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. Responsible, Accountable, Consulted, and Informed (RACI) Checklist – The RACI Checklist clarifies responsibilities, making it ideal for assigning and tracking tasks among departments during complex projects like EHR implementation.
B. Workflow analysis – Workflow analysis is useful for understanding and improving processes but does not specifically assign responsibilities in the transition process.
C. Gantt chart – A Gantt chart helps schedule project timelines but doesn’t clarify the specific roles and responsibilities of each team or department.
D. Fishbone diagram – Fishbone diagrams identify potential causes of a problem, not the assignment of responsibilities in a transition plan.
Correct Answer is A
Explanation
A. Patient portals are designed to contain the same information available to the primary care provider. – Patient portals do contain much of the same information available to the primary care provider, such as test results, medication lists, and visit summaries. This can help the patient better understand their treatment plan and clarify any instructions given by the physician.
B. Patient portals are designed to display metrics and qualifications similar to an electronic health record (EHR). This patient can refer to their portal to make sense of the plan. – While portals do provide access to health information, they are not primarily for understanding treatment plans without context or explanation.
C. Patient portals typically do not contain sensitive information that the patient can access. – This is incorrect; patient portals often contain sensitive health information, including treatment instructions and medical history.
D. Patient portals are the same as an electronic health record (EHR), and the patient can alter the course of their treatment plan if they choose. – This is incorrect; while portals provide access to EHR information, patients cannot typically alter their treatment plans directly through the portal.