A patient was mistakenly prescribed a higher dosage of benzodiazepines than intended, because of a copy-pasting error. Having identified this mistake prior to the delivery of their medication, which information system should be used to identify the order?
Critical care information system
Pharmacy information system
Computerized provider order entry
Electronic documentation
The Correct Answer is C
A. Critical care information system. – This system is focused on managing data specific to critical care patients and does not track medication orders broadly.
B. Pharmacy information system. – This system manages medication dispensing and inventory but is not the primary system for identifying errors in the prescription order itself.
C. Computerized provider order entry. – This system is used to enter and manage medication orders, making it ideal for identifying and correcting the erroneous prescription prior to medication delivery.
D. Electronic documentation. – While this system contains patient records, it may not directly facilitate the identification and correction of prescription errors.
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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 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.