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 C
Explanation
A. A nursing department determining staffing levels. – While a gap analysis could theoretically be used to assess staffing needs, it is more commonly applied to evaluate broader strategic gaps rather than specific resource allocation like staffing levels.
B. A nursing director conducting focus group interviews with five nurses. – Focus groups can be part of data collection, but they don’t constitute a full gap analysis, which requires a more structured assessment to compare current versus desired states.
C. A nursing director evaluating needs prior to transitioning to a new EHR. – A gap analysis is used here to assess current system capabilities versus the requirements for the new EHR, helping to identify what resources, training, or systems are needed for the transition.
D. A nursing leader observing nurses as they work. – Observation can inform a gap analysis but, on its own, does not constitute a complete analysis of needs or gaps in the current state versus future requirements.
Correct Answer is D
Explanation
A. Consumer-mediated exchange. – This exchange allows patients to control their own data sharing, not typically used for provider-to-provider data transfer.
B. Clinical decision support. – Clinical decision support provides providers with tools for better decision-making based on patient data but does not manage care summaries or patient selection notifications.
C. Evidence-based practice (EBP). – EBP refers to integrating clinical expertise with the best available evidence but is not a system for transferring care summaries.
D. Directed exchange. – Directed exchange enables secure, direct transmission of care summaries and other health information between providers, making it suitable for notifying specialists and coordinating patient care.