Tips: For main issue questions, focus on the opening problem statement.

Why the other options are wrong:

• Whether to close the emergency department during flu season.: Avoiding emergency in the proposed pilot does not mean closing the emergency department.
• Whether to merge two Calgary hospitals into one facility.: No merger of hospitals is proposed.
• Whether to hire more doctors for the Calgary hospital.: Temporary coverage and training time are discussed; a decision to recruit doctors is not proposed.

Correct Answer: Their unit is already short-staffed, and adding a new system before flu season is risky.

Why this is correct: The person in the centre says they are short-staffed and worried about training during regular shifts. Adding a new system before flu season compounds those staffing pressures.

Tips: When asked about emphasis, notice what the speaker repeats.

Why the other options are wrong:

• They believe digital systems are unreliable in general.: General disbelief in digital systems is not the concern.
• The software has not been tested anywhere yet.: An Edmonton pilot has occurred, so no testing anywhere is not the claim.
• They think the province should cancel the project entirely.: The person in the centre seeks a manageable approach rather than total cancellation.

Correct Answer: The software has been tested and its integration works.

Why this is correct: The person on the right says the software is solid, has been tested and integrates properly; the main obstacle is the human side rather than technology.

Tips: For an evidence question, check each option against the facts the speaker actually states.

Why the other options are wrong:

• Doctors at the Calgary site have already approved the system.: Doctor approval at Calgary is not the evidence stated.
• The system was developed by a local Calgary company.: Development by a Calgary company is not the evidence stated.
• Other provinces have made the system mandatory.: Mandates in other provinces are not the evidence stated.

Correct Answer: Training sessions are scheduled during regular shifts, which adds to workload concerns.

Why this is correct: The person in the centre says they are short-staffed and worried about training during regular shifts. Training pulls people off the floor, increasing the workload pressure.

Tips: Listen for when the training would take place.

Why the other options are wrong:

• They believe no training is needed because the system is simple.: The person in the centre clearly discusses a training schedule rather than claiming no training is needed.
• They think training should happen only on weekends.: Weekend-only training is not the current schedule stated.
• Training has been cancelled due to lack of interest.: Training cancellation is not reported.

Correct Answer: Delaying everything might mean losing the provincial funding attached to this fiscal year.

Why this is correct: The person on the right warns that delaying the entire project would lose provincial funding tied to the current fiscal year, motivating a limited pilot.

Tips: When asked why, listen for words like but and if, which often introduce a reason.

Why the other options are wrong:

• They want to test the system exclusively in the emergency department.: Emergency-only testing conflicts with the supported non-emergency pilot.
• They believe the software needs to be redesigned first.: The person on the right says the software is ready rather than needing redesign.
• They think only senior doctors should use the system.: Senior-doctor-only use is not proposed.

Correct Answer: Temporary coverage or paid training time.

Why this is correct: The person in the centre cannot commit hospital-wide unless temporary coverage or paid training time protects already stretched nurses.

Tips: Listen for words like unless, which show what a speaker needs before agreeing.

Why the other options are wrong:

• New hardware in every department before any training.: New hardware in every department is not the staffing safeguard.
• Permanent nursing increases in every department.: Permanent staffing increases are not required; temporary coverage or paid time are the stated alternatives.
• Doctors taking over intake tasks during the rollout.: Doctors taking over intake is not proposed.

Correct Answer: A formal privacy audit to comply with health information regulations.

Why this is correct: The person on the right asks for a formal privacy audit before any patient data goes live, stressing careful data handling.

Tips: Conditions often follow words like if or provided that.

Why the other options are wrong:

• A public consultation with Calgary residents.: A public consultation is not the requirement.
• Written approval from every patient in the hospital.: Every patient's written approval is not the requirement stated.
• A complete replacement of all existing hospital computers.: Replacing all computers is not the requirement stated.

Correct Answer: Plan a two-department pilot outside emergency with hands-on IT support during the first few weeks.

Why this is correct: A two-department pilot receives conditional support: emergency should be excluded and hands-on IT support should be available at first. A privacy audit is also requested before patient data goes live.

Tips: Read a conditional reply and the following qualifications together before treating a pilot as fully approved.

Why the other options are wrong:

• Request a new software system from a different vendor.: Replacing the software vendor is not proposed; the software is described as tested and technically sound.
• Cancel the digital system and continue using paper forms.: Cancelling the digital system in favour of paper forms is not the supported pilot approach.
• Roll out the system hospital-wide immediately.: They do not plan full implementation now. The support is for a limited two-department approach, with conditions still attached.