Deck 19: Design Considerations for Healthcare

Question 1

Which step should be done first when implementing a workflow redesign for an electronic documentation system?

A) Focusing the design on the care provider
B) Determining what the system is expected to accomplish
C) Addressing the primary discipline's needs
D) Discussing how reports will be created

Answer 1

Determining what the system is expected to accomplish

Question 2

When comparing the systems life cycle with the nursing process, which aspect would the nurse identify as part of the systems life cycle? Select all that apply.

A) Begins with assessment
B) Has a definite end point
C) Uses different terminology
D) Has a variable number of steps
E) Has little opportunities for iteration

Answer 2

Begins with assessment
Uses different terminology
Has a variable number of steps

Question 3

A nurse is part of a committee that is working to develop and implement an electronic documentation system. Which step would the committee do first during the initiating phase?

A) Identify the risks.
B) Complete a needs assessment.
C) Identify the project goal.
D) Prepare for scope creep.

Answer 3

Identify the project goal.

Question 4

The project committee has moved to the planning phase of implementing the new electronic system. Which steps would the committee include during the planning phase? Select all that apply.

A) Customize the system design.
B) Complete a workflow analysis.
C) Identify the project goal.
D) Prepare the budget.
E) Create a timeline.

Question 5

An agency committee conducts a needs assessment for a health information system and identifies a list of potential vendors to be considered for the project. Which step would the committee do next?

A) Send out a request for proposal.
B) Identify the cost-benefit.
C) Submit a request for information.
D) Determine the return on investment.

Question 6

A nurse on a committee is conducting a workflow analysis. Which action would be most helpful when completing this task?

A) Evaluating the pros and cons
B) Diagramming the activity
C) Identifying the steps of the workflow
D) Applying a structure

Question 7

A committee is evaluating several vendors for a health information system, and the members notice that one of the vendors describes some new and amazing features that are in development, along with an upcoming release of a new product that is designed to increase the user friendliness of the system. Unfortunately, the vendor fails to deliver on these features. The committee interprets this as:

A) Vaporware.
B) Vanilla product.
C) Bugs.
D) Rollout.

Question 8

An agency involved in testing a new electronic documentation system is evaluating the systems communication and network functioning. The agency is involved with which action?

A) Test scripting
B) Regression testing
C) Integration testing
D) Debugging

Question 9

Which conversion is occurring when an agency plans to implement a new system throughout the entire agency at the same time?

A) Pilot conversion
B) Big-bang conversion
C) Parallel conversion
D) Phased conversion

Question 10

A nurse is a part of a committee working on a project for implementing an electronic documentation system in the agency. The committee conducts a thorough needs assessment to ensure the:

A) Project scope is appropriate.
B) System implementation is a success.
C) Risks are clearly identified.
D) Cost savings are realized.

Question 11

When implementing a health information system, which approach would be used? Select all that apply.

A) Pilot conversion
B) Big-bang approach
C) Rollback
D) Phased conversion
E) Parallel conversion

Question 12

After implementing a health information system, the agency takes steps to prevent loss of data from a power failure by having the system use the backup power supply. This is an example of:

A) Superuser.
B) Business continuity plan.
C) Contingency plan.
D) Debugging.

Question 13

A nurse is participating as a superuser for a system being tested on the medical-surgical units. Which functions would the nurse complete as part of this role? Select all that apply.

A) Helping to encourage other nurses in using the system
B) Identifying flaws in the system's design
C) Assisting in training of the system later on
D) Identifying the needs for training
E) Correcting of any bugs found in the system

Question 14

A nurse is working as part of a project management team. The team is currently involved in the planning phase. Which activities would occur during this step?

A) Completing a needs assessment
B) Determining the return on investment
C) Conducting a workflow analysis
D) Identifying necessary improvements to the system

Question 15

A nursing informatics specialist is part of a project management team that was responsible for implementing an agency-wide clinical information system. The system was implemented in January of this year. The team plans to conduct a planned evaluation of the system at which time after implementation?

A) February
B) April
C) July
D) January

Question 16

A nurse superuser is part of a group testing a new clinical information system. The group is faced with several situations that involve something going wrong with the system. The nurse superuser identifies this as which testing?

A) Regression testing
B) Debugging
C) Integration testing
D) Test scripts

Question 17

A new clinical information system is being implemented. Project planners have decided to continue the old system for a time while specific units will be targeted for a specific date to switch over to the new system. Which approach is being used?

A) Big-bang conversion
B) Pilot conversion
C) Phased conversion
D) Parallel conversion

Question 18

An exact duplication of the data on a clinical information system is being stored on a server at a remote location as a precaution. This would be identified as:

A) Rollout.
B) Business continuity plan.
C) Contingency plan.
D) Phased conversion.

Question 19

A nursing informatics specialist is part of a project management team that is working with a new clinical information system. Currently, the team is working to customize the system to meet the needs of the organization. The team is in which stage of the systems life cycle?

A) Initiating
B) Planning
C) Executing
D) Controlling

Question 20

After determining what the project will entail and all the elements involved in the project, members of the project management team notice over time that the requirements are expanding. The team members identify this using which term?

A) Request for information
B) Cost-benefit analysis
C) Scope creep
D) Vanilla project