EHR Clinical Decision Support Systems 2

Question 1

Which CDS intervention type fires automatically when a clinician opens a patient's chart without requiring any user action?

Accepted Answer

Active (unsolicited) alert

Answer

Active or unsolicited CDS alerts fire automatically based on triggers without requiring the clinician to request information.

Question 2

A drug–drug interaction alert fires every time two common medications are ordered together, even when clinically appropriate. This is an example of what problem?

Accepted Answer

Alert fatigue due to low specificity

Answer

Alert fatigue occurs when high-volume, low-specificity alerts cause clinicians to routinely override or ignore them.

Question 3

Which metric best measures whether a CDS alert is changing clinician prescribing behavior?

Accepted Answer

Override rate

Answer

Override rate indicates how often clinicians bypass an alert and is a primary measure of CDS effectiveness.

Question 4

What is the purpose of an 'infobutton' in a CDS system?

Accepted Answer

Links to context-sensitive clinical reference information

Answer

Infobuttons provide context-sensitive links to external knowledge resources relevant to the current clinical situation.

Question 5

A CDS rule recommends aspirin for a patient flagged with a penicillin allergy. What design flaw does this illustrate?

Accepted Answer

Incorrect logic mapping unrelated conditions

Answer

Triggering an aspirin recommendation based on a penicillin allergy reflects a logic error where unrelated clinical conditions are incorrectly linked.

(EHR) Electronic Health Records Program Certification Practice Test

(EHR) Electronic Health Records Program Certification Practice Test

EHR Clinical Decision Support Systems 2