Cuestionario vinculado a una guía · duro Nivel

Prueba de apoyo a las decisiones clínicas de IA para médicos

Prueba la diferencia entre CDS predictivo y basado en reglas, por qué se desarrolla la fatiga de alerta y cómo funcionan en la práctica los CDS Hooks y la validación en modo silencioso.

Pregunta 1 de 8

What mainly drives alert fatigue with drug interaction alerts?

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Las respuestas y explicaciones aparecen a medida que realiza el cuestionario.

  1. What mainly drives alert fatigue with drug interaction alerts?
    • Alerts are displayed in too small a font
    • So many alerts are clinically irrelevant that clinicians learn to override them, including the rare important one
    • Pharmacists see the alerts before physicians do
    • Alerts only fire after the order is signed
  2. What did the 2021 University of Michigan external validation of the Epic Sepsis Model find?
    • It detected nearly every sepsis case with few false alarms
    • It worked only on pediatric patients
    • Discrimination was much weaker than advertised (AUC about 0.63), and it missed about two thirds of sepsis cases
    • It was withdrawn by the FDA as an unapproved device
  3. A renal dosing rule suggests a lower dose inside the order without a pop-up. What kind of delivery is that?
    • Passive or non-interruptive delivery
    • An interruptive hard stop
    • A predictive machine learning alert
    • A CDS Hooks patient-view card sent to the patient
  4. In CDS Hooks, what does an external CDS service send back to the EHR?
    • A replacement copy of the patient's chart
    • Billing codes for the encounter
    • A signed prescription
    • Cards that give information, suggest an action or link to a SMART on FHIR app
  5. Why run a predictive model in silent mode before go-live?
    • To measure how well it performs on local patients before any alerts reach clinicians
    • To avoid needing EHR integration
    • To satisfy the five rights framework automatically
    • To train clinicians to ignore it
  6. Which of these is part of the CDS "five rights" framework?
    • The right price
    • The right vendor
    • The right person
    • The right insurer
  7. What kind of CDS did the 21st Century Cures Act mainly exclude from FDA device regulation?
    • All software used in hospitals
    • Any tool built by an EHR vendor
    • Only tools that use machine learning
    • Tools whose basis a clinician can independently review
  8. Which governance metric most directly shows whether an alert is creating noise?
    • The number of FHIR resources in the EHR
    • Override rate together with override reasons
    • Server uptime
    • The alert's color scheme