HEALTHCARE QUALITY IMPROVEMENT AND
RISK MANAGEMENT ACTUAL 2026 QUESTIONS
AND VERIFIED ANSWERS
Save
Terms in this set (180)
The Joint Commission Standards 1. providing leadership
2. improving organizational performance
3. information management
4. patient's rights
-quality of care and legal responsibilities to do
no harm
Risk Management an organized effort to identify, assess, and
reduce, where appropriate, risks to patients,
visitors, staff, and organizational assets
-a program designed to reduce the incidence of
preventable accidents and injuries to minimize
the financial loss to the institution should an injury
or accident occurr
risk uncertainty about future events that may threaten
the safety of patients, assets (people, property,
financial, and goodwill), and reputation of
providers
,Risk management process 1. Risk Identification
2. Risk Analysis
3. Risk control/treatment
4. Risk financing
Risk identification the collection of information about current and
past patient care occurrences and other events
that represent potential loss to the institution
-examples: antitrust violation, breach of contract,
casualty exposure, defamation, embezzlement,
environmental damage, fraud and abuse, general
liability, hazard substance exposure, professional
malpractice, security violations, transportation
liability, and worker's compensation
Risk Analysis evaluation of past experience and current
exposure to eliminate or limit substantially the
impact of risk on cash flow, community image,
and employee and medical staff morale
Risk Control/Treatment Organization's response to significant risk areas,
as well as its effort to limit the liability associated
with incidents that have occurred.
-bodily injuries
-liability losses
-property loss
-consequential losses
, Risk Control Techniques -risk acceptance: organization doesn't purchase
insurance because risk is unavoidable, reduced,
or transferred
-exposure avoidance: lose service, personnel or
equipment that will make risk likely
-loss prevention: training in areas where there are
high loss
-loss reduction: lowers risk due to proper
documentation
-exposure segregation: narrow down to where
the loss is happening
-contractual transfer: contract out services and
the other organization will accept the liability
Risk Financing techniques that provide for the funding of losses
-self insurance, commercial insurance, captive
Risk Management activities -American Society of Healthcare Risk
Management (ASHRM)
-educated and trained on risks
-given all access to data
-risk manager designation
-organization has to be committed
-system for identifying, reviewing, and analyzing
adverse outcomes
-necessary resources given
-share and integrate data program activities
-evaluate risk management
Property risks structural damage, car accidents, technological
obsolescence, theft, sabotage, production
breakdown, and consequential losses
Casualty/liability risks Professional negligence (PCEs and adverse
patient occurrences), worker's compensation,
directors and officers liability, environmental
liability, and product liability
RISK MANAGEMENT ACTUAL 2026 QUESTIONS
AND VERIFIED ANSWERS
Save
Terms in this set (180)
The Joint Commission Standards 1. providing leadership
2. improving organizational performance
3. information management
4. patient's rights
-quality of care and legal responsibilities to do
no harm
Risk Management an organized effort to identify, assess, and
reduce, where appropriate, risks to patients,
visitors, staff, and organizational assets
-a program designed to reduce the incidence of
preventable accidents and injuries to minimize
the financial loss to the institution should an injury
or accident occurr
risk uncertainty about future events that may threaten
the safety of patients, assets (people, property,
financial, and goodwill), and reputation of
providers
,Risk management process 1. Risk Identification
2. Risk Analysis
3. Risk control/treatment
4. Risk financing
Risk identification the collection of information about current and
past patient care occurrences and other events
that represent potential loss to the institution
-examples: antitrust violation, breach of contract,
casualty exposure, defamation, embezzlement,
environmental damage, fraud and abuse, general
liability, hazard substance exposure, professional
malpractice, security violations, transportation
liability, and worker's compensation
Risk Analysis evaluation of past experience and current
exposure to eliminate or limit substantially the
impact of risk on cash flow, community image,
and employee and medical staff morale
Risk Control/Treatment Organization's response to significant risk areas,
as well as its effort to limit the liability associated
with incidents that have occurred.
-bodily injuries
-liability losses
-property loss
-consequential losses
, Risk Control Techniques -risk acceptance: organization doesn't purchase
insurance because risk is unavoidable, reduced,
or transferred
-exposure avoidance: lose service, personnel or
equipment that will make risk likely
-loss prevention: training in areas where there are
high loss
-loss reduction: lowers risk due to proper
documentation
-exposure segregation: narrow down to where
the loss is happening
-contractual transfer: contract out services and
the other organization will accept the liability
Risk Financing techniques that provide for the funding of losses
-self insurance, commercial insurance, captive
Risk Management activities -American Society of Healthcare Risk
Management (ASHRM)
-educated and trained on risks
-given all access to data
-risk manager designation
-organization has to be committed
-system for identifying, reviewing, and analyzing
adverse outcomes
-necessary resources given
-share and integrate data program activities
-evaluate risk management
Property risks structural damage, car accidents, technological
obsolescence, theft, sabotage, production
breakdown, and consequential losses
Casualty/liability risks Professional negligence (PCEs and adverse
patient occurrences), worker's compensation,
directors and officers liability, environmental
liability, and product liability
