Exam Room · Part V · The Therapeutic Armory

Clinical Decision Support

Chapter 12 Bedside Questions · 9 questions · about 9 minutes

The clinical picture

CDS as the hospital’s reflexes, a knee jerk that must be calibrated; and alerts as the boy who cried wolf until the listener stopped listening.

What this exam measures

Clinical decision support, operationally: whether your alerts and order guidance are owned, measured, aimed at the dangerous orders, and retired when they stop working. Answer Yes only when someone can produce the evidence today.

The examination

Answer as your executive team would, with the evidence in hand. Each question has a factual answer in a system you already own.

What is your alert override rate, by alert and in aggregate; who reports it and who is accountable?

Add a note: where is the evidence, or who owns it?

Sorted by consequence, what fraction of alert volume fires on orders that could seriously harm vs. could not?

Add a note: where is the evidence, or who owns it?
7 more questions belowThey open when you take the whole exam.

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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.

What is missing is a chartered committee, and a Diagnostician with the authority to turn things off.

The Diagnostician, Chapter 12