Chapter 7 E Medicine

For which of the following is there the most interest in using E-medicine technologies to improve health outcomes in a cost-effective manner?

a. Lung cancer

b. Pediatric heart disease

c. Chronic disease management

d. Heart attack victims

c. Chronic disease management

Which of the following is included in the purposes of Telehealth?

a. e-mailing test results to patients.

b. Provide health information and health-related services care across distance.

c. Allow access to patient's family members remotely.

d. Acquire patient assessment information in order to skip a patient home care visit.

b. Provide health information and health-related services care across distance.

Examples of applications for clinical decision support include:

1. Computerized alerts and reminders

2. Decreasing fluid given in resuscitation efforts

3. Drug-disease interactions

4. Decreasing exacerbations in asthma patients

a. 1 and 3 only

b. 1, 2 and 3 only

c. 1, 3, and 4 only

d. 2, 3, and 4 only

a. 1 and 3 only

Which of the following is a difference in the electronic health record (EHR) and the electronic medical record (EMR)?

a. The EMR is the sum of all EHRs produced by a patient during the different encounters with various healthcare entities throughout a lifetime

b. Non clinical information is not included in the EMR

c. Once finalized, medical imaging and laboratory tests are included but take 3 to 5 days to become a part of the EMR

d. The EHR is owned by the patient, the EMR is owned by the hospital or health care delivery organization.

d. The EHR is owned by the patient, the EMR is owned by the hospital or health care delivery organization.

Telemedicine has proved useful in facilitating the patient's participation in computer-based in what area of medicine?

a. Disease management

b. Influenza care

c. Respiratory therapy

d. Post-trauma care

a. Disease management

Therapists-driven protocols are used to

a. extend the length of stay.

b. allocate and titrate respiratory care services.

c. resist automation of treatment based on patient data.

d. avoid confrontation with nurses regarding patient care.

b. allocate and titrate respiratory care services.

E-Medicine can be a component of which of the following?

1. Treatment for tobacco use and dependence

2. Public access to health education materials

3. Determination of fault in law suits

a. 1 and 2 only

b. 3 only

c. 2 only

d. 2 and 3 only

a. 1 and 2 only

The process by which the underlying primary, secondary, and other notable causes of a medical error are identified is referred to as

a. continuous quality improvement.

b. a root-cause analysis.

c. value-based purchasing.

d. web analytic.

a. continuous quality improvement.

Computer algorithms are often used to interpret which of the following tests in respiratory care patients?

a. Differential diagnosis

b. Complete blood count

c. Pulmonary function testing

d. EEG testing

c. Pulmonary function testing

In what area are computers used to apply quality assurance measures in respiratory care departments?

a. Arterial blood gas analyzers

b. O2 delivery systems

c. Interpreting ECGs

d. Equipment cleaning and sterilization

a. Arterial blood gas analyzers

Which of the following terms is used to describe the use of information technology in healthcare?

a. Business intelligence

b. Health informatics

c. Key performance indicators

d. Clinical decision support

b. Health informatics

In what way do computers assist smokers who want to quit?

a. By providing Internet sites with smoking cessation plans

b. By measuring blood carbon monoxide levels

c. By providing genetic information on the risk of smoking

d. By allowing smokers to order low-risk cigarettes through the Internet

a. By providing Internet sites with smoking cessation plans

Clinical decision support systems perform which of the following tasks?

1. Match individual patients with proper drug doses.

2. Provide standing patient care orders.

3. Remind patients of when to reorder meds.

4. Provide directions to the best local pharmacy.

a. 2 and 4 only

b. 3 and 4 only

c. 1, 2, and 3 only

d. 2, 3, and 4 only

c. 1, 2, and 3 only

Microprocessors can benefit mechanical ventilation by doing which of the following?

1. Equilibrate measured values with target values on a breath-by-breath basis.

2. Control ventilator alarms.

3. Archive the history of set and measured values.

4. Change clinician set parameters as needed.

a. 1 and 3 only

b. 1 and 4 only

c. 1, 2, and 3 only

d. 1, 3, and 4 only

c. 1, 2, and 3 only

Which of the following are advantages of computerized ventilator charting applications?

1. Improve the consistency of ventilator charting.

2. Improve the accuracy of ventilator charting.

3. Automate ventilator charting with verification by respiratory therapist.

4. Other clinicians not allowed to monitor their progress.

a. 1 and 4 only

b. 2 and 4 only

c. 1, 2, and 3 only

d. 2, 3, and 4 only

c. 1, 2, and 3 only

Which of the following are steps to help prevent computer infiltration by malicious software?

1. Users should never share or use their password on public unsecured devices.

2. Users should install a virus scanning program and regularly update it.

3. Users should refrain from updating their computers with security patches.

4. Users should be careful when opening e-mail file attachments and refrain from downloading applications from unknown sources.

a. 3 and 4 only

b. 1 and 2 only

c. 1, 2, and 4 only

d. 2, 3, and 4 only

c. 1, 2, and 4 only

Which of the following are ways health care workers and facilities conform to HIPAA regulations concerning securing patient confidentiality within electronic medical records?

1. Refraining from sharing passwords

2. Accessing electronic personal health information on a need-to-know basis

3. Utilizing thumbprint protected security

4. Allowing only close family members to view personal health information in the hospital computer

a. 1 and 2 only

b. 1, 3, and 4 only

c. 1, 2, and 3 only

d. 2, 3, and 4 only

c. 1, 2, and 3 only

Which of the following are benefits of the computerized physician order entry (CPOE) system?

1. Saves time and reduces transcription errors resulting from handwriting clarity issues.

2. Has built in stop-gaps and prescribing templates.

3. Alerts RTs and other clinicians of new, expired, or changed orders.

4. Helps facilitate patient care and reduce medical errors.

a. 2 and 4 only

b. 1 and 2 only

c. 1, 2, and 4 only

d. 1, 2, 3, and 4

d. 1, 2, 3, and 4

Which of the following is an application that allows for imaging storage, portability communication, and clinical integrations of all imaging modalities?

a. PACS

b. POCT

c. HITECH

d. CPOE

a. PACS

Which of the following refers to a set of tools that permit capture, storage, and transformation of data into useful and actionable information?

a. Key performance indicators

b. Business intelligence

c. Clinical decision support

d. Computerized physician order entry

b. Business intelligence