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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 D

Explanation

A. Quality-assurance. – This system evaluates performance and compliance but does not manage the direct entry of patient data into the EHR.

B. Computerized provider order entry. – This system allows providers to enter orders for tests and medications but is not primarily for uploading vital signs or laboratory results.

C. Results-reporting. – This system focuses on reporting laboratory results but does not handle the initial entry of vitals and results into the EHR.

D. Electronic documentation. – This system is designed for entering and managing patient data, including vital signs and laboratory results, directly into the EHR.

Correct Answer is C

Explanation

A. A smartphone-connected rhythm monitoring device. – Rhythm monitoring devices focus on cardiac rhythms and do not collect comprehensive gut data.

B. A wearable sensor. – Wearable sensors typically monitor external metrics (like heart rate, steps) rather than internal metrics such as gut contents.

C. An ingestible sensor. – Ingestible sensors are designed to collect data on internal conditions, such as gut contents, and can communicate this information to smartphones for both patient and physician access.

D. A lab-on-a-chip. – Lab-on-a-chip technology typically involves small laboratory functions on a microchip but is not necessarily designed for continuous monitoring in the body.

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