1.
WHAT ARE THE REQUIREMENTS FOR DEVELOPING A CLINICAL DECISION SUPPORT SYSTEM?
Correct Answer
F. ALL THE ABOVE
Explanation
The requirements for developing a clinical decision support system include a robust EMR system, support and commitment from the organization, standardized workflows, constant maintenance and updating, and understanding the institution's scope. All of these factors are necessary to ensure the successful development and implementation of a clinical decision support system.
2.
WHICH IS A FALSE STATEMENT ABOUT (CDSS) CLINICAL DECISION SUPPORT SYSTEMS?
Correct Answer
B. DECREASES THE QUALITY OF PATIENT CARE
Explanation
A false statement about Clinical Decision Support Systems (CDSS) is that they decrease the quality of patient care. CDSS actually improves the quality of patient care by providing healthcare professionals with evidence-based guidelines, alerts, and recommendations to assist in making clinical decisions. CDSS helps manage clinical complexity, supports clinical research, and monitors clinical details, all of which contribute to enhancing the quality of patient care.
3.
WHAT KIND OF WARNINGS APPEAR WITH CDSS?
Correct Answer
F. ALL THE ABOVE
Explanation
CDSS (Clinical Decision Support System) is a software tool used in healthcare settings to assist healthcare professionals in making informed decisions about patient care. CDSS can provide warnings and alerts for various types of interactions and issues. In this case, the correct answer is "ALL THE ABOVE" because CDSS can generate warnings for drug to food interactions, drug to drug interactions, non-formulary drugs (drugs not on the approved list), abnormal lab results, and allergies. CDSS helps to improve patient safety by identifying potential issues and providing recommendations for appropriate actions.
4.
WHAT ARE THE PROBLEMS WITH CDSS?
Correct Answer
A. ALERT FATIGUE CAUSED BY NUMEROUS POP UPS
Explanation
Alert fatigue caused by numerous pop-ups is a problem with CDSS. This means that the system generates too many alerts or notifications, which can overwhelm healthcare providers and lead to them ignoring or dismissing important alerts. This can result in missed or delayed diagnoses, medication errors, and other patient safety issues. While CDSS can provide benefits such as great patient satisfaction, a second set of eyes, and best practice advisories, the problem of alert fatigue needs to be addressed to optimize the effectiveness and usability of the system.
5.
WHAT IS NOT A HEALTH MAINTENCE ALERT THAT APPEAR ON CLINICAL DECISION SUPPORT?
Correct Answer
D. "DONT BE LATE FOR DINNER"
Explanation
The correct answer is "DONT BE LATE FOR DINNER". This is because the question asks for a health maintenance alert that appears on clinical decision support, and "DONT BE LATE FOR DINNER" does not fit this criteria. The other options, such as annual pap smear, seasonal flu, and sequential DTAP, are all health maintenance alerts that may appear on clinical decision support systems.
6.
WHAT COULD OCCUR WITHOUT CDSS
Correct Answer
E. ALL THE ABOVE
Explanation
Without a Clinical Decision Support System (CDSS), several negative outcomes could occur. Duplicate orders may be placed, leading to unnecessary tests, treatments, and increased healthcare costs. Medication errors may also occur, such as incorrect dosages or drug interactions, potentially harming patients. Without CDSS, there is a higher risk of wrong diagnosis due to the lack of decision support tools and access to relevant patient data. Lastly, the "I'm the doctor" mentality may prevail, where healthcare professionals rely solely on their own knowledge and experience, without leveraging the benefits of CDSS to enhance their decision-making process.
7.
WHAT CONDITIONS ARE HEALTHCARE WORKERS UNDER WHEN THEY ARE MAKING A DECISION?
Correct Answer
E. ALL THE ABOVE
Explanation
Healthcare workers are under various conditions when making a decision. They experience stress due to the high-pressure nature of their job and the potential consequences of their decisions. They also deal with a lot of data, as they need to analyze and interpret medical information to make informed choices. Additionally, healthcare workers often face uncertainty, as medical situations can be complex and unpredictable. Lastly, they are under scrutiny, as their decisions are often reviewed and evaluated by colleagues, supervisors, and patients. Therefore, all of the above conditions apply to healthcare workers when making a decision.
8.
WHY DO WE NEED CDSS?
Correct Answer
A. HEALTHCARE IS AN EVERCHANGING BODY OF KNOWLEDGE
Explanation
We need CDSS (Clinical Decision Support Systems) because healthcare is an everchanging body of knowledge. With new research, advancements, and updates in medical practices, it becomes crucial to have a system that can provide healthcare professionals with the most up-to-date information and guidelines. CDSS helps healthcare providers make informed decisions by integrating patient data, medical knowledge, and evidence-based guidelines, ultimately improving patient care and outcomes.
9.
HOW CAN NURSE ADMINISTERS POSITIVELY INFLUENCE THE STAFF ABOUT CDSS
Correct Answer
E. 1, 2, & 3 ARE CORRECT
Explanation
The nurse can positively influence the staff about CDSS by involving them in the design process, which allows them to have a sense of ownership and input in the system. Communication is also important as the nurse can effectively communicate the benefits and importance of CDSS to the staff, addressing any concerns or questions they may have. Additionally, providing competencies and training to the staff will ensure they have the necessary skills and knowledge to effectively use CDSS. Firing the laggards, however, is not a positive way to influence the staff and is not recommended.
10.
WHAT ARE THE BENEFITS OF CDSS
Correct Answer
E. ALL ARE CORRECT
Explanation
The statement "ALL ARE CORRECT" suggests that all of the benefits listed in the question (cost savings, increased patient safety, less time going through large amounts of data, and better quality care and outcomes) are valid benefits of CDSS (Clinical Decision Support Systems). CDSS can help in reducing costs by optimizing resource utilization, minimizing errors, and avoiding unnecessary tests or procedures. It can also enhance patient safety by providing alerts and reminders for potential medication errors or adverse reactions. CDSS can save time by organizing and presenting relevant patient data in a concise manner. Ultimately, it can improve the quality of care and outcomes by providing evidence-based recommendations and assisting healthcare providers in making informed decisions.