QUESTION: 53

An example of a primary data source for health care statistics other than the patient health record is the

disease index.
accession register.
MPI.
hospital census.

Answer(s): D

In the computerization of forms, good screen view design, along with the options of alerts and alarms, makes it easier to ensure that all essential data items have been captured. One essential item to be captured on the physical exam is the

objective survey of body systems.
chief complaint.
family history.
subjective review of systems.

Answer(s): A

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QUESTION: 55

During a retrospective review of Rose Hunter's inpatient health record, the health information clerk notes that on day four of hospitalization there was missed dose of insulin.
What type of review is this clerk performing?

utilization review.
quantitative review.
legal review.
qualitative review.

Answer(s): D

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QUESTION: 56

Which of the following is least likely to be identified by the deficiency analysis clerk?

missing discharge summary
needs for physician authentication of two verbal orders
discrepancy between post-op diagnosis by the surgeon and pathology diagnosis by the pathologist
x-ray report charted on the wrong record

Answer(s): C

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QUESTION: 53

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QUESTION: 56