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We must minimize preventable errors, and one of the most important tools for this purpose is the use of electronic records and information systems to provide point-of-care decision support and automation.

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Variation occurs when workers:


A) perform the same function in different ways.
B) initiate flaws in the way a process was originally designed.
C) lack knowledge about the process.
D) All of these are correct.

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Many of the quality reporting measures rely on the nurse's documentation.

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Workflow is a term used to describe:


A) the action or execution of a singular task.
B) a progression of steps (tasks, events, interactions) that comprise a work process, involve two or more persons, and create or add value to the organization's activities.
C) the delegation of work to staff members.
D) All of these are correct.

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An informatics nurse develops a visual depiction of a workflow process, which is called a:


A) process map.
B) work process.
C) workflow analysis.
D) clinical transformation.

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Some analysis and redesign efforts may occur weeks, months, or even years following the implementation of technology.

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A nurse is explaining clinical transformation to a group of nurses. Which statement is correct?


A) "Clinical transformation is a radical change approach that produces a more responsive organization."
B) "Clinical transformations must include an adoption of a clinical technology."
C) "Clinical transformations are led by nursing staff members."
D) "Clinical transformations involve small, impactful changes."

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The American Association for Justice (2013) , suggests that to improve care delivery and to minimize error, the most important tools to employ are:


A) electronic records and information systems to provide point-of-care decision support and automation.
B) medication administration methodologies that provide care decision support and automation at the point of care.
C) bar coding for patient care activities to provide access to information and automation at the point of care.
D) computer systems that track activities at the point-of-care automation.

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What are the ethical considerations related to interoperability and a shared EHR?

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Interoperability and a shared EHR (Elect...

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Workflow analysis must be conducted as a stand-alone effort.

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Meaningful use measures have pushed healthcare organizations to reexamine the use of clinical technologies within their organization and approach implementations in a new way.

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The term workflow is sometimes used interchangeably with process or process flows, particularly in the context of implementations.

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A patient asks a nurse about variation in patient care by different providers. What is the best response by the nurse?


A) "Variation occurs when clinicians perform the same function in different ways and is minimized with standardization."
B) "Variation occurs because healthcare providers have individual preferences. This does not affect patient care."
C) "There is little variation in patient care since technology has been incorporated into health care."
D) "Variation occurs only with very customized and complex care circumstances."

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With the new goal of paying for value and better care, the Medicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA) reformed Medicare payment by making changes that created a quality payment program to replace the hodgepodge system of Medicare reporting programs.

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An informatics nurse uses which theory when integrating a new technology?


A) Change theory
B) Adaptation theory
C) Goal attainment theory
D) Collaboration theory

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An informatics nurse is tracking and assessing decision making through a clinical course of care, which will do what?


A) Improve patient care
B) Reduce medical errors
C) Enhance collaboration between providers
D) Contribute to research databases

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When workflow changes begin to fail and workarounds develop, the new processes need to be evaluated further.

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Nurses must be involved in "meaningful" data collection and reporting.

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Many healthcare organizations experience the effects of poorly implemented clinical technology solutions. These effects may be manifested in the form of redundant documentation, non-value-added steps, and additional time spent at the computer rather than in direct care delivery.

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An informatics nurse is developing an integration plan of a new electronic health record and anticipates a workflow redesign. Which of the following will the informatics develop first?


A) Change management plan
B) Workflow analysis
C) Clinical transformation
D) Workflow evaluation

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