AHIC Clinical Informatics and Patient Care 2

Question 1

A hospitalized patient's EHR shows conflicting medication allergy entries from two different encounters. Which informatics principle should guide resolution?

Accepted Answer

Reconcile using a single source of truth with clinical review

Answer

Delete the older entry automatically

Answer

Keep both entries to preserve history

Answer

Flag for pharmacy review only

Question 2

Which standard is primarily used to encode clinical diagnoses in US ambulatory care settings for billing and reporting purposes?

Accepted Answer

ICD-10-CM

Answer

SNOMED CT

Answer

LOINC

Answer

RxNorm

Question 3

A CDS alert fires every time a provider orders acetaminophen, regardless of dose or patient context. This is an example of:

Accepted Answer

Alert fatigue from low specificity

Answer

Effective hard stop usage

Answer

Appropriate medication safety monitoring

Answer

A pharmacy benefit management tool

Question 4

Which clinical informatics approach best supports care coordination for patients with multiple chronic conditions?

Accepted Answer

Longitudinal care plans with shared access

Answer

Problem-oriented medical records

Answer

Episodic encounter notes only

Answer

Separate siloed EHRs per specialty

Question 5

In the context of clinical decision support, what does 'specificity' refer to?

Accepted Answer

The proportion of true negatives correctly identified

Answer

The proportion of true positives correctly identified

Answer

The number of alerts generated per patient

Answer

The complexity of the clinical rule logic

Question 6

A nurse documents a patient fall in a structured incident report system linked to the EHR. What is the PRIMARY informatics benefit of this integration?

Accepted Answer

Automated adverse event analysis and safety reporting

Answer

Faster billing submission

Answer

Reduced documentation burden for physicians

Answer

Improved lab result routing

Question 7

Which workflow change most effectively reduces wrong-patient medication errors in a hospital EHR?

Accepted Answer

Positive patient identification before order entry

Answer

Mandatory paper cosign for all orders

Answer

Restricting medication orders to pharmacists

Answer

Removing patient photos from EHR to reduce bias