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Practice questions for this set
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To say no
To ask for what you want
To appropriately express both positive and negative thoughts and feelings
To initiate, continue, and terminate the interaction
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Health information technology (HIT) Components of assertive
1 2
goal communication
Computerized clinical decision-making
3 Device use guidelines (p. 380) 4
support
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Terms in this set (48)
Health information technology (HIT) Improve population health outcomes and healthcare
goal quality
, HIT meaningful use Interactive computerized information and
communication system.
HIT documentation essentials Updated problem list, Hx, Dx, VS, PE data,
Medication list, Allergy list, real-time access to
imaging files
HIT requirements 1. Clinical decision support capabilities, Incorporates
standard "evidence based practice" protocols that
monitor care and send prompts if care is not
recorded.
2. Uses Computerized provider order entry (CPOE)
3. Reports quality outcome measures to the
government (CMS), public health agencies, state
and/or local agencies.
4. Follows HIPAA requirements
5. Capable of generating written prescriptions
6. Provide patient with clinical summaries
7. Provide summary of care at each transition and
referral
8. Aggregates data
Computerized clinical decision- Software that inputs specific information about a
making support patient, analyzes it, and makes recommendations for
care based on "evidence based practice"
Three key elements to electronic interoperability, portability, and ease of use
records
Advantages to EHR's - improved information flow
- improved nursing documentation
- partnering with patients
- essentials of nursing documentation
- clarity
- efficiency
CPOEs: Computerized physician order Designed to reduce unnecessary errors and
entries decrease delays in exchanging critical patient
information, including prescriptions, lab results, and
other vital patient data.