Exam 2

Question 1

FMEA

Answer 1

Failure mode and effects analysis

Question 2

NPSG

Answer 2

National Patient Safety Goals

Question 3

SI/IS

Answer 3

Severity of illness/ Intensity of service

Question 4

CPOE

Answer 4

Computerized provider order entry

Question 5

HEDIS

Answer 5

Healthcare Effectiveness Data and Information Set

Question 6

MAR

Answer 6

Medication administration record

Question 7

SARS

Answer 7

Severe Acute Respiratory Syndrome

Question 8

MDRO

Answer 8

Multiple Drug Resistant Organisms

Question 9

MDS

Answer 9

Minimum Data Set

Question 10

P4P

Answer 10

Pay for Performance

Question 11

CDC

Answer 11

Centers for disease control and prevention

Question 12

RCA

Answer 12

Root cause analysis

Question 13

HAI

Answer 13

Healthcare associated infection

Question 14

NCQA

Answer 14

National committee for quality assurance

Question 15

Case Management

Answer 15

The principal process by which healthcare organizations optimize the continuum care for their patients

Question 16

CAI

Answer 16

Community associated infection

Question 17

Critical Pathways

Answer 17

A multidisciplinary outline of anticipated care within an appropriate time frame to aid a patient in moving progressively through a clinical experience that ends in a positive outcome. the case manager identifies, in conjunction with the treatment team, the actions to be taken when the patients care is not proceeding optimally.

Question 18

Indicator

Answer 18

A performance measure that healthcare organizations use to monitor the outcomes of a process, also called a criterion.

Question 19

4 Core Processes

Answer 19

• Assessing the patient’s needs
• Planning care, treatment, and services
• Providing care, treatment, and services
• Coordinating care, treatment, and services

Question 20

National Patient Safety Goals

Answer 20

• Identify patient correctly
• Improve staff communication
• Use medicines safely
• Use alarms safely
• Prevent mistakes in surgery
• Prevent infection
• Prevent patients from falling (long-term care)
• Prevent bed sores (long-term care)
• Identify patient safety risks

Question 21

Healthcare associated VS Community associated

Answer 21

HAI- infection occurring in a patient in a hospital or healthcare setting in whom the infection was not present or incubating at the time of admission, or it is the remainder of an infection acquired during a previous admission.

CAI- infection that was present in the patient before he or she was admitted to a healthcare facility.

Question 22

Cause and effect/fishbone diagram

Answer 22

This technique structures the root-cause inquiry and ensures that the investigators examine the situation from all perspectives

4 M’s- manpower, material, machinery, and methods

Question 23

Risk management function and goals

Answer 23

The risk manager leads the development of risk management policies and procedures for the organization. The risk manager also helps the organization define and prioritize its own self-assessed risk factors for the population it serves.

Question 24

Incidence and occurrence reports

Answer 24

identify and respond to adverse events.

Never referred to . Written in progress note.

Question 25

Sentinel Event

Answer 25

Joint Commission adopted. 45 days to report root cause analysis. Can result in death, permanent harm, or server temporary harm

Examples- suicide of pt receiving care, discharge of infant to wrong family, unanticipated death of full-term infant, rape, assault of pt receiving care.

Question 26

How does root cause analysis (RCA) differ from failure mode and effect analysis (FMEA)

Answer 26

• Root cause analysis is a reactive or retrospective tool

* FMEA or FMECA is a proactive or prospective tool useful in analyzing potential problems

Question 27

Difference between- administration, prescribing, dispensing, plus monitoring and evaluating

Answer 27

Administer-To instill a drug into a body of a patient

Prescribe-To issue a medical prescription for a patient

Dispense-To deliver controlled substances in some type of bottle, box, or other container to a patient

Plus monitoring- Monitoring the effects of medications on patients helps ensure that medication therapy is appropriate, and minimizes the occurrence of an ADE.

Evaluate- The key to an effective medication management system is having mechanisms for reporting potential and actual medication-related errors and a process to improve patient safety based on this information.

Question 28

Five rights

Answer 28

right patient, right drug, right dose, right route, and right time

Question 29

Adverse drug event VS medication error

Answer 29

a pt injury resulting from a medication, either because of a pharmacological reaction to a normal dose or because of a preventable adverse reaction to a drug resulting from an error

a mistake that involves an accidental drug overdose, administration of an incorrect substance accidental consumption of a drug , or misuse of a drug or biological during a medical or surgical procedure.

Question 30

Formulary

Answer 30

The list of drugs approved for use in the healthcare organization is generally referred to formulary

Question 31

Drug pedigree

Answer 31

requiring manufactures , wholesalers, repackagers, and pharmacies to maintain a record of the chain of custody of a drug as it moves through the supply chain from the manufacturer to the pharmacy

Question 32

Know the difference between accreditation, licensure, and certification.

Answer 32

•Accreditation
oThe act of granting approval to a healthcare organization

•Licensure
oThe act of granting a healthcare organization or an individual healthcare provider permission to provide services of a defined scope in a limited geographical area

•Certification
oGrants approval for a healthcare organization to provide services to a specific group of beneficiaries

Question 33

Tracer methodology

Answer 33

Process surveyors use during the on-site survey to analyze an organization’s systems, with particular attention to identified priority focus areas, by following individual patients through the organization’s healthcare process in the sequence experienced by the patients.

Question 34

Compliance

Answer 34

is the process of meeting a prescribed set of standards or regulations to maintain active accreditation, licensure, or certification status.

Question 35

Basics of JC Accreditation manual handout

Answer 35

Chapters- standards- Eps elements of perform

Data collection
Data analysis
Performance improvement