The attending in charge of several residents in the EHR has noticed inconsistencies in patient metrics. Some examples include abnormally low platelet counts for patients who never received requests for bloodwork.How should the EHR be reviewed to identify the cause?
The attending physician training the residents should assume the responsibility for this situation.
The HER maintained by the IT department, and their expertise is recommended.
The residents involved should be responsible for reporting how they entered data.
The EHR records all entries' key logs, and these entries can be traced to the initial mistake.
The Correct Answer is D
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.
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Correct Answer is C
Explanation
A. Human-resources information system. – This system manages employee data and payroll information, not software updates or database management.
B. Clinical decision support system. – This system provides recommendations based on clinical data but does not track software updates or the status of databases.
C. Quality assurance. – This system is responsible for evaluating the performance and compliance of software and databases, making it suitable for identifying which software has not been updated.
D. Registration and scheduling system. – This system primarily handles patient appointment scheduling and registration and does not provide insights into software updates.
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.