As part of an information technology implementation team, you are implementing a clinical decision support system. Particular considerations for safe implementation of this project include the following EXCEPT:
Relying solely on health information technology for communication.
Establishing training programs for ALL clinical and operations staff.
Participating in the planning, selection, design, and improvement of technology.
Identifying and resolving problematic work processes and procedures BEFORE technology implementation.
The Correct Answer is A
A. Relying solely on health information technology for communication can lead to misunderstandings and information gaps, as effective communication also requires interpersonal interactions and teamwork.
B. Establishing training programs for all staff is crucial for ensuring that everyone is equipped to use the new system effectively and safely, which is vital for successful implementation.
C. Participation in the planning, selection, design, and improvement of technology ensures that the system meets the needs of users and integrates well into existing workflows.
D. Identifying and resolving problematic work processes and procedures before technology implementation is essential to ensure that the new system enhances efficiency and does not exacerbate existing issues.
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Correct Answer is C
Explanation
A. While managing medication costs is important, it is typically not as significant in terms of overall budget impact compared to staffing.
B. Managing supplies can contribute to cost reductions, but staffing is usually a more substantial portion of a nursing budget.
C. Staffing costs represent the largest expense in most nursing budgets, and nurse managers can have a significant influence on these costs through effective scheduling, staffing ratios, and retention strategies.
D. Fixed costs, such as rent or utilities, do not fluctuate based on operational decisions made by nurse managers and thus offer less opportunity for cost reduction at the managerial level.
Correct Answer is C
Explanation
A. A computerized provider order system is primarily used for entering and managing medication and treatment orders rather than generating alerts based on assessment data.
B. While the electronic health record (EHR) contains the patient’s information, it does not specifically generate alerts; instead, it serves as a comprehensive patient information system.
C. Clinical decision support systems (CDSS) provide alerts and reminders based on clinical guidelines and data entered into the system, making this the correct answer.
D. WL technology typically refers to wireless technologies and does not directly relate to generating alerts in clinical contexts.