Clinical Technology Decisions
Chapter 9 Bedside Questions · 9 questions · about 9 minutes
The unlicensed prescriber and scope of practice: an administrator giving a pain medication produces a flinch at the bedside, but no one flinches when an analyst configures an order set. Medicine solved this with scope of practice; clinical technology has none.
Clinical technology decisions, operationally: who decides alert logic, order set defaults, documentation design and AI use every day, and whether a qualified clinical leader owns those decisions. Answer Yes only when someone can produce the evidence today.
Answer as your executive team would, with the evidence in hand. Each question has a factual answer in a system you already own.
For your top ten CDS rules, name the clinical leader (a person, not a committee) who approved the current configuration.
Add a note: where is the evidence, or who owns it?
Who chose the defaults in your three highest-volume order sets, and when were they last reviewed against evidence?
Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
A reflection tool from the book, not a validated diagnostic test or benchmark. Your answers and notes stay in this browser and in your own report, and go to Dr. Powell only if you chose that when you started. Please don't enter patient information.
We are arguing over a rounding error while the patient bleeds to death.
The Diagnostician, Chapter 9