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 D
Explanation
A. Risk-management system. – This system focuses on identifying and mitigating risks in healthcare but does not provide discharge timing information.
B. Electronic documentation. – While it contains patient information, it does not directly provide an overview of discharge timing unless explicitly documented by staff.
C. Financial system. – This system manages billing and financial data but does not track or provide information on patient discharge timelines.
D. Admission/discharge/transfer system. – This system manages patient flow, including admissions, discharges, and transfers, and would provide the most accurate and up-to-date information regarding the anticipated discharge time for a patient.
Correct Answer is B
Explanation
A. Pharmacy information system. – This system manages medications and inventory in the pharmacy but is unrelated to imaging or radiology.
B. Radiology-information system. – This system organizes, tracks, and manages radiology-related data, including scheduling and reports, which would be useful for locating misplaced MRI scans.
C. Laboratory-information system. – This system manages lab test data, such as bloodwork or pathology, but is unrelated to imaging studies like MRI.
D. Picture archiving and communication system. – While this system stores and allows access to imaging files (like MRIs), it does not manage radiology workflows, making the Radiology Information System (RIS) the more suitable choice.