NR 599 / NR599 Week 8 Final Exam Study Guide Latest Edition 2022 / 2023 – GUARANTEED PASS

NR 599 / NR599 Week 8 Final Exam Study Guide Latest Edition 2022 / 2023 – GUARANTEED PASS Ethical Decision Making -Process that requires striking a balance between science and morality -Making informed choices about ethical dilemmas based on a set of standards differentiating right from wrong. Ethical Decision Making Process 1. Identify the ethical dilemma 2. Discover alternative actions 3. Decide who might be affected 4. List the probable effects of the alternatives 5. Select the best alternative Rational justification developed through a logical process of decision making that gives proper attention to such things as facts, alternative perspectives, consequences to all stakeholders, and ethical principles. American Nurses Association- Code of Ethics for Nurses with Interpretive Statements. provides specific guidance for ethical decision making and provides a valuable framework that can be used when working with HIT issues having an ethical component includes the following 1. Failure to adopt technology or use it adeptly 2. Lack of regard for data integrity such as discrepancies. in record information that are noted but no corrective action is taken. 3. Failure to address threats to privacy and personal health information. 4. Inappropriate access of PHI without a need to know. 5. Failure to keep informed of emerging developments and issues. 6. Failure to recognize and use technology to advance the profession. 7. Failure to engage in policy discussion that impact healthcare delivery. 8. Failure to recall that the patient is their primary focus. 9. Failure to actively participate in the selection use, and/or evaluation of technology that has the potential to improve healthcare. ANAs Code of Ethics for Nurses 1. Respect for human dignity 2. Respect for individual right to self-determinism 3. Primary commitment is to the patient (individual, family, group or community) 4. Advocacy for the patient 5. Participation in the creation, maintenance, and improvement of healthcare environments 2 6. Advancing the Profession 7. Collaboration with others to meet health needs 8. Shaping social policy. 6 contemporary Bioethical Standards Autonomy freedom veracity privacy beneficence fidelity What is the Husted bioethical decision making model centered on healthcare professionals implicit agreement with the patient Virtue Ethics Approach moral behavior stems from personal virtues Example of virtue ethics approach If a manager develops good character traits and learns to overcome negative traits, he or she will make ethical decisions based on personal virtue Telehealth use of technology to deliver health care, health information, or health education (i.e. telephone, videophone, computer, store and forward imaging, streaming media, terrestrial and wireless communications) telemedicine medical information exchange from one site to another via electronic communications to improve patients health status Telehealth tools Central stations, web servers, and portals Peripheral biometric(medical) devices telephones videocameras personal emergency response systems sensor and activity monitoring medication management devices special needs telecommunications ready devices(preprogrammed infusion pumps, peak flow meters) Telemedicine applications types (2) Store-and-forward or asynchronous real-time or synchronous Store and forward or asynchronous applications exchange prerecorded data between 2 or more individuals at different times real time or synchronous 3 applications all involved individuals are present for immediate exchange of information mHealth generation, aggregation, and dissemination of health info via mobile and wireless devices How can mHealth wearable devices reduce mortality rates wrist monitors that can monitor vital signs including respiratory rate, bp, hr, spo2, and temp which can send the info to an EHR which can calculate a wellness index based on the stats and a 0-5 scale (below 2.9 is good but above 3.0 is potentially bad) action / execution of tasks in a sequence is what workflow observation and documentation of workflow and how it can be altered is workflow or process analysis how is workflow analysis usually depicted visually , in a process map what is it called if workflow analysis is performed AFTER a new technology is implemented optimization Maya, autodesk and Promodel are examples of workplace analysis process mapping tools Computer applications designed to facilitate human decision-making processes. Usually are rule based, using a specified knowledge base and a set of rules to analyze data and information and provide recommendations to users ---- what is this clinical decision support system / CDS or CDSS what is the difference between expert systems and CDS systems expert - not really used right now, systems that generate information / automatically intervene without requiring human action CDS - guide clinicians to make choices, require clinician involvement What is the ICD10? alphanumeric coding for medical diagnosis / grouping like disease provides payer info on the necessity of the visit/procedure shorthand for dx What is a CPT code? Current Procedural Technology (CPT) code represent treatments and procedures performed by a physician in a 5-digit format.