The attending in charge of several residents in the EHR has noticed inconsistencies in patient metrics. Some examples include abnormally low platelet counts for patients who never received requests for bloodwork
How should the EHR be reviewed to identify the cause?
The attending physician training the residents should assume the responsibility for this situation.
The HER maintained by the IT department, and their expertise is recommended.
The residents involved should be responsible for reporting how they entered data.
The EHR records all entries' key logs, and these entries can be traced to the initial mistake.
The Correct Answer is D
A. The attending physician training the residents should assume the responsibility for this situation. – While training is important, responsibility should not solely fall on the attending physician; it's a shared duty among all staff.
B. The EHR maintained by the IT department, and their expertise is recommended. – IT support is valuable, but the clinical staff should also be involved in reviewing the EHR data for clinical relevance.
C. The residents involved should be responsible for reporting how they entered data. – While residents should be accountable for their entries, the issue of systemic inconsistencies goes beyond individual responsibility.
D. The EHR records all entries' key logs, and these entries can be traced to the initial mistake. – This option highlights the importance of auditing the EHR to track errors back to their source, enabling corrective actions to be taken.
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Related Questions
Correct Answer is D
Explanation
A. Physiological monitoring system. – This system primarily focuses on real-time data from patients but does not integrate data from other clinical information systems for decision-making.
B. Electronic documentation. – While useful for record-keeping, electronic documentation systems do not necessarily support clinical decision-making by synthesizing data from multiple sources.
C. Anesthesia information management system. – This system is specialized for anesthesia-related data but does not broadly enhance decision-making across multiple clinical information systems.
D. Clinical decision support system. – This system is specifically designed to integrate data from various clinical information systems to provide evidence-based recommendations and support clinical decision-making.
Correct Answer is A
Explanation
A. Sources such as PubMed. – PubMed is a database of peer-reviewed medical literature, providing access to high-quality research and systematic reviews, often with high levels of evidence.
B. Recommended readings from physicians. – Physician recommendations may vary in quality and are not guaranteed to be based on the highest level of evidence or peer-reviewed sources.
C. Comprehensive searches on Google and other search engines. – These searches yield mixed sources of varying quality and do not necessarily prioritize high-level evidence-based research.
D. Magazine and newspaper articles. – These are typically not peer-reviewed or scientifically rigorous, often intended for the general public rather than professionals, and may not rely on high levels of evidence.
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