Clinical Informatics Certification Clinical Decision Support Systems 2

Question 1

Which CDS intervention type is MOST likely to be ignored due to 'alert fatigue'?

Accepted Answer

Interruptive pop-up alerts

Answer

Interruptive alerts that fire frequently for low-severity issues are the primary driver of alert fatigue and override behavior.

Question 2

A hospital wants to reduce duplicate laboratory orders. Which CDS approach is MOST appropriate?

Accepted Answer

Redundant order checking alert

Answer

Redundant order checking alerts notify clinicians when a test has recently been ordered or resulted, directly targeting duplicate orders.

Question 3

In the Five Rights of CDS, 'right channel' refers to:

Accepted Answer

Sending the alert to the appropriate clinician role

Answer

The 'right channel' means the CDS information reaches the correct person (e.g., pharmacist vs. physician) who can act on it.

Question 4

Which standard is MOST commonly used to represent clinical knowledge in shareable CDS artifacts?

Accepted Answer

HL7 FHIR Clinical Quality Language (CQL)

Answer

CQL is the HL7-endorsed expression language for representing logic in shareable CDS and quality measure artifacts.

Question 5

A CDS rule fires an alert every time a beta-blocker is ordered for a patient with COPD, regardless of severity. This BEST illustrates a failure in:

Accepted Answer

Alert specificity

Answer

Low specificity means the rule fires too broadly, including cases where it is not clinically warranted, contributing to alert fatigue.

Clinical Informatics Certification Practice Test