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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?

A.

Responsible, Accountable, Consulted, and informed (RACI) Checklist

B.

Workflow analysis

C.

Gantt chart

D.

Fishbone diagram

Answer and Explanation

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 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. 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.

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