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 A
Explanation
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.
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.