Case Analysis Jones Explained for Students (Easy Guide)
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Original Question
Case Analysis Mrs. Jones is an 89-year-old woman who was found on the floor of her home. She states that she got dizzy and sat on the floor and did not fall. She was brought in for observation and testing. Dr. Smith reviews the nursing history in the EHR and the patient’s first assessment. While he is placing orders in the chart, he is given an electronic alert by the clinical information system to remind him that he may want to order an MRI of the brain to rule out a CVA. The alert was prompted by the patient’s diagnosis, her age, and the patient assessment completed by the nurse. Dr. Smith cancels the alert because he believes that observation of the patient and reevaluation of her in the morning will suffice. As he walks on the floor the next morning, the nurse signals to him frantically to come and see Mrs. Jones. It appears that she has had a major CVA. Dr. Smith knows that this may have happened with or without Mrs. Jones having had the MRI the day before, but he is concerned about the ramifications of his canceling the alert the day before. Dr. Smith canceled that alert because he felt that it was not clinically necessary. Explain how did the CIS ‘know’ that an MRI of the brain is/was an appropriate intervention. Describe the potential ramifications for Dr. Smith canceling the alert. Analyze how other alerts may need to be added to the electronic record and what they may be. Activity Outcomes 1. Describe a clinical information system (CIS) and administrative information systems including use for knowledge generation, quality assurance and clinical outcome measurement, evidence-based practice, and translational research. 2. Analyze and evaluate information critically and competently.
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