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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?

A.

The attending physician training the residents should assume the responsibility for this situation.

B.

The HER maintained by the IT department, and their expertise is recommended.

C.

The residents involved should be responsible for reporting how they entered data.

D.

The EHR records all entries' key logs, and these entries can be traced to the initial mistake.

Answer and Explanation

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. Robotics – Robotics can assist in procedures and some clinical tasks, but they do not directly provide evidence-based data for assessments.

B. Artificial intelligence – AI could support radiologists by analyzing imaging data and assisting in interpretations, but AI alone may not provide the structured, evidence-based clinical guidance needed.

C. Evidence-based practice (EBP) – EBP provides structured approaches to applying clinical research to patient care. However, it doesn't directly deliver automated, real-time support to the new radiologists.

D. Clinical decision support – Clinical decision support (CDS) provides real-time guidance based on evidence-based data, assisting radiologists in making accurate assessments by offering relevant clinical information.

Correct Answer is B

Explanation

A. Require a two-factor authentication method when accessing protected health records. – While two-factor authentication improves security, it doesn’t prevent unauthorized browsing of patient records.

B. Require the healthcare provider to document a reason for access prior to granting them entry to a patient's records. – Requiring a documented reason for access would help track and control patient data access, reducing unnecessary or unauthorized views.

C. Implement timed computer screen locks. – Timed locks secure unattended screens but don’t address unauthorized access when logged in.

D. Block Oliver from accessing the electronic health record system. – Blocking Oliver entirely is too restrictive, as he may need access for work-related tasks. Documenting a reason for access is a more balanced approach.

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