Case Analysis Mrs. Jones is an 89-year-old woman who was found on the floor of her home. She states that she got dizzy a

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Case Analysis Mrs. Jones is an 89-year-old woman who was found
on the floor of her home. She states that she got dizzy and sat on
the floor and did not fall. She was brought in for observation and
testing. Dr. Smith reviews the nursing history in the EHR and the
patient’s first assessment. While he is placing orders in the
chart, he is given an electronic alert by the clinical information
system to remind him that he may want to order an MRI of the brain
to rule out a CVA. The alert was prompted by the patient’s
diagnosis, her age, and the patient assessment completed by the
nurse. Dr. Smith cancels the alert because he believes that
observation of the patient and re-evaluation of her in the morning
will suffice. As he walks on the floor the next morning, the nurse
signals to him frantically to come and see Mrs. Jones. It appears
that she has had a major CVA. Dr. Smith knows that this may have
happened with or without Mrs. Jones having had the MRI the day
before, but he is concerned about the ramifications of his
canceling the alert the day before.
1. Dr. Smith canceled that alert because he felt that it was not
clinically necessary. Explain how did the CIS ‘know’ that an MRI of
the brain is/was an appropriate intervention.
2. Describe the potential ramifications for Dr. Smith canceling
the alert.
3. Analyze how other alerts may need to be added to the
electronic record and what they may be.