.
Patient states low back pain with sciatica is as severe as it was on admission.
Patient moving about very cautiously appears to be in pain.
Adjust pain medication; begin physical therapy tomorrow.
Sciatica unimproved with hot pack therapy.
Prenatal record.
Labor record.
Delivery room record.
Postpartrum record.
Interdisciplinary patient care plan.
Medical history and review of systems.
Interval summary.
Problem list.
Howard, who died within 24 hours after his admission for a second heart attack in 2 weeks.
Jackson, who had no comorbidities or complication during this admission for replacement of a pacemaker battery.
Fieldstone, who was admitted just 15 days following a heart attack for the acute onset of chest pain.
Babson, who delivered a healthy 8-pound boy without complications for either another or child, and was discharged within 36 hours of admission.
Lab report.
Nurses' notes.
Operative report.
Pathology report.
Complications of hypertension.
Comorbidity of the wound infection.
Comorbidity of type 1 diabetes.
Acute appendicitis.
Considered health care business records and are subject to the same regulations as records created in face-to-face patient encounters.
Considered proof of patient contact and should be summarized in a progress note in the patient record.
Generally maintained in a facility's electronic mail system until the next face-to-face patient encounter.
Not typically maintained or documented as patient encounters
Musculoskeletal
Chromosomal
Genitourinary tract
Digestive system
Policy and procedure manual.
Hospital's Quality Management Plan.
Data dictionary.
Hospital bylaws, rules, and regulations.
Tinnitus due to allergic reaction after administration of eardrops
Mental retardation due to intracranial abscess
Rejection of transplanted kidney
Nonfunctioning pacemaker due to defective soldering
Greenstick fracture secondary to fall from a bed
Compression fracture of the skull after being hit with a baseball bat
Vertebral fracture with cord co1npression following a car accident
Compression fracture of the vertebrae as a rest of bone metastasis
A surgical procedure may include one or more surgical operations.
The terms surgical operation and surgical procedure are synonymous.
A surgical operation may include one or more surgical procedures.
The term surgical procedure is an incorrect term and should not be used.
Coumadin intoxication due to years of use
Idiosyncratic reaction to Ariane
Interaction between Aldomet and a vasodilating agent
Reaction between Coumadin and an over-the-counter medication
Cephalic presentation
Eclampsia
Premature rupture of membranes
Single live birth
Congenital defect
Nonunion
Nonhealing fracture
Poisoning
A code for a myocardial infarction.
A code for the patient's symptoms.
A code for an impending myocardial infarction.
No code for this condition.
Refers to the monitoring of incidence and trends associated with a disease.
Is continued medical surveillance of a case.
Is a system for documenting the extent or spread of cancer.
Designates the degree of differentiation of cells.
The patient
A court-appointed guardian on behalf of the patient
The custodial parent of the patient
The patient's doctor on behalf of the patient
Flowchart.
Pareto chart.
Gantt chart.
PERT chart.
Positive correlation between age and length of stay.
Negative correlation between age and length of stay.
Causal relationship between age and length of stay.
Homologous relationship between age and length of stay.
Is 5 in 1,000.
Is 5 in 5,000.
Is 25 in 1,000.
Cannot be determined at this time.
122,275.
125,485.
127,750.
The answer cannot be calculated with the information provided.
Cardinal data.
Nominal data.
Ordinal data.
Continuous data.
94
95
96
97
Waiting time in the Pediatrics Clinic.
Patient satisfaction with the food.
Delays in scheduling elective surgical procedures.
Medication errors and their causes.
Bar chart
Panel histogram
Stacked bar graph
Pareto chart
Prevalence of chronic heart disease in Sun City.
Incidence of chronic heart disease in Sun City.
Reliability of reporting chronic heart disease in Sun City.
Occurrence of chronic heart disease in Sun City.
Audit controls
Entity authentication
Chain-of-trust partner agreements
Workstation use and location
Nothing, until consent can be obtained from the nearest relative.
The another can be treated under implied consent but not the child.
The hospital should quickly seek a court-appointed guardian for the child.
Both patients can be treated under implied consent.
Comply with the request immediately.
Contact the patient's attending physician before complying.
Ignore the request and advise you if it is repeated.
Ask the patient to send the required fee prior to the release.
Do not honor because the authorization is invalid.
Contact the patient to get permission to respond.
Contact the attending physician for permission to respond.
Honor the authorization since the patient obviously approves of the release.
Electronic document management system
Clinical data repository system
CPOE system
Speech recognition system
Audit controls
Evidence of security awareness training
Surge protectors
Workstation use and location
inform the young man that specific reports must be identified in his request.
Send the records as requested.
Send a letter informing him that faxed requests are not accepted.
Deny the request.
Code only the primary neoplasm as the principal diagnosis.
The primary neoplasm is coded as the principal diagnosis, and the secondary neoplasm is coded as an additional diagnosis.
The secondary neoplasm is coded as the principal diagnosis, and the primary neoplasm is coded as an additional diagnosis.
Code only the secondary neoplasm as the principal diagnosis.
LOINC
PACS
EDMS
CPOE
Percutaneous.
Incisional.
Excisional.
Punch.
Review of systems.
History of present illness.
Chief complaint.
Vital signs.
Stability of the data.
Validity of the data.
Legitimacy of the data.
Reliability of the data.
Edits.
Reasonableness.
Dictionary.
Feasibility.
Require all facility employees to change their passwords at least once a month.
Write detailed procedures for the entry of data into the computerized information system.
Install a system that would require fingerprint scanning and recognition for data access.
Develop clear policies on data security that are supported by the top management of the facility.
Application system.
Clinical decision support system.
Ordering system.
Practice parameters system.
Consistent formatting of each page of each form.
Capturing every data item required by CIHI.
Giving each form or view an identifiable name, number, and revision date.
Providing instructions when necessary for appropriate data fields.
Entity-relationship model
Object-oriented model
Data management model
Relational data model
Planning
Organizing
Controlling
Budgeting
Implement your QI process.
Make recommendations for improvement.
Improve your department's processes.
Compare your department with another.
Design phase.
Implementation phase.
Operation and maintenance phase.
Obsolescence or decline phase.
Data dictionary guidelines.
Health Level 7 standards.
Regional Health Authority guidelines.
CIHI.
REB
RFI
RFP.
CHI
Tracking changes in the EHR system.
Establishing access controls for individual employees.
Creating audit trails.
Identifying who created a document and when.
Quiz Review Timeline +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
Wait!
Here's an interesting quiz for you.