trends chapter 15
consumers are concerned with security issues related to their confidential health information being placed in an electronic health record. however, when the security of the EHR is compared with that of paper and pencil records, the EHR has been proven to be what?
more secure
during a search for the term informatics, what should the nurse determine about the sites affiliation when the domain-.edu is noted?
its an educational institution
what statement accurately describes findings when paper and pencil medical records are compared with computer based records?
patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record used
a nurse is preparing a scholarly publication on the worldwide prevalence of hepatitis A. the most efficient and effective means of conducting an internet search to gather information for this publication is to use what resource?
MEDLINE database
A consumer is learning about electronic health records at a local health fair and states, ―I am worried that someone can read my health information and I really don‘t understand the difference between privacy and confidentiality.ǁ The nurse provides what as an example of confidentiality?
a pledge that states, i will hold matters pertaining to my patients in strict intimacy
A primary health care provider has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient‘s signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. What term is used to refer to this type of protection?
security
A nurse walks up to a computer in the hallway and presses the index finger to the sensor, thereby gaining access to patient data. A few moments later another nurse performs the same steps and is granted access. A visitor who is watching from a room walks over and places the index finger on the sensor, only to receive an ―error and access deniedǁ message. This security feature is a result of what form of technology?
biometric
a nurse who is teaching a class to introduce telehealth to the staff would include which example?
while a patient in wyoming performs peritoneal dialysis, a nurse watches remotely from california to ensure that all steps are being followed correctly
An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by what information associated system?
decision support
a nurse is preparing a presentation using different websites to collect information. the nurse is concerned that contact information and the author's credentials are not listed for one of the websites reviewed. which criterion required to establish a reputable website is missing?
authority
A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring. Information is located, and the author is a scientist who conducted studies within the last year on the effectiveness of a noninvasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company site.com. The nurse is concerned about what component associated this information?
objectivity
A nurse providing care at the bedside receives an ―alertǁ that a patient‘s stat potassium level is 2.5 and a dose of digoxin is scheduled. The nurse holds the medication and prevents a possible complication. This feature of the Electronic Health Record is available through which core function of EHR?
decision support
A nurse works on a unit where electronic health records (EHR) are being initiated and asks, ―What is meant by ̳meaningful use‘ standards that are in our education packet?ǁ What statement provides the best answer to the nurse‘s question?
it identifies a set of EHR proficiencies and benchmarks that must meet assure the process is functioning to maximum capacity
A nurse is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads, ―infuse over 1 hour by port-a-cath.ǁ When the nurse accesses the Personal Digital Assistant that lists the steps to access a port-a-cath, what type of computer software is being used?
point of care technology
The Institute of Medicine (IOM) (2003) recommends that electronic health records (EHR) systems offer eight functionalities. A patient has a severe allergy to eggs and penicillin. Which of the eight functions of the EHR would address sharing this information?
health information and data capture
a nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com. a page opened that provided images and templates for performing fishbone diagrams. which type of search did the nurse conduct?
brute force
A new nurse asks, ―Since electronic medical records (EMR) can improve quality care by having seamless data available for a patient, why doesn‘t everyone just replace paper and pencil chartsǁ? What barriers to a universal health information infrastructure exist? SATA
competition from individual companies to build EMR prevents a universal infrastructure
the full capacity of EHRs has not been realized with only stage 1 of 3 nearing completion
(COMPLETION)
software programs that process data to produce or recommend valid choices are known as
decision support systems