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 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 – These are typically not peer-reviewed or scientifically rigorous, often intended for the general public rather than professionals, and may not rely on high levels of evidence.
Correct Answer is B
Explanation
A. Require a two-factor authentication method when accessing protected health records. – While two-factor authentication improves security, it doesn’t prevent unauthorized browsing of patient records.
B. Require the healthcare provider to document a reason for access prior to granting them entry to a patient's records. – Requiring a documented reason for access would help track and control patient data access, reducing unnecessary or unauthorized views.
C. Implement timed computer screen locks. – Timed locks secure unattended screens but don’t address unauthorized access when logged in.
D. Block Oliver from accessing the electronic health record system. – Blocking Oliver entirely is too restrictive, as he may need access for work-related tasks. Documenting a reason for access is a more balanced approach.