CPHIMS CPHIMS Clinical Informatics Principles 5

Question 1

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?

Accepted Answer

At the right cost to the hospital

Answer

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

Question 2

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

Accepted Answer

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

Answer

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.

Question 3

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

Accepted Answer

Establishing a formal template review and retirement process with clinical ownership

Answer

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

Question 4

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

Accepted Answer

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

Answer

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

Question 5

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:

Accepted Answer

A potential privacy breach requiring investigation

Answer

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.

CPHIMS Exam Practice Test

CPHIMS Exam Practice Test

CPHIMS CPHIMS Clinical Informatics Principles 5