A new nurse asks, Since Electronic Medical Records can improve quality care by having seamless data available for a patient, why doesn't everyone just replace paper and pencil charts?
Barriers to a universal health information infrastructure include the fact that: (Select all that apply.)
a. competition from individual companies to build EMR prevent a universal infrastructure.
b. cost is prohibitive even with federal funding for larger health care systems.
c. preventive health reminders for immunizations and yearly screenings such as mammograms are used in clinical decision making.
d. insurance companies have halted sharing of some patient data due to fear of law suits.
e. the full capacity of EHRs has not been realized with only Stage 1 of 3 nearing completion.
The Institute of Medicine (IOM) (2003) recommends that 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?
a. Health information and data capture
b. Results/data management
c. Provider order entry management
d. Clinical decision support
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 portacath. The nurse accesses the Personal Digital Assistant for software that lists the steps to access a portacath. The nurse is using:
a. electronic health records.
b. point of care technology.
c. data management.
d. telehealth.
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? The best answer is that meaningful use:
a. identifies a set of EHR proficiencies and benchmarks that EHR systems must meet to be certain that they are functioning to their maximum capacity and meeting this standard allows companies/organizations to qualify for funds to defray cost of the EHR from Medicare.
b. refers to training competencies that all users must achieve to be able to access and transfer patient data/information.
c. refers to a requirement that at least 50 plus one of all patients have data entered into the EHR.
d. the requirement that rigorous confidentiality security is in place to protect all patient information from sources which have no right to the data.
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