. It is determined that a patient's latest EHR entry is missing notes on associated pathology results. Which system should be used to identify the time specific results for the associated visit?
Laboratory-information system
Patient acuity/staff scheduling
Radiology-information system
Results-reporting
The Correct Answer is A
A. Laboratory-information system. – This system manages all laboratory data, including pathology results, and can provide time-specific results for the patient’s visit.
B. Patient acuity/staff scheduling. – This system focuses on managing staff assignments and patient care levels but does not provide laboratory result details.
C. Radiology-information system. – This system manages imaging and radiology data but is not relevant for pathology results.
D. Results-reporting. – While this system reports results, it may not have the specific time-related context needed to link the results directly to the patient’s visit.
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View Related questions
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 C
Explanation
A. Anesthesia record – This is not relevant for COPD care planning as it pertains to surgical procedures rather than respiratory conditions.
B. Intake and output record – While this record can provide useful information, it does not specifically address the management of chronic obstructive pulmonary disease.
C. Complete health history – A complete health history includes information on the patient’s past and current health status, which is crucial for planning appropriate care for COPD management.
D. Radiology report – Although radiology reports can provide useful diagnostic information, the complete health history offers a broader view necessary for comprehensive care planning.