Which term describes a patient needing health care assessment and evaluation for
approximately 24 hours or less?
a. Inpatient
b. Observation
c. Resident
d. Admission
You are a clinical data specialist in an ambulatory care facility that has a newly
implemented electronic health record (EHR). You notice that certain clinicians are
copying and pasting discharge summaries written by others from partner hospitals into
their patients’ records. You are concerned and write an “issues brief” for the next EHR
steering committee. Which of the following points will you include in the issues brief?
a. A definition of copy/paste
b. The benefits and risks of copy/paste
c. Medical record plagiarism
d. a, b, and c