And Answers (Graded A+)
purpose of SAFER (Safety Assurance Factors for EHRs Resilience) - ANSWER-identify
safe practices
create a guide for developers and administrators
what is SAFER - ANSWER-nine practices guides:
1. High Priority Practices
2. Organizational Responsibilities
3. Contingency Planning
4. System Configuration
5. System Interfaces
6. Patient Identification
7. Computerized Provider Order Entry with Decision Support
9. Test Results Reporting and Follow-up
10. Clinician Communication
SAFER communication examples - ANSWER-Situation: description of patient status,
reason for visit
Assessment: provider analysis based on patient history, symptom, exam
Findings: specific data points, test results, observations put into EHR
Expectation: treatment plan or next steps for patient
Response: encourage questions and collaboration from other health team members
broad definition of CDS - ANSWER-Process for enhancing health-related decisions and
actions with pertinent, organized clinical knowledge and patient information,
Meant to improve health and healthcare delivery
Five Rights of CDS - ANSWER-- The right information (what)
- To the right people (who)
- Through the right channel (where)
- In the right format (how)
- At the right point or time in workflow (when)
CDS example of: the right information - ANSWER-evidence-based guidance
, response to a clinical need
CDS example of: the right people - ANSWER-entire care team (including patient)
CDS example of: the right channel - ANSWER-EHR
mobile device
patient portal
CPOE
CDS example of: the right format - ANSWER-order set
flow-sheet
dashboard
patient list
guideline
relevant data display
documentation tool
CDS example of: the right point or time in workflow - ANSWER-decision making
actions
common types of CDS - ANSWER-documentation form or template
data presentation
orders
reference information + guidance
smart documentation
reactive alerts + reminders
info buttons
actual examples of CDS - ANSWER-CPOE
E-Rx
EMAR
BC-MAR
6 capabilities of CDS - ANSWER-1. medication dosing
2. order facilitator
3. POC alerts / reminders
4. relevant information display
5. expert systems
6. workflow support
formal benefits of CDS - ANSWER-improved patient safety
improved quality of care
improved efficiency healthcare delivery
informal benefits of CDS - ANSWER-supply clinical information anytime + anywhere
automatic relevant expert advice