A patient has been coughing for several weeks and has chest pain, fever, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis. The PA ordered a chest x-ray earlier that day would like to review the results since appropriate infection control and treatment measures need to be taken if the patient is positive. Where, within the clinical information system, should the PA review the chest x-ray results to verify whether the patient has tuberculosis?
The pharmacy information system
The radiology information system
The laboratory information system
The clinical decision support system
The Correct Answer is B
A. The pharmacy information system – This system tracks medication orders and inventories, not radiology reports.
B. The radiology information system – Radiology images and reports are stored here, making it the correct place to check X-ray results.
C. The laboratory information system – This system stores laboratory test results, not imaging reports.
D. The clinical decision support system – This provides clinical guidelines and decision-making assistance, not storage for imaging results.
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Correct Answer is D
Explanation
A. The attending physician training the residents should assume the responsibility for this situation. – While training is important, responsibility should not solely fall on the attending physician; it's a shared duty among all staff.
B. The EHR maintained by the IT department, and their expertise is recommended. – IT support is valuable, but the clinical staff should also be involved in reviewing the EHR data for clinical relevance.
C. The residents involved should be responsible for reporting how they entered data. – While residents should be accountable for their entries, the issue of systemic inconsistencies goes beyond individual responsibility.
D. The EHR records all entries' key logs, and these entries can be traced to the initial mistake. – This option highlights the importance of auditing the EHR to track errors back to their source, enabling corrective actions to be taken.
Correct Answer is A
Explanation
A. Cochrane Database of Systematic Reviews – The Cochrane Database specializes in systematic reviews and meta-analyses, making it the best source for high-quality evidence on healthcare interventions.
B. PubMed – While PubMed provides access to a broad range of medical research, it doesn’t exclusively focus on systematic reviews and meta-analyses.
C. Google Scholar – Google Scholar is a broad search engine that includes a wide range of academic sources but lacks a specific focus on systematic reviews and meta-analyses.
D. Medline – Medline provides access to a wide range of medical literature but, like PubMed, it is not focused on systematic reviews and meta-analyses.