Clinical Informatics and Patient Care Flashcards
7 cards from real AHIC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Informatics and Patient Care flashcards as text
A clinical informaticist performs a post-implementation evaluation of a new EHR module. Which framework is MOST appropriate for assessing sociotechnical factors?
Answer: SEIPS (Systems Engineering Initiative for Patient Safety) model
The SEIPS model evaluates the interaction between people, tools, tasks, environment, and organization to understand how technology impacts care processes and outcomes.
Which scenario represents an appropriate use of a 'hard stop' in clinical decision support?
Answer: Blocking a fatal drug-drug interaction order until reviewed
Hard stops are reserved for situations where proceeding without acknowledgment poses immediate, severe patient safety risk, such as a fatal drug interaction.
A telehealth visit is conducted for a patient with chronic hypertension. Which informatics consideration is UNIQUE to telehealth compared to in-person care?
Answer: Validation of home blood pressure device accuracy and data integration
Telehealth introduces the challenge of validating patient-reported or home device data accuracy and integrating remote monitoring data reliably into the EHR.
When implementing clinical NLP (natural language processing) to extract diagnoses from free-text notes, which challenge is MOST significant?
Answer: Handling negation, uncertainty, and context (e.g., 'no chest pain')
Clinical NLP must accurately detect negated, hypothetical, or family history mentions to avoid falsely attributing conditions to the patient.
Which principle of user-centered design is MOST important when configuring an EHR order entry interface for emergency department physicians?
Answer: Minimizing cognitive load through streamlined, context-aware design
Emergency physicians work under time pressure, so EHR interfaces must minimize cognitive load with streamlined, context-sensitive workflows tailored to acute care.
A hospital's EHR sends a Continuity of Care Document (CCD) to a receiving facility upon patient transfer. What is the PRIMARY purpose of this document?
Answer: Providing a standardized summary of the patient's health information for care continuity
The CCD is an HL7 C-CDA standard document that ensures the receiving provider has a complete, structured summary of medications, allergies, diagnoses, and results.
In clinical informatics, which approach BEST addresses health equity when designing patient-facing digital health tools?
Answer: Designing for accessibility, multiple languages, and low health literacy
Equitable digital health design requires multilingual support, plain language, accessibility for disabilities, and compatibility with low-cost devices to serve diverse populations.