Exam Room · Part I · The Presenting Illness

The Chief Complaint, History, and Physical

Chapter 1 Bedside Questions · 8 questions · about 8 minutes

The clinical picture

The chief complaint and the history and physical: the degraded clinical encounter is the presenting symptom, and no one took the history or examined the patient before prescribing technology.

What this exam measures

The chief complaint, operationally: whether your technology decisions start from a clinical question, and whether anyone owns what they do to care, safety and revenue. Answer Yes only when someone can produce the evidence today.

The examination

Answer as your executive team would, with the evidence in hand. Each question has a factual answer in a system you already own.

Does your organization require a documented clinical priority before any technology feature is activated or configured?

Add a note: where is the evidence, or who owns it?

Who governs clinical technology decisions? Is it a physician with formal informatics training and explicit authority to stop, modify, or require a deployment?

Add a note: where is the evidence, or who owns it?
6 more questions belowThey open when you take the whole exam.

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Add a note: where is the evidence, or who owns it?

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Add a note: where is the evidence, or who owns it?

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Add a note: where is the evidence, or who owns it?

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Add a note: where is the evidence, or who owns it?

A reflection tool from the book, not a validated diagnostic test or benchmark. Your answers and notes stay in this browser and in your own report, and go to Dr. Powell only if you chose that when you started. Please don't enter patient information.

The instrument is already bought. The missing link costs a fraction of that.

The Diagnostician, Chapter 1