Define - mostly EHR/EMR Flashcards Preview

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Flashcards in Define - mostly EHR/EMR Deck (20)
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1
Q

(CPOE)

A

Computerized Prescriber Order Entry systems

2
Q

PACS

A

an imaging system that is dedicated to the storage and

management of images (Hebda et al., 2005).

3
Q

portal

A

a secured website that provides an authorized individual the ability to personalize the content presented online and interact with various features of the website pertinent to the user (Hebda et al., 2005).

4
Q

Telehealth

A

delivery of health services using telecommunication technologies to clients in another location or at a distance

Called telemedicine

utilizes teleconferencing and videoconferencing technology to support the delivery of health care at a distance.

5
Q

Computerized Prescriber Order Entry System

A

also known as computerized physician order entry system

is a system that allows a prescriber
direct entry of medication, treatment, and consultation orders for client care into a hospital information system

orders are electronically sent to the correct department for processing
(e.g., a medication order would be sent to the nurse for review, then on to the pharmacy).

–illegibility causing med errors

6
Q

Point-of-care technology

A

a large collection of various devices, monitoring equipment, and automated medication delivery systems

handheld technologies

  • PDAs
  • glucometers
  • electronic thermometers

physiologic monitoring systems

  • hemodynamic monitors
  • arrhythmia monitors

smart pumps
programmable intravenous infusion pumps

7
Q

eMAR

A

Electronic Medication Administration Records

8
Q

What is Electronic Health Record (EHR) ?

A

a longitudinal personal health record that is kept in digital format.

provides secure, real-time, access to a client’s health information at the point of care for the clinician.

a secure and private lifetime record describing a person’s health history and care

chronologically follows a client’s interactions with the health system across all health organizations, and across all municipal and provincial borders.

9
Q

What does EHR contain?

A
past medical history
laboratory tests
treatments and procedures
medication information
progress notes
immunizations
allergies
demographic information
10
Q

Canada Health Infoway definition of EHR

A

“a complete health record under the custodianship of a health care provider(s) that holds all relevant health information about a person over their lifetime. This is often described as a person-centric health record, which can be used by many approved health care providers or health care organizations”

11
Q

How can EHR be accessed?

A

online from many separate, compatible systems within a network

12
Q

What is an Electronic Medical Record (EMR)

A

a practice-based computer application which provides a longitudinal collection of patient information.

legal record of what happened to a client during their medical encounter.

comprised of detailed clinical data and documentation, recorded in a standardized language

13
Q

What does EMR contain?

A

problem list

medication list

allergy list

notes

health maintenance information

social/family history and results retrieval
(for laboratory, radiology, and other testing results)

integrated with scheduling

billing and other practice management functions
(e.g. patient registration, eligibility checking, claims submission, chart and patient tracking and referral management).

14
Q

Most EMR’s include?

A

prescribing tool

computerized ordering

knowledge and decision-support systems

15
Q

Interoperability

A

ability of various eHealth systems across the health system to connect with each other and exchange data.

share and synchronize patient health information within circles of care

16
Q

EMR/EPR systems include?

A

client demographics
medical history
allergy and immunization status
laboratory results and trending
pharmacy and medication records (including side effects and contraindications)
advanced directives
diagnostic tests and reports
images
clinical records, both historic and current
much more – these are the main features that currently exist

17
Q

Drug Profile Viewer (DPV) System

A

an electronic information system providing authorized health care providers in emergency departments and other hospital locations with secure access to drug claims histories.

18
Q

Drug Profile Viewer (DPV) Patient benefits

A

Increased safety by preventing adverse drug reactions.
Faster assessments and treatments.
Reduces the need to repeat medication information.

19
Q

Drug Profile Viewer (DPV) Benefits to nurses and health professionals

A

Allows quicker identification and prevention of adverse drug reactions.

Enables faster medical assessment and treatment.

Assists those who may not remember their medication names and dosages.

Helps to ensure a patient’s current medications are continued in hospital, if needed.

Reduces the need to repeat patient drug information to multiple health care providers involved in a patient’s care

20
Q

eHealth Ontario is focused to support eHealth by?

A

a. Strengthening eHealth governance and leadership
b. Setting clear roles and responsibilities for strategy implementation
c. Focusing on implementation and adoption
d. Focusing on health system outcomes