Journal of AHIMA
Continuing Education Quiz
Quiz ID: Q121831 | HIM Domain Area: Technology | Article—“Unintended Consequences”
REFER TO THE ARTICLE for the one best answer to each question. Questions are based solely on the
content of the article.
1. The AHRQ guide defines unintended
consequences of EHRs as:
;a. catastrophic patient events only
;b. administrative and financial errors
only
;c. unanticipated and undesired
effects
;d. none of the above
7. The guide recommends that
organizations currently using EHRs:
;a. restrict the number of staff who
can report system issues
;b. actively involve clinicians and staff
in the reassessment and ongoing
quality improvement of technology
solutions
;c. seek actions against EHR vendors
to force product improvements
;d. none of the above
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2. Unintended consequences are
primarily—but not always—negative.
;a. true
;b. false
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3. Some of the most common unintended
consequences include:
;a. increased work for clinicians
;b. unfavorable workflow changes
;c. conflicts between electronic and
paper-based systems.
;d. all of the above
8. The Veterans Health Administration’s
Health Care Failure Mode and Effect
Analysis method is an example of a
recommended approach for identifying
risks known as:
;a. system failure identification
;b. error factor identification
;c. error source analysis
;d. root cause analysis
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4. Unintended consequences also can
result in:
;a. unfavorable changes in
communication patterns
;b. negative user emotions
;c. shake ups of the power structure
in an organization
;d. all of the above
5. Unintended consequences can include
an overdependence on technology
that only comes to light when the EHR
system goes down.
;a. true
;b. false
6. Unintended consequences can be
eliminated by selecting certain EHR
products.
;a. true
;b. false
9. A goal of Interactive Sociotechnical
Analysis is to:
;a. reconfigure all users’ practices and
workflows to conform with the EHR
system
;b. reconfigure EHR features to meld
with the realities of how the
system is being used
;c. identify and disable EHR features
that staff are using improperly
;d. none of the above
10. Actions to correct unintended
consequences typically fall into broad
categories, including:
;a. software changes
;b. training for IT staff or end users
;c. care process changes
;d. all of the above
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