RHIA practice questions, page 5 of 73, with answer review and explanations.
Question 21
As your acute care facility moves toward the adoption of an HER, your planning committee is trying to prioritize systems that will contribnute to patient safety. Your physicians have indicated readiness to enter data directly into the HER, and they acknowledge the need for decision support regarding drug dosages and contraindications. You think they are ready for a
computer-output-to-laser-disk system.
electronic medication administration record system.
electronic document management system.
computerized provider order-entry system.
Question 22
You have been asked by a peer review committee to print a list of the medical record numbers of all patients who had CABGs performed in the past year at your acute care hospital. Which secondary data source could be used to quickly gather this information?
disease index.
physician index.
master patient index.
operation index.
Question 23
The best example of point-of-care service and documentation is
using an automated tracking system to locate a record.
using occurrence screens to identify adverse events.
doctors using voice recognition systems to dictate radiology reports.
nurses using bedside terminals to record vital signs.
Question 24
Many of the principles of forms design apply to both paper-based and computer-based systems. For example, the physical layout of the form and/or screen should be organized to match the way the information is requested. Facilities that are scanning and imaging paper records as part of a computer-based system must give careful consideration to
placement of hospital logo.
signature line for authentication.
use of box design.
bar code placement.
Question 25
Which of the following is a form or view that is typically seen in the health record of a long-term care patient, but is rarely seen in records of a acute care patients?