Define the 7 Levels of Evidence described in the Sewell textbook. Define the ter

Question

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.

Explanation / Answer

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

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