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. Consumer-mediated exchange. – This exchange allows patients to control their own data sharing, not typically used for provider-to-provider data transfer.
B. Clinical decision support. – Clinical decision support provides providers with tools for better decision-making based on patient data but does not manage care summaries or patient selection notifications.
C. Evidence-based practice (EBP). – EBP refers to integrating clinical expertise with the best available evidence but is not a system for transferring care summaries.
D. Directed exchange. – Directed exchange enables secure, direct transmission of care summaries and other health information between providers, making it suitable for notifying specialists and coordinating patient care.
Correct Answer is B
Explanation
A. By utilizing its hospital Wi-Fi. – While hospital Wi-Fi is generally secure, relying solely on it does not guarantee protection from potential security risks.
B. By utilizing public Wi-Fi that is encrypted and enabling a VPN. – This option provides an extra layer of security by encrypting the data and protecting the patient’s information from unauthorized access while using public networks.
C. By utilizing public Wi-Fi and using a browser capable of blocking cookies. – Blocking cookies does not significantly enhance security for accessing sensitive health information and can hinder the functionality of some websites.
D. By utilizing public Wi-Fi that is encrypted. – While this provides some security, it is better to use a VPN alongside encrypted public Wi-Fi for enhanced protection against potential threats.