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 C
Explanation
A. Critical care information system. – This system is focused on managing data specific to critical care patients and does not track medication orders broadly.
B. Pharmacy information system. – This system manages medication dispensing and inventory but is not the primary system for identifying errors in the prescription order itself.
C. Computerized provider order entry. – This system is used to enter and manage medication orders, making it ideal for identifying and correcting the erroneous prescription prior to medication delivery.
D. Electronic documentation. – While this system contains patient records, it may not directly facilitate the identification and correction of prescription errors.
Correct Answer is C
Explanation
A. Referring the patient to their primary care physician. – This may be helpful, but it could delay the patient’s ability to make informed decisions about their medication purchase.
B. Communicating with the pharmacy and the patient's primary care physician to acquire the necessary documents. – This could be time-consuming and may not be necessary for over-the-counter medication.
C. Referring the patient to the associated pharmacy agent. – Pharmacy agents are knowledgeable about medications, including over-the-counter options, and can provide immediate guidance on contraindications.
D. Communicating via the patient portal while utilizing the presented allergy data available to assist the patient through the same portal. – While the patient portal can be helpful, it may not provide real-time assistance compared to direct communication with pharmacy staff.