Fielder Medical Center is very unhappy with the electronic health record system that it currently has in place. The nurses and healthcare staff are constantly complaining that the system freezes up and crashes consistently, which seems to be due to the size of the facility causing the system to become overload regularly. The representatives of the electronic health record system stated that a test was run to assess the response rates prior to the launch However, it was done during the weekend when the staff were placing the lightest load on the system.
Which test should have been done to ensure that speed and performance would not become degraded or overloaded to support the large medical center's capacity fully?
Load testing
Security testing
System testing
Graphical user interface testing
The Correct Answer is A
A. Load testing – Load testing evaluates system performance under various levels of usage to determine if it can handle high traffic and data volume, making it ideal for a large facility.
B. Security testing – Security testing evaluates data protection measures but does not assess performance under load.
C. System testing – System testing examines the overall functionality of the EHR but does not specifically test for performance under high usage.
D. Graphical user interface testing – GUI testing checks the usability and visual aspects of the software interface but does not assess system speed or capacity under load conditions.
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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. The hospital should program the computers to require two-factor authentication when logging in to the protected health information system. – Two-factor authentication strengthens security by requiring an additional form of verification. However, it doesn't directly prevent the issue of leaving accounts logged in or saving passwords.
B. The hospital should install anti-virus software on all the computers. – Anti-virus software protects against malware but does not address issues related to account security or auto-login risks.
C. The hospital should program the computers to automatically log each employee in and out of the protected health information system. – Automatically logging users in and out sounds efficient but could create privacy issues if left unattended.
D. The hospital should remove the option to allow employees to save their login credentials on all the computers. – Disabling the option to save login credentials would prevent the next user from accessing a previous user’s account, directly addressing the issue of unintended access when one user leaves a station.