EHR Electronic Prescribing & Medication Management 2

Question 1

What distinguishes a 'hard stop' alert from a 'soft stop' alert in a CPOE medication ordering workflow?

Accepted Answer

Hard stops prevent order completion without required action; soft stops can be overridden with acknowledgment

Answer

Hard stops are sent to pharmacy; soft stops are displayed to prescribers only

Answer

Hard stops cancel the order automatically; soft stops delay processing by 30 minutes

Answer

Hard stops require supervisor approval; soft stops require patient consent

Question 2

What is 'tall man lettering' and how is it used in EHR medication displays?

Accepted Answer

Mixed-case formatting to visually distinguish look-alike/sound-alike drug names

Answer

Larger font size for high-alert medications on the MAR

Answer

Bold formatting for medications requiring a co-signature

Answer

All-caps display for generic versus brand name medications

Question 3

Which organization maintains the National Drug Code (NDC) directory used in EHR medication databases?

Accepted Answer

Food and Drug Administration (FDA)

Answer

The Joint Commission (TJC)

Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

National Council for Prescription Drug Programs (NCPDP)

Question 4

A 'Best Possible Medication History' (BPMH) is most accurately obtained by:

Accepted Answer

Interviewing the patient and cross-referencing multiple medication sources

Answer

Downloading data from the patient's insurance claims database

Answer

Pulling the previous provider's discharge summary only

Answer

Using the pharmacy's dispensing records as the sole source

Question 5

Which EHR feature uses pre-populated, standardized medication orders to reduce prescribing variability and errors?

Accepted Answer

Order sets with evidence-based protocols

Answer

Medication reconciliation workflow

Answer

Drug utilization review reports

Answer

Prior authorization queues

Question 6

What primary function does the Surescripts network serve in electronic prescribing?

Accepted Answer

Routing electronic prescriptions and providing real-time pharmacy benefit information

Answer

Drug-drug interaction checking between systems

Answer

Formulary management for hospital inpatient pharmacies

Answer

Tracking medication administration in acute care settings

Question 7

RxNorm is important in EHR medication management primarily because it:

Accepted Answer

Provides standardized drug names and identifiers enabling consistent data exchange

Answer

Sets the maximum daily dose guidelines for all US medications

Answer

Functions as the billing code set for prescription drugs under Medicare

Answer

Tracks FDA approval status for all new drug applications