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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 A

Explanation

A. Clinical decision support – Clinical decision support (CDS) systems offer real-time alerts that can flag critical issues and help reduce errors by providing tiered warnings based on severity.

B. Evidence-based practice (EBP) – EBP supports care decisions based on research but doesn’t provide active alerts for order entries.

C. Robotics – Robotics don’t generate alerts or assist with diagnosis and treatment errors.

D. Artificial intelligence – AI can help in data processing but lacks the specific alert system functionality needed for real-time order entry verification.

Correct Answer is D

Explanation

A. Registration and scheduling system. – This system is primarily focused on managing patient appointments and scheduling, not employee payroll.

B. Laboratory-information system. – This system manages laboratory data and operations, such as specimen tracking and test results, and does not deal with payroll.

C. Admission/discharge/transfer system. – This system is related to patient management (admissions, discharges, transfers) and does not handle payroll matters.

D. Human-resources information system. – This system is specifically designed to manage employee information, including payroll, benefits, and staffing.

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