Nursing Informatics: Principles and Applications

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Questions and Answers

What type of system is used to create a single, digital health record for each client?

  • Nursing Informatics system
  • Health Information Technology for Economic and Clinical Health (HITECH) system
  • Electronic Health Record (EHR) system (correct)
  • Electronic Medical Record (EMR) system

What is one of the key features of an EHR?

  • It can be shared with other healthcare providers across organizations (correct)
  • It only contains information from the current healthcare provider
  • It can only be accessed by authorized providers
  • It is a physical paper record of a patient's medical history

What is the main purpose of Electronic Health Records (EHRs)?

  • To provide comprehensive and accessible patient health records that providers can share securely
  • To streamline care and improve medication safety
  • To ensure accurate medication administration to the right patient, at the right time, and in the right dose
  • All of the above (correct)

What type of information is typically contained in an EHR?

<p>Demographics, medical history, medication, allergies, lab results, vital signs, and billing (C)</p> Signup and view all the answers

What is one way an EHR can help a patient?

<p>It can be used to avoid necessary repetition of diagnosis and treatment (A)</p> Signup and view all the answers

What is the main difference between an EHR and a physical paper medical record?

<p>EHRs can be shared with other healthcare providers, while paper records cannot (A)</p> Signup and view all the answers

Which of the following is NOT typically included in an EHR?

<p>Personal contact information (B)</p> Signup and view all the answers

What is the main purpose of a medical record, according to the text?

<p>All of the above (D)</p> Signup and view all the answers

What is the difference between Electronic Health Records (EHRs) and Electronic Medical Records (EMRs)?

<p>EHRs and EMRs are the same thing, just different names (A)</p> Signup and view all the answers

What is the Health Information Technology for Economic and Clinical Health (HITECH) Act?

<p>A law that outlines the development and implementation of Electronic Health Records (EHRs) in the healthcare field (C)</p> Signup and view all the answers

What is the main benefit of using Electronic Health Records (EHRs) in patient care?

<p>EHRs help streamline care by providing comprehensive and accessible patient health records that providers can share securely (B)</p> Signup and view all the answers

What is a disadvantage of electronic health records according to the text?

<p>Expensive setup costs (A)</p> Signup and view all the answers

What is the primary advantage of electronic health records according to the text?

<p>Having the patient's complete history. (D)</p> Signup and view all the answers

What characteristic defines good health records based on the information provided?

<p>Capable of quantitative analysis. (A)</p> Signup and view all the answers

Why are hospital records considered an early warning system for communicable diseases?

<p>They are based on recorded observations. (A)</p> Signup and view all the answers

What purpose does complete data in health records serve according to the text?

<p>To identify the patient and justify diagnosis. (B)</p> Signup and view all the answers

How do electronic health records help in reducing redundancy according to the text?

<p>By eliminating the need for repeated record-keeping. (B)</p> Signup and view all the answers

What is the role of informatics nurses in the use of Electronic Health Records (EHRs)?

<p>Informatics nurses ensure accurate medication administration to the right patient, at the right time, and in the right dose (C)</p> Signup and view all the answers

Which of the following is NOT mentioned as a benefit of medical records for hospital management?

<p>Assisting in recruitment and training of medical staff (A)</p> Signup and view all the answers

How do medical records help doctors?

<p>They allow doctors to evaluate the adequacy of their diagnostic measures (B)</p> Signup and view all the answers

Which of the following is NOT mentioned as a benefit of medical records for nurses?

<p>Enabling nurses to evaluate the effectiveness of their care (A)</p> Signup and view all the answers

How do medical records benefit public health authorities?

<p>They provide reliable statistics for planning preventive measures (B)</p> Signup and view all the answers

Which system is NOT listed as one of the applications of electronic health records in the text?

<p>Pharmacy Dispensing Systems (B)</p> Signup and view all the answers

What is the primary purpose of medical records according to the text?

<p>To establish disability entitlements for patients (C)</p> Signup and view all the answers

Which of the following is not listed as an advantage of electronic health records?

<p>Creation of huge amounts of paper documents (D)</p> Signup and view all the answers

What is one of the features of electronic health records applications mentioned in the text?

<p>Administrative Applications (D)</p> Signup and view all the answers

How can electronic health records improve healthcare quality?

<p>By improving accuracy of health records (B)</p> Signup and view all the answers

What is a requirement mentioned for using electronic health records according to the text?

<p>Standardized coding systems (C)</p> Signup and view all the answers

What is the primary purpose of medical records for nurses, according to the text?

<p>To ensure complete documentation for patient care (A)</p> Signup and view all the answers

Flashcards

EHR System

A system for creating and managing a single, digital health record for each patient.

EHR Feature

EHRs allow sharing of patient information among healthcare providers across organizations.

EHR Purpose

EHRs provide a comprehensive record of a patient's health information.

EHR Information

EHRs contain patient demographics, history, medications, allergies, lab results, vital signs, and billing data.

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EHR Patient Benefit

EHRs help avoid unnecessary repetition of diagnoses and treatments.

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EHR vs. Paper

EHRs are sharable among providers; paper records are not.

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EHR Excluded Data

Personal contact information is usually not part of an EHR.

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Medical Record Purpose

Medical records document patient care and inform diagnoses.

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EHR vs. EMR

EHR and EMR are the same thing, just different names.

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HITECH Act

A law promoting EHR development and implementation in healthcare.

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EHR Patient Care Benefit

EHRs streamline care by providing comprehensive, accessible health records.

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EHR Disadvantage

EHRs can have high setup costs.

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EHR Primary Advantage

Complete patient history easily accessible.

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Good Health Records

Records suitable for analysis, providing quantifiable data.

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Hospital Records as EWS

Hospital records serve as an early warning system for communicable diseases.

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Complete Data Role

Complete data identifies patients and validates diagnoses.

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EHRs and Redundancy

EHRs eliminate repeated record-keeping.

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Informatics Nurses Role

Ensure accurate medication administration to the right patient.

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Medical Records - Hospital Management Benefit - Missing

Medical records are not used to help with recruitment or staff training.

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Medical Records Benefit to Doctors

Medical records are used to evaluate diagnostic measures.

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Medical Records Benefit to Nurses - Missing

Medical records do not enable nurses to evaluate the effectiveness of care.

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Medical Records Benefit for Public Health

Medical records provide statistics to plan preventive measures.

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Non-EHR Application

Pharmacy dispensing systems are not electronic health record applications.

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Medical Records Purpose - One Aspect

Medical records are not solely for establishing disability entitlements.

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Non-EHR Advantage

Electronic health records are not associated with creating paper documents.

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EHR Application Feature

EHR applications can include features for administrative tasks.

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EHR and Healthcare Quality

EHRs improve healthcare quality by increasing record accuracy.

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EHR Requirement

Standardized coding systems are necessary for EHR use.

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Medical Records for Nurses - Primary

Medical records for nurses ensure complete documentation of patient care.

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