CDS/Order Set Questions for Dr.

Dao’s Lecture:
1. Which of the following is an example of passive CDS? Select all that apply.
a. Limiting vancomycin to oral or IV only
b. Using the CPOE calculator for weight-based dosing
c. Patient-specific inbox messages
d. Pop-up alerts for low creatinine clearance
e. Limiting quetiapine to ER form only
2. Why is it difficult to maintain order sets in an electronic health record system? Select all
that apply.
a. Practice guidelines are consistent so there needs to be consistency checks
b. There are departmental differences in workflows, so order sets are customized
for each department
c. There are not enough resources to maintain
d. Downtime backups of electronic order sets is a challenge
e. It is tough to keep order sets up to date with current clinical practice
3. Why do we need to optimize clinical decision support systems? Select all that apply.
a. We don’t need to optimize clinical decision support systems
b. CDS builds are rarely perfect on the first try
c. 100% of systems are built as active CDS and need constant monitoring
d. Optimization leads to less alert fatigue
e. To improve medication safety.
4. Where does CDS primarily affect the medication process?
a. Ordering
b. Transcription
c. Dispensing
d. Administration
5. What are reasonable strategies to help with the adoption of order set usage? Select all
that apply.
a. Pre-emptive surveys to determine what order sets are needed by providers
b. Running reports to see common orders that are being ordered and see if they
can be grouped together
c. Guessing what we believe may work for the provider without consulting the
provider
d. Reviewing order set requests that come from end users
e. Punishing end users for not using order sets that we create

NiaRx Scavenger Hunt Questions for Kevin Hunt (KH, ID #ca04c)

Case:
6. What is the most recent weight of patient KH?
 200 lbs
7. What Rx Bin does KH belong to?

2B

8. What religion does KH practice?

Jewish

9. Is the patient currently taking Xarelto (Rivaroxaban)?

No, not currently taking

10. What is the patient’s current weekly dose of Warfarin?

40 mg

11. Where was KH’s Zostavax administered?

SC left arm

12. In the Medication Reconciliation encounter, what tab can a list of the patient’s
medications be found?

Patient history (under medications/vaccines)

13. Name one herbal supplements was KH as documented in one of the encounters?

St. John’s Wort

Ephedra

14. What was the lowest INR and what date did KH’s INR drop the lowest?

1.5 (06/15/19)

15. What vaccines has the patient received and the dates administered?

Influenza virus (quadrivalent) – 12/10/19

Zostavax – 09/11/19
Influenza virus (trivalent) – 03/14/19
16. What are some active past medical histories for KH?

High cholesterol
VTE (venous thromboembolism)
High blood pressure
Other mixed anxiety disorders
Unspecified atrial fibrillation
Diabetic foot infection of right foot
Type 2 diabetes mellitus

17. What is the sig. for metformin and what is the diagnosis code used for this medication? Who is
the prescribing doctor?

Sig: take 1 tablet by mouth in morning

Code: E11
Doctor: Insol

18. What is KH's most recent BP and is it controlled?

150/90 (not controlled, stage 2)

19. What is the chief complaint of KH on the most recent visit?

low energy levels, frequently sleepy, memory and cognition problems

20. How often does KH consume alcohol daily?

2-3 beers per night

21. What is the status (active/inactive) of Xarelto and warfarin on KH’s chart?

Xarelto – inactive
Warfarin - active

22. What was KH’s Chief Complaint on his last visit to ER?

trouble walking on his right foot for the past week

foul odor coming from his right sock (diagnosed as deep ulcer)
23. During last KH’s ER visit, what was his random glucose level?

352 mg/dL

24. What is KH’s latest A1C level?

6.5%