Kedis ku xidhan hagaha · Adag Heerka

Taageerada Go'aanka Kiliinikada AI ee Kediska Dhakhaatiirta

Wuxuu tijaabiyaa faraqa u dhexeeya qaanuunka ku saleysan iyo CDS-ka saadaalinta, sababta daalka feejignaanta u kobcayo, iyo sida CDS Hooks iyo ansaxinta habka aamusnaanta ay ugu shaqeeyaan ficil ahaan.

Su'aal 1 ee 8

Maxaa inta badan keena daalka feejignaanta digniinaha isdhexgalka daroogada?

Horudhac su'aal kasta8 su'aalo

Jawaabaha iyo sharraxaadaha waxay soo baxayaan markaad qaadanayso kediska.

  1. Maxaa inta badan keena daalka feejignaanta digniinaha isdhexgalka daroogada?
    • 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. Maxay heshay ansaxinta dibadeed ee Jaamacadda Michigan ee 2021 ee Epic Sepsis Model?
    • 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    • It was withdrawn by the FDA as an unapproved device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. Xeerka qiyaasta kelyaha ayaa soo jeedinaya qiyaas hoose oo amarka dhexdiisa ah iyada oo aan la soo qaadin. Waa maxay nooca dhalmada?
    • 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. Gudaha CDS Hooks, muxuu adeegga CDS ee dibadda dib ugu soo celiyaa 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. Maxay tahay sababta u socodsiiso moodel saadaasha qaabka aamusnaanta ka hor inta aanad toos u bixin?
    • 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