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 D
Explanation
A. Risk-management system. – This system focuses on identifying and mitigating risks in healthcare but does not provide discharge timing information.
B. Electronic documentation. – While it contains patient information, it does not directly provide an overview of discharge timing unless explicitly documented by staff.
C. Financial system. – This system manages billing and financial data but does not track or provide information on patient discharge timelines.
D. Admission/discharge/transfer system. – This system manages patient flow, including admissions, discharges, and transfers, and would provide the most accurate and up-to-date information regarding the anticipated discharge time for a patient.
Correct Answer is D
Explanation
A. Users would make fewer errors since the software is intended to support ease of use. – This may be true to some extent; however, reliance on software can also lead to other types of errors.
B. None, this platform would make visits faster. – This is misleading; while it may make visits faster, there can still be errors related to over-reliance on the system.
C. None, however, this platform would increase visit times. – This statement contradicts the nature of the EHR system designed to improve efficiency; hence, it is not a correct assertion.
D. Users could become reliant on the new platform due to its ease and may become prone to errors despite the improved speed of visits. – This acknowledges that while the system may reduce calculation errors, users may neglect critical thinking skills, leading to potential errors in other areas of patient care.