In: Nursing
Define the 7 Levels of Evidence described in the Sewell textbook.
Define the term ‘research practice gap’ and name two causes.
Provide a brief definition of a ‘Just Culture’.
How can informatics be used to monitor errors and support a Just Culture?
What is BCMA and how does it contribute to patient safety?
Define telenursing and describe how it occurs.
Describe at least 2 examples of patient assessments that may be accomplished using telenursing.
What is the Leapfrog Group and how can a healthcare organization meet the CPOE criteria to be recognized by this group?
How can CPOE contribute to patient safety?
Define bioinformatics.
Name two examples of nursing or medical decision support.
Name 4 ways a nurse can follow HIPAA guidelines for securing patient data.
What are 4 basic guidelines for quality documentation and reporting?
Define an eMAR and describe the information it contains.
Define the terms ‘cyberchondriac’ and ‘online diagnoser’. Describe the difference between them.
Define the terms ‘health literacy’ and ‘health numeracy’. Name several examples of each type of skill.
1. Define the 7 Levels of Evidence described in the Sewell textbook.
ANS: Level 1:
Evidence from a systematic review or meta-analysis of all relevant
randomized. controlled trials of evidence based clinical practice
guideline based on systematic review of RCT's.
Level 2: Evidence obtained from at least one well-designed
RCT.
Level 3: Evidence obtained from well-designed controlled trials
without randomization.
Level 4: Evidence from well-designed case-control and cohort
studies.
Level 5: Evidence from systematic reviews of descriptive and
qualitative studies.
Level 6: Evidence from single descriptive or qualitative
study.
Level 7: Evidence from the opinion of authorities and/or reports of
expert committees .
2. Define the term ‘research practice gap’ and name two causes.
ANS: Research practice gap is the discrepancy between research on effective clinical practice and the direct care provided to patients.
3. Provide a brief definition of a ‘Just Culture’.
ANS: Just culture: Revolves around a foundation of trust and accountability that relies on open communication, integrity, and common goals, which allows staff members to report safety concerns, errors, and near miss events in an environment.
4. How can informatics be used to monitor errors and support a Just Culture?
ANS: Administrators
can see what errors are being made, how often each error is being
made and can address the issue to prevent further mistakes from
happening.
Creates an environment for people to learn from and help maintain
the goals and standards for the group.
5. What is BCMA and how does it contribute to patient safety?
ANS: Barcode medication administration; makes sure medication is administered safely and correctly with the correct dosage.
6. Define telenursing and describe how it occurs.
Telenursing-
Communication with technological devices between medical personnel
and patients
A nurse can use a webcam and phone to talk and see the pt through a
moniter
7. Describe at least 2 examples of patient assessments that may be accomplished using telenursing.
ANS: Look at wound
care through video chat.
Specialist can look at appearance of pt.
8. What is the Leapfrog Group and how can a healthcare organization meet the CPOE criteria to be recognized by this group?
ANS: Leapfrog- An
organization that deals with the standards and quality of
electronic records and is external from hospitals.
Requirements include a minimum of 75% documents must be made
electronically and a minimum of 50% of serious orders have to be
alerted.
CPOE stands for Computerized Provider Order Entry
9. What is the Leapfrog Group and how can a healthcare organization meet the CPOE criteria to be recognized by this group?
ANS: surveys
hospitals safety ratings (quite prestigious)
-to be involved you have to have 75% compliance with CPOE
medication administration and 50% compliance on error reports
leapfrog group is is a group of private companies that want to
improve healthcare
10. How can CPOE contribute to patient safety?
ANS: Alerts to
medication errors, allergies, double dosing, drug interactions,
physician support, decreased mortality rate
Helps prevent human error, cuts down on medication errors, prevents
illegible scripts
11. Define bioinformatics.
ANS: Applying computer technology to the management of biological information and it is a combination of biology and computers and involves the storage/analysis of molecular biological sequence data.
12. Name two examples of nursing or medical decision support.
ANS: Resource
management
Limit lab order frequency
How to progress with treatment for patients
Pediatric early warning system: computer tells you what to do if a
problem occurs
12. Name 4 ways a nurse can follow HIPAA guidelines for securing patient data.
ANS: Do
not:
Share information in public areas
Share information with anyone not directly involved with the
patient's
Care
Look up friends, family, celebrities, or other patients on other
floors
Speak of the patients outside of the hospital
13. What are 4 basic guidelines for quality documentation and reporting?
ANS: FLACO
Factual
Legal (written) and slander (spoken)
Accurate
Complete
Current
Organized