Clinical Nurse Leader Certification Health Informatics & Technology Flashcards

Which standard is most commonly used for exchanging clinical documents between US healthcare systems?

Answer: HL7 Fast Healthcare Interoperability Resources (FHIR)

HL7 FHIR is the current US national standard for health data exchange, supported by CMS and ONC regulations.

A CNL is leading implementation of a new barcode medication administration (BCMA) system. The primary patient safety benefit is:

Answer: Verifying the five rights of medication administration electronically at the bedside

BCMA systems electronically confirm patient identity, medication, dose, route, and time at point of administration, directly reducing medication errors.

In clinical informatics, which term describes using patient data to predict future outcomes and guide proactive care?

Answer: Predictive analytics

Predictive analytics applies statistical models to existing patient data to forecast risks such as sepsis, deterioration, or readmission.

Which principle of informatics guides nurses in ensuring that data entered into the EHR is accurate and complete?

Answer: Data integrity

Data integrity ensures that health information is accurate, consistent, and trustworthy throughout its lifecycle in the EHR.

A patient's family member requests access to the patient's EHR through the patient portal. The CNL's best action is to:

Answer: Verify the patient has authorized proxy access before granting the request

HIPAA requires documented patient authorization before any proxy access to health records is granted.

Which evidence-based approach should a CNL use to evaluate whether a new technology improves nursing workflow?

Answer: Time-motion study measuring task completion before and after implementation

Time-motion studies provide objective, quantitative data on workflow changes attributable to technology implementation.