Question

16. You decide to base the evaluation plan of your informatics project on the theory of planned behavior. Which constructs will you use to develop your measurements?

	a.	Habit, normative expectations, beliefs about resources, and overall prior knowledge
	b.	Values, expectations of others, behaviors, and perceived self-efficacy
	c.	Values, normative expectations, others’ beliefs, and overall prior knowledge
	d.	Values, beliefs about self-efficacy, normative beliefs, and intrinsic motivation

17. A(n) ________ is considered the gold standard research design for answering questions about the efficacy of treatments.

1. 	a.	PBE
   	b.	RCT
   	c.	NQMC
   	d.	TeamSTEPP

18. Which example best describes knowledge base content?

1. 	a.	The most recent lab results for current inpatients
   	b.	Patient contact information
   	c.	Standard admission order sets based on presenting problems
   	d.	Organizational structure of a healthcare enterprise

19. You are leading an effort to implement a clinical decision support system. In order to improve the patient specificity of your CDS rules, you would:

1. 	a.	store rules in a knowledge base and allow clinician experts to review and update the rules.
   	b.	make sure that rules cannot be changed once they are implemented.
   	c.	give the results of the rules directly to the patient.
   	d.	ensure that the rules were written in the most up-to-date programming language available.

20. Your organization hires you to conduct a formative evaluation of a new informatics intervention. Which areas would you focus on in a formative evaluation?

1. 	a.	Intervention fidelity, implementation quality, and types of personnel
   	b.	Cost, patient safety, and patient outcomes
   	c.	Errors, change in provider decision making, and cost
   	d.	Unintended outcomes, delays in implementation, and cost

Answer 1

16 b) Values, expectations of others, behaviors, and perceived self-efficacy

The theory of planned behavior focuses on the ability to predict intentions and behavior as a function of beliefs about the value of an outcome, the likelihood that the outcome will occur given the behavior, beliefs about the expectations of others, and self-efficacy beliefs about the personal ability to engage in the activity.

17 b) RCT

An experimental design often called a “randomized controlled trial (RCT),” has emerged as the gold standard research design for answering questions about the efficacy of treatments.

18 c) Standard admission order sets based on presenting problems

19 a) store rules in a knowledge base and allow clinician experts to review and update the rules.

In order to improve CDS rules, you would store rules in a knowledge base and allow clinician experts to review and update the rules. The other choices do not address patient specificity; allowing experts to update rules and make the rules immediately available to the CDS can improve patient specificity.

20 a)intervention fidelity, implementation quality, and types of personnel

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