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. Human-resources information systems. – This system focuses on employee management and does not specifically evaluate data validity or performance across other systems.
B. Clinical decision support system. – This system aids in clinical decision-making by providing evidence-based recommendations but does not evaluate the overall performance of data and systems.
C. Registration and scheduling system. – This system is primarily for managing patient appointments and does not assess the validity or performance of other systems.
D. Quality assurance system. – This system is dedicated to evaluating and ensuring the quality and performance of healthcare services and data, making it the appropriate choice.
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.