Western View Hospital is launching a new electronic health record system. Until now, the hospital kept hard copies of all health records. Since this transition to an electronic format would impact many areas of the hospital, the facility has decided to assign tasks to each department for evaluating how to most effectively transition to adoption of the new electronic system.Which quality improvement tool should the hospital use to approach launching the new electronic record system?
Responsible, Accountable, Consulted, and informed (RACI) Checklist
Workflow analysis
Gantt chart
Fishbone diagram
The Correct Answer is A
A. Responsible, Accountable, Consulted, and Informed (RACI) Checklist – The RACI Checklist clarifies responsibilities, making it ideal for assigning and tracking tasks among departments during complex projects like EHR implementation.
B. Workflow analysis – Workflow analysis is useful for understanding and improving processes but does not specifically assign responsibilities in the transition process.
C. Gantt chart – A Gantt chart helps schedule project timelines but doesn’t clarify the specific roles and responsibilities of each team or department.
D. Fishbone diagram – Fishbone diagrams identify potential causes of a problem, not the assignment of responsibilities in a transition plan.
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Correct Answer is B
Explanation
A. Artificial intelligence – AI can analyze data but does not resolve issues related to the storage, transfer, and protection of patient records.
B. An electronic health record – An electronic health record (EHR) system centralizes patient data, making it accessible across different departments or locations and less prone to physical damage or loss.
C. Evidence-based practice (EBP) – EBP provides a framework for clinical decisions but does not offer a solution for data storage and accessibility.
D. Robotics – Robotics might assist with certain physical tasks, but they do not offer a method for electronic data management and accessibility.
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.