Risk Management

Question 1

A lack of ______ occurs in 79% of malpractice claims

Answer 1

vigilance

Question 2

The most common precipitating factor for malpractice claims

Answer 2

Respiratory events

Question 3

3 lessons learned from closed claims themes (2018)

Answer 3

Effective communication is vital

Not all patients are suitable for surgery in remote or office-based locations

Difficult airways can be encountered at any point in the perioperative period

Question 4

This is vital between the OR team

Answer 4

communication

Question 5

One of the most important aspects to uphold in order to prevent anesthetic mishaps

Answer 5

Vigilance

Question 6

Very important to obtain and review pre op

Answer 6

patient health info/co-morbities/etc

Question 7

The inability to _____/______ is one of the most feared complication in anesthesiology.

Answer 7

intubate/ventilate

Question 8

Questionairre for OSA assessment pre op

Answer 8

STOP-BANG
Snore
Tired during the day
Observed apnea
Pressure high (blood pressure)
BMI > 35
Age > 50
Neck circumference > 40 cm
Gender (male?)

Question 9

Patients at risk for opiate-induced respiratory depression include:

Answer 9

OSA, advanced age, prematurity, significant cardiac/pulmonary/renal disease.

Question 10

claims of nerve injury are decreasing r/t _____ _______, but increasing secondary to _______ ______/______ and pain management

Answer 10

neuraxial anesthesia
regional anesthesia/analgesia

Question 11

Vision loss most often affiliated with _____ and _____ surgery.

Answer 11

spine and cardiac

Question 12

In all cases, must prevent ______ abrasions

Answer 12

corneal

Question 13

15% of lawsuits with 64% associated with death and 21% with brain damage

Answer 13

MACE (Major adverse cardiac events)

Question 14

If a patient is currently taking a B-blocker, _______ perioperatively

Answer 14

continue

Question 15

Awareness under anesthesia estimated 0.15-1%, associated with _____, ______ and ______ anesthesia

Answer 15

OB
Cardiac
Trauma

Question 16

Most common injury from anesthesia

Answer 16

dental injury

Question 17

Consult provider regarding _________ therapy

Answer 17

anticoagulant

Question 18

Anesthetic risk _______ with age

Answer 18

increases

Question 19

Males are at a _____ risk than females during anesthesia

Answer 19

increased

Question 20

Why does risk increase with age?

Answer 20

co-morbities

Question 21

The key factors in the prevention of patient injury are: (there are 3)

Answer 21

vigilance,
adequate monitoring,
and up-to-date knowledge

Question 22

What is the P4P concept?

Answer 22

Pay for performance. Patients pay for the quality of care they recieve

Question 23

_____ takes a systems approach to identifying and improving quality of care

Answer 23

CQI (continuous quality improvement)

Question 24

~ __,____ patients may die from medical errors in hospitals

Answer 24

98,000

Question 25

Lack of _____, ______ and _________ lead to medical errors

Answer 25

vigilance, communication, failure to check

Question 26

The _____ _____ ____ ______ is a nationwide information system that theoretically allows licensing boards and hospitals a means of detecting adverse information about providers.

Answer 26

National Practitioner Data Bank (NPDB)

Question 27

Risk estimates are presumed to enable _____ and _____ decision making, make appropriate choices

Answer 27

better
shared

Question 28

Risk estimates may be incorporated into algorithms to guide appropriate choices based on _______ __________

Answer 28

preoperative investigations