A nurse is creating a list of challenges that nurses experience when using electronic charting. Which of the following should the nurse include?

Decreased amount of paperwork

Increased number of medication errors

Less time for direct client care

Provides evidence of care provided

Answer and Explanation

The Correct Answer is C

The correct answer is: c. Less time for direct client care

Choice A: Decreased amount of paperwork

Reason: One of the advantages of electronic charting is that it significantly reduces the amount of paperwork. Traditional paper records require extensive manual documentation, which can be time-consuming and prone to errors. Electronic systems streamline this process, making it easier to input and retrieve patient information. Therefore, decreased paperwork is a benefit, not a challenge.

Choice B: Increased number of medication errors

Reason: Electronic charting systems are designed to reduce medication errors by providing features such as electronic prescribing, automated alerts for potential drug interactions, and barcode scanning for medication administration. These systems help ensure that the right medication is given to the right patient at the right time, thereby decreasing the likelihood of errors. Hence, increased medication errors are not typically associated with electronic charting.

Choice C: Less time for direct client care

Reason: One of the significant challenges of electronic charting is that it can be time-consuming, requiring nurses to spend a considerable amount of time on documentation. This can reduce the time available for direct patient care. Nurses often report that the demands of electronic documentation can detract from their ability to engage with patients, perform assessments, and provide hands-on care.

Choice D: Provides evidence of care provided

Reason: Providing evidence of care is a benefit of electronic charting, not a challenge. Electronic health records (EHRs) create a detailed and accurate record of the care provided, which can be easily accessed and reviewed. This documentation is crucial for legal, regulatory, and quality improvement purposes. Therefore, this option does not represent a challenge.

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Correct Answer is A

Explanation

Choice A reason: Telephone number is an acceptable identifier to use to identify the client. According to the Safety and Quality Improvement Guide Standard 5: Patient Identification and Procedure Matching, telephone number is one of the approved patient identifiers that can be used to reliably identify the individual as the person for whom the service or treatment is intended. Telephone number is a person specific identifier that is unlikely to be shared by another client.
Choice B reason: Room number is not an acceptable identifier to use to identify the client. According to the Safety and Quality Improvement Guide Standard 5: Patient Identification and Procedure Matching, room number is not an example of a unique patient identifier. Room number is not a person specific identifier, but a location specific identifier that can change or be assigned to another client.
Choice C reason: Medical condition is not an acceptable identifier to use to identify the client. According to the Safety and Quality Improvement Guide Standard 5: Patient Identification and Procedure Matching, medical condition is not an example of a unique patient identifier. Medical condition is not a person specific identifier, but a health specific identifier that can be common or vague among different clients.
Choice D reason: Home address is not an acceptable identifier to use to identify the client. According to the Safety and Quality Improvement Guide Standard 5: Patient Identification and Procedure Matching, home address is not an example of a unique patient identifier. Home address is not a person specific identifier, but a place specific identifier that can be shared or changed by the client.

A. TJC is a for profit organization. B. TJC is an organization that monitors insurance claims. C. TJC provides licensure for health care providers. D. TJC provides accreditation to facilities.

Correct Answer is D

Explanation

Choice A reason: This statement is false and should not be included in the educational session. TJC is not a for profit organization, but rather an independent, not-for-profit organization that accredits and certifies more than 21,000 health care organizations and programs in the United States.

Choice B reason: This statement is false and should not be included in the educational session. TJC is not an organization that monitors insurance claims, but rather an organization that evaluates health care organizations and inspires them to excel in providing safe and effective care of the highest quality and value.

Choice C reason: This statement is false and should not be included in the educational session. TJC does not provide licensure for health care providers, but rather accreditation and certification for health care organizations and programs. Licensure is the process by which a governmental authority grants permission to individuals or entities to engage in a regulated activity or profession.

Choice D reason: This statement is true and should be included in the educational session. TJC provides accreditation to facilities, which is a voluntary process that involves an external review of an organization's compliance with certain standards and criteria. Accreditation is recognized nationwide as a symbol of quality that reflects an organization's commitment to meeting certain performance standards.

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