RISK MANAGEMENT

Question 1

Purpose of Risk Management

Answer 1

striving toward the prevention of medical malpractice and associated legal actions.

Question 2

Goal of Risk Management

Answer 2

To promote the safe delivery of quality patient care, thereby minimizing preventable injuries and accidents and reducing financial loss.

Question 3

Similarities Risk management vs Quality improvement

Answer 3

Both minimize liability exposure while maximizing the quality of patient care.
Both overlap on their focus on patient safety

Question 4

Differences:Risk management vs Quality improvement

Answer 4

Risk management programs are focused on reducing liability exposure
Quality improvement programs goal is to maintain and improve the quality of patient care

Question 5

Risk management

Answer 5

Cite reasonable concerns over future litigation
Go to efforts to protect information
Conduct and in-depth investigation

Question 6

ESRD

Answer 6

ASA 4

Question 7

Risk management programs are focused on

Answer 7

reducing the liability exposure of the organization.

Question 8

focus for quality improvement programs on the other hand, is to

Answer 8

maintain and improve the quality of patient care.

Question 9

A “Code 15” Report must be filed with the agency

within

Answer 9

15 calendar days of the occurrence of any of the

following adverse incidents:

Question 10

The Joint Commission requires that organizations conduct a root-cause analysis to identify contributing factors within

Answer 10

45 days of a sentinel event or becoming aware of the event.

Question 11

The 3 key factors in the prevention of patient injury are

AVU

Answer 11

vigilance
Up-to-date knowledge, and
Adequate monitoring.

Question 12

Vigilance
Monitor -----
Detection -----
re-assessment
OR awareness

Answer 12

Monitor VS
Detection of changes
Pre-assessment
OR awareness

Question 13

Adequate monitoring

Answer 13

Use appropriate monitors

Question 14

Uptodate Knowledge

Answer 14

ASA and AANA website yearly for any changes in standards

Expert witnesses will certainly hold any practitioner to the ASA standards.

Question 15

Identify and analyze loss exposures

Consider alternative risk management solutions

Answer 15

Risk management processes

Question 16

Look for trends and opportunities for process improvement; Recommend best practices

Answer 16

Risk management processes

Question 17

Implement and educate new processes

Monitor and improve the risk management program

Answer 17

Risk management processes

Question 18

Joint Commission requires to conduct a root-cause analysis to identify contributing factors within

Answer 18

For sentinel event

Question 19

For sentinel event, a

Answer 19

Root cause analysis should be conducted

Question 20

Retention of a foreign object after surgery is

Answer 20

Sentinel event

Question 21

Unexpected death suicide of any individual receiving care

Answer 21

Sentinel event

Question 22

Code 15 pertains to

Answer 22

Ambulatory surgical centers

Question 23

Code 15 required by the Florida

Answer 23

Agency for Health Care Administration

Question 24

Wrong site or procedures, surgery medically unneccessary, surgical repair that leads to damage

Answer 24

Code 15

Question 25

Aspects relevant to liability exposures

Answer 25

Prevention of patient injury
Adherence to standards of care
Documentation
Patient relations

Question 26

Keep Record

Answer 26

Accurate and as neat as possible

Question 27

Document neatly
_______Administered
______and times
Only used ________

Answer 27

Fluid and blood products
Doses
approved abbreviations

Question 28

Can be damaging to the defense

Answer 28

Sloppy and inacurate records

Question 29

Unacceptable abbreviations

Answer 29

Write subq
D/C write discharge
Do not use decimals
Write morphine sulfate, magnesium sulfate

Question 30

Elements of a consent

Answer 30

Understand anesthetics risk involved
risks discussed , of proposed anesthetic plan
Reason for change of plan should be documented.

Question 31

What do do after an adverse event?

Answer 31

Attend to patient’s safety and well being
Remove medical equipment
Notify management about the incident

Question 32

THE CRNA should document

Answer 32

In a narrative form in the patient’s PROGRESS NOTES ASAP

Question 33

The CRNA should document all the following

Answer 33

What happened
Drugs used
Time sequence
Who was present

Question 34

After incident RCA and action plan submitted to

Answer 34

JCAHO within 45 days

Question 35

Record of incident in RCA should be

Answer 35

consistent with other records (OR, recovery room, and cardiac arrest records) , If documents do not agree RED FLAG.

Question 36

Record should never

Answer 36

be altered after the fact

Question 37

If error is made

Answer 37

Draw a line through the error , leaving it legible , the correction should be initialed and timed

Question 38

Litigation is

Answer 38

Lengthy (years may passed before it is presented to a jury)

Question 39

If complications occur, the CRNA should be ____

Answer 39

Honest

Question 40

Express regret about the outcome and

Answer 40

GIVE A FORMAL APOLOGY

Question 41

Be familiar with state law some mandate disclosure of serious events to

Answer 41

Patients: Florida Chapter 395. Some prohibit use of disclosure discussions as evidence in malpractice litigation

Question 42

DNR/Advanced directives

Answer 42

May be general or specific

Clarify intentions and document in patient’s chart

Question 43

Jehovah’s witness believe

Answer 43

Transfusion is a moral sin with no possibility of salvation

Question 44

Provider may

Answer 44

Decline to provide care if he feels this limits their ability to provide optimal care for the patient

Question 45

Parents of a child may

Answer 45

NOT LEGALLY prevent that child from receiving blood

Question 46

Acts of sexual abuse nature committed for the gratification of anyone, upon, or in the presence of a vulnerable adult, without the vulnerable adult’s informed consent

Answer 46

Sexual abuse

Question 47

HIPAA and year

Answer 47

Health insurance Portability and Accountability act in 1996

Question 48

Violations

Answer 48

250,000 fine and 10 years imprisonment

Question 49

Risk managment is creating a

Answer 49

Culture of safety and promoting continual improvement in prevention of adverse outcomes