TEST 3 Flashcards
what helps prevent fraud, abuse, and waste in the clinical lab
regulatory compliance
what organization is in charge of inspecting
office of inspector general (OIG)
true or false: medicare will pay for every test your doctor orders
false
how would you classify overcharging or charging for unneeded test
fraud
what law prohibits payment for soliciting testing paid for by federal program
anti-kickback law
what law prohibits knowingly presenting a false claim to the govt
false claims act
what law covers QC, competency, and proficiency
CLIA
what law prevents MDs from having financial interest in lab selection
stark law
what law protects patient confidentiality of healthcare info
HIPAA
what is QA
cost of work/ value
where do most error occur
pre analytical phase
what are the 2 quality philosophies
lean and six sigma
accurate and timely results=
quality patient care
what does quality control ensure
test result accuracy and precision while detecting and eliminating error
accuracy def
how close the tested value is to the real “true” value
precision def
reproducibility of a testing procedure
why is QC so important
results are not going to be reported if they are not accurate
what is the range within which control values must fall for assay to be considered valid
control limits
what is plotted on a Level-Jennings chart
daily control specimen values
what is it called when data points move from one side of the mean to the other (abrupt change)
shift
what is it called when values on the same side of the mean for more than 6 consecutive date points (drift, subtle)
trend
what is the proportion of disease positives that are test- positive, true positives/ total with disease
sensitivity
what is the proportion of disease negatives that are test-negative, true negatives/ total without disease
specificity
what kind of waste goes into the non hazardous waste
anything where you can’t ring out the blood
what kind of waste goes into the biohazardous waste
anything contaminated with dripping blood or body fluids
what kind of waste goes into the sharps
anything that can cut
how full can the sharps container get
3 quarters
what kind of trash does cultures go into
regular trash
______ are chemicals used to kill microorganisms
disinfectants
true or false: you can use disinfectants on skin
false
_____ are chemicals used to inhibit the growth of microorganisms
antiseptics
what is the minimal time for disinfectants to be effective
10 min
define wet times
how long something needs to stay wet for it to be effective
what is a protective barrier between worker and workplace hazard classified as
engineering controls
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
if you get an infection from skin contact what is it called
cutaneous
if you get an infection from injection what is it called
percutaneous
what is designed to stop the spread via direct contact with skin or objects
contact precautions
what is designed for respiratory-spreading diseases
airborne precautions
what is designed to protect from blood borne infections and viruses
droplet precautions
what is designed for patients particularly susceptible to infection
reverse isolation
true or false: if a health care worker is exposed to a blood borne pathogen the pathogenic is not always transmitted
true
study and analysis of the patterns, causes, and effects of health and disease
epidemiology
what bioterrorism category is the highest priority, pose risk to national security
a
what bioterrorism category is the second highest priority
b
what bioterrorism category is the third highest priority
c
what is the standard Clinical labs go by
gold standard
why can’t you do central lab automation in the ER
the machines are too big
what would decrease TAT, cost efficiency, patient convenience, and more responsive care
bringing the test to patient beside
what test is designed to be used at or near where the patient is located
point of care testing
what kind of test does not require permanent dedicated space and performed outside the clinical lab
decentralized test
what kind of test is performed near a patient
localized testing
what problems does point of care testing solve
rising healthcare cost
clinical lab staff shortages
aging and at risk populations
what is the most widely used point of care test
diabetes management
represents the RBC in a volume of whole blood (%)
hematocrit
within RBC
transports O2 to the tissues
hemoglobin
indicates infection
WBC
