Question 1

Why is the PSQRD a useful framework for research and practice?

Accepted Answer

A)  It explains why using computer applications is the best way to support better patient outcomes. 
B)  It supports implementation, performance improvement, and rigorous research methodologies. 
C)  It ensures successful implementation of a clinical process change. 
D)  It increases communication among clinical staff. 
A)  It explains why using computer applications is the best way to support better patient outcomes. 
B)  It supports implementation, performance improvement, and rigorous research methodologies. 
C)  It ensures successful implementation of a clinical process change. 
D)  It increases communication among clinical staff. B

Question 2

A hospital has an integrated clinical decision support system embedded in the EHR. According to Donabedian's model, this would be considered:

Accepted Answer

A)  structure. 
B)  process. 
C)  outcome. 
D)  effectiveness. 
A)  structure. 
B)  process. 
C)  outcome. 
D)  effectiveness. A

Question 3

To automatically track the quality of care, standardized quality measures are needed in order to: (Select all that apply.)

Accepted Answer

A)  use consistent metrics. 
B)  benchmark. 
C)  standardize data collection. 
D)  ensure clinical efficiency. 
E)  have intuition. 
A)  use consistent metrics. 
B)  benchmark. 
C)  standardize data collection. 
D)  ensure clinical efficiency. 
E)  have intuition. A, B, C

Question 4

When evaluating quality and patient safety, which approach defines the framework for Patient Safety and Quality Research Design (PSQRD)?

Accepted Answer

A)  Outcomes are driven mainly by Meaningful Use directives. 
B)  Consideration of current managerial processes has no effect on patient outcomes. 
C)  Patient safety is best achieved by minimizing changes to existing processes. 
D)  Quality and safety are based on organizational structure, management and clinical processes, and their linkages to patient outcomes. 
A)  Outcomes are driven mainly by Meaningful Use directives. 
B)  Consideration of current managerial processes has no effect on patient outcomes. 
C)  Patient safety is best achieved by minimizing changes to existing processes. 
D)  Quality and safety are based on organizational structure, management and clinical processes, and their linkages to patient outcomes.

Question 5

A nurse gives a patient the wrong drug. This is an example of an error of:

Accepted Answer

A)  commission. 
B)  omission. 
C)  condition. 
D)  remission. 
A)  commission. 
B)  omission. 
C)  condition. 
D)  remission.

Question 6

A nurse uses a CDS system to make an informed clinical decision regarding a drug dosage ordered for a patient. According to Donabedian's model, this would be considered:

Accepted Answer

A)  structure. 
B)  process. 
C)  outcome. 
D)  effectiveness. 
A)  structure. 
B)  process. 
C)  outcome. 
D)  effectiveness.

Question 7

Which items are included in the IOM six aims for improvement? (Select all that apply.)

Accepted Answer

A)  Safe 
B)  Patient-centered 
C)  Innovative 
D)  Effective 
E)  Unintrusive 
A)  Safe 
B)  Patient-centered 
C)  Innovative 
D)  Effective 
E)  Unintrusive

Question 8

An important component of the informatics infrastructure is:

Accepted Answer

A)  establishment and adoption of standards to support semantic interoperability. 
B)  defined standard value sets, groupings, aligners, and attributes. 
C)  organizations enabled to set individual standards for quality measurement and reporting. 
D)  variation in the types of data used to populate the quality metrics. 
A)  establishment and adoption of standards to support semantic interoperability. 
B)  defined standard value sets, groupings, aligners, and attributes. 
C)  organizations enabled to set individual standards for quality measurement and reporting. 
D)  variation in the types of data used to populate the quality metrics.

Question 9

A nurse forgets to walk a patient during the nurse's shift. This is an example of an error of:

Accepted Answer

A)  commission. 
B)  omission. 
C)  condition. 
D)  remission. 
A)  commission. 
B)  omission. 
C)  condition. 
D)  remission.

Question 10

A unit has been experiencing a high rate of patient falls for the past 3 months. According to Donabedian's model, patient falls would be considered:

Accepted Answer

A)  structure. 
B)  process. 
C)  outcome. 
D)  effectiveness. 
A)  structure. 
B)  process. 
C)  outcome. 
D)  effectiveness.

Exam 24: Patient Safety and Quality Initiatives in Informatics

Why is the PSQRD a useful framework for research and practice?

A hospital has an integrated clinical decision support system embedded in the EHR. According to Donabedian's model, this would be considered:

To automatically track the quality of care, standardized quality measures are needed in order to: (Select all that apply.)

When evaluating quality and patient safety, which approach defines the framework for Patient Safety and Quality Research Design (PSQRD)?

A nurse gives a patient the wrong drug. This is an example of an error of:

A nurse uses a CDS system to make an informed clinical decision regarding a drug dosage ordered for a patient. According to Donabedian's model, this would be considered:

Which items are included in the IOM six aims for improvement? (Select all that apply.)

An important component of the informatics infrastructure is:

A nurse forgets to walk a patient during the nurse's shift. This is an example of an error of:

A unit has been experiencing a high rate of patient falls for the past 3 months. According to Donabedian's model, patient falls would be considered:

An Introduction to Health Informatics

Theoretical Foundations of Health Informatics

Evidence-Based Practice, Practice-Based Evidence, and Informatics

Models, Theories, and Research for Program Evaluation

Technical Infrastructure to Support Healthcare

Electronic Health Records and Applications for Managing Patient Care

Administrative Applications Supporting Healthcare Delivery

Telehealth and Applications for Delivering Care at a Distance

Home Health and Related Community-Based Systems

Clinical Decision Support Systems in Healthcare

Public Health Informatics

The Evolving Epatient

Social Media Tools for Practice and Education

Personal Health Records PHRS

Mhealththe Intersection of Mobile Technology and Health

Identifying and Selecting an Information System Solution

Project Management Principles and Clinical Systems

Contract Negotiations and Software Licensing

Implementing and Upgrading an Information System Solution

Health Information Systems: Downtime and Disaster Recovery

Improving the User Experience for Health Information Technology Products

Informatics-Related Standards and Standards-Setting Organizations

Data Science and Analytics in Healthcare

Legal Issues, Federal Regulations, and Accreditation

Privacy and Security

The Health Information Technology for Education and Clinical Health Hitech Act, Meaningful Use Mu, and Medicare Access & Chip Reauthorization Act of 2015 Macra

Health Policy and Health Informatics

Health Information Technology Governance

Informatics in the Curriculum for Healthcare Professionals

Distance Education: Applications, Techniques, and Issues

Informatics Tools for Educating Health Professionals

Simulation in Healthcare Education

International Informatics Efforts

The Evolution of Health Informatics

Future Directions and Future Research in Health Informatics

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