The aspect of effective health data that this record is missing is accurate information. The patient's statement about being allergic to penicillin contradicts the record that states 'None' under allergies, indicating that the information is not accurate or up-to-date.
Gabe is finishing his examination of a patient whose x-ray revealed a bad case of pneumonia. He is explaining to his patient that he is going to prescribe penicillin to get rid of the bacteria that is causing the pneumonia. The patient tells Gabe that they are allergic to penicillin. He looks at their medical record again. Their information has been clearly entered by the technician and PA. The record contains the patient’s medical history, current medications, chief complaint, and vital signs. Under allergies, the record says, ‘None.’ What aspect of effective health data is this record missing?
(1 point)
Responses
accurate information
accurate information
precision of details
precision of details
quality of writing
quality of writing
authority of author
1 answer