill has the nurse utilized?

Plan of Care

A health care provider receives lab results for a client with iron deficiency anemia. Before the plan of care can be developed, what must the provider do with the information obtained from the lab results?

Clinical Information Systems

Clinical Information

On its own, the nurse understands that a heart rate of 90 in a clinical information system is an example of data

Information Science

In the nurse’s understanding of information science, it integrates which of the following sciences? Select all that apply.

Responsibility

Whose clinical responsibility is it to review data and information located in clinical information systems to determine its meaning and value in promoting safe, quality care?

Which software programs could healthcare providers use to support their work? Select all that apply.

Cognitive Science

Cognitive science assists healthcare providers by improving client care through which action?

Which type of clinical information system is designed to capture and simulate complex care situations that ordinarily require human intelligence?

Confidentiality

The nurse violates client confidentiality and right to privacy by taking which action?