A patient is coughing up blood and has night sweats, fever, chest pain, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis; therefore, she orders a TB blood test Where, within the clinical information system, should the PA request this test to appropriately diagnose and treat the patient?
The clinical decision support system
The electronic documentation section
The physiological monitoring system
The laboratory information system
The Correct Answer is D
A. The clinical decision support system – This system provides decision-making assistance, not a place for ordering or storing lab test results.
B. The electronic documentation section – This is for recording general documentation and notes, not for ordering lab tests.
C. The physiological monitoring system – This system monitors and displays real-time patient vital signs, not lab orders or results.
D. The laboratory information system – The lab information system is the appropriate location to request and manage laboratory tests such as the TB blood test.
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Correct Answer is D
Explanation
A. The radiology information system – This system stores and manages imaging studies, not laboratory tests like a Pap smear.
B. The pharmacy information system – This system is for medication records, unrelated to laboratory test results.
C. The computerized provider order entry system – This system is for entering patient care orders but not for viewing test results.
D. The laboratory information system – Laboratory results, including Pap smear results, are stored here, making it the correct choice.
Correct Answer is A
Explanation
A. Sources such as PubMed. – PubMed is a database of peer-reviewed medical literature, providing access to high-quality research and systematic reviews, often with high levels of evidence.
B. Recommended readings from physicians. – Physician recommendations may vary in quality and are not guaranteed to be based on the highest level of evidence or peer-reviewed sources.
C. Comprehensive searches on Google and other search engines. – These searches yield mixed sources of varying quality and do not necessarily prioritize high-level evidence-based research.
D. Magazine and newspaper articles. – These are typically not peer-reviewed or scientifically rigorous, often intended for the general public rather than professionals, and may not rely on high levels of evidence.