CPHIMS Clinical Informatics Principles Flashcards

The 'five rights' of clinical decision support (5 Rights of CDS) include delivering the right information to the right person EXCEPT which of the following?

Answer: At the right cost to the hospital

The 5 Rights of CDS focus on information, person, format, channel, and workflow timing—cost is not one of the five rights.

When implementing a bar-code medication administration (BCMA) system, which patient safety event is it PRIMARILY designed to prevent?

Answer: Wrong-patient, wrong-drug, wrong-dose administration errors

BCMA verifies the five rights of medication administration (right patient, drug, dose, route, time) at the bedside by scanning the patient's wristband and the medication.

Which approach to EHR governance BEST ensures that clinical documentation templates remain clinically relevant and do not contribute to note bloat?

Answer: Establishing a formal template review and retirement process with clinical ownership

A formal governance process with clinical ownership ensures templates are periodically reviewed, updated, and retired when they no longer serve clinical or regulatory needs.

In a health information exchange (HIE), the 'directed exchange' model refers to:

Answer: Provider-to-provider secure transmission of patient information for care coordination

Directed exchange enables providers to securely send and receive patient information to known, trusted recipients—such as referral partners or receiving hospitals.

A clinical informaticist reviewing EHR audit logs notices a user accessed 500 patient records in one shift with no matching clinical assignments. This MOST likely indicates:

Answer: A potential privacy breach requiring investigation

Accessing a high volume of records without clinical justification is a red flag for unauthorized access or data breach that must be investigated under HIPAA.

Clinical natural language processing (NLP) is used in health informatics PRIMARILY to:

Answer: Extract structured, computable data from unstructured clinical text

Clinical NLP parses free-text clinical notes to identify and extract structured concepts—such as diagnoses, symptoms, or medications—for analytics and decision support.

Which of the following BEST describes the purpose of a patient problem list in an EHR?

Answer: A dynamic, clinician-maintained summary of active and chronic conditions guiding ongoing care

The problem list is a clinician-curated, longitudinal summary of a patient's active and chronic conditions that drives care planning, alerts, and clinical decision support.