TEST 3 Flashcards

(57 cards)

1
Q

what helps prevent fraud, abuse, and waste in the clinical lab

A

regulatory compliance

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2
Q

what organization is in charge of inspecting

A

office of inspector general (OIG)

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3
Q

true or false: medicare will pay for every test your doctor orders

A

false

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4
Q

how would you classify overcharging or charging for unneeded test

A

fraud

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5
Q

what law prohibits payment for soliciting testing paid for by federal program

A

anti-kickback law

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6
Q

what law prohibits knowingly presenting a false claim to the govt

A

false claims act

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7
Q

what law covers QC, competency, and proficiency

A

CLIA

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8
Q

what law prevents MDs from having financial interest in lab selection

A

stark law

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9
Q

what law protects patient confidentiality of healthcare info

A

HIPAA

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10
Q

what is QA

A

cost of work/ value

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11
Q

where do most error occur

A

pre analytical phase

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12
Q

what are the 2 quality philosophies

A

lean and six sigma

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13
Q

accurate and timely results=

A

quality patient care

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14
Q

what does quality control ensure

A

test result accuracy and precision while detecting and eliminating error

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15
Q

accuracy def

A

how close the tested value is to the real “true” value

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16
Q

precision def

A

reproducibility of a testing procedure

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17
Q

why is QC so important

A

results are not going to be reported if they are not accurate

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18
Q

what is the range within which control values must fall for assay to be considered valid

A

control limits

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19
Q

what is plotted on a Level-Jennings chart

A

daily control specimen values

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20
Q

what is it called when data points move from one side of the mean to the other (abrupt change)

A

shift

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21
Q

what is it called when values on the same side of the mean for more than 6 consecutive date points (drift, subtle)

A

trend

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22
Q

what is the proportion of disease positives that are test- positive, true positives/ total with disease

A

sensitivity

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23
Q

what is the proportion of disease negatives that are test-negative, true negatives/ total without disease

24
Q

what kind of waste goes into the non hazardous waste

A

anything where you can’t ring out the blood

25
what kind of waste goes into the biohazardous waste
anything contaminated with dripping blood or body fluids
26
what kind of waste goes into the sharps
anything that can cut
27
how full can the sharps container get
3 quarters
28
what kind of trash does cultures go into
regular trash
29
______ are chemicals used to kill microorganisms
disinfectants
30
true or false: you can use disinfectants on skin
false
31
_____ are chemicals used to inhibit the growth of microorganisms
antiseptics
32
what is the minimal time for disinfectants to be effective
10 min
33
define wet times
how long something needs to stay wet for it to be effective
34
what is a protective barrier between worker and workplace hazard classified as
engineering controls
35
what are the steps you should take if you are exposed to a blood borne pathogen
immediate first aid report and document the incident to supervisor medical evaluation and treatment
36
if you get an infection from skin contact what is it called
cutaneous
37
if you get an infection from injection what is it called
percutaneous
38
what is designed to stop the spread via direct contact with skin or objects
contact precautions
39
what is designed for respiratory-spreading diseases
airborne precautions
40
what is designed to protect from blood borne infections and viruses
droplet precautions
41
what is designed for patients particularly susceptible to infection
reverse isolation
42
true or false: if a health care worker is exposed to a blood borne pathogen the pathogenic is not always transmitted
true
43
study and analysis of the patterns, causes, and effects of health and disease
epidemiology
44
what bioterrorism category is the highest priority, pose risk to national security
a
45
what bioterrorism category is the second highest priority
b
46
what bioterrorism category is the third highest priority
c
47
what is the standard Clinical labs go by
gold standard
48
why can't you do central lab automation in the ER
the machines are too big
49
what would decrease TAT, cost efficiency, patient convenience, and more responsive care
bringing the test to patient beside
50
what test is designed to be used at or near where the patient is located
point of care testing
51
what kind of test does not require permanent dedicated space and performed outside the clinical lab
decentralized test
52
what kind of test is performed near a patient
localized testing
53
what problems does point of care testing solve
rising healthcare cost clinical lab staff shortages aging and at risk populations
54
what is the most widely used point of care test
diabetes management
55
represents the RBC in a volume of whole blood (%)
hematocrit
56
within RBC | transports O2 to the tissues
hemoglobin
57
indicates infection
WBC