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. 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.
Correct Answer is B
Explanation
A. The pharmacy information system – This system tracks medication orders and inventories, not radiology reports.
B. The radiology information system – Radiology images and reports are stored here, making it the correct place to check X-ray results.
C. The laboratory information system – This system stores laboratory test results, not imaging reports.
D. The clinical decision support system – This provides clinical guidelines and decision-making assistance, not storage for imaging results.