HEALTHCARE QUALITY IMPROVEMENT
AND RISK MANAGEMENT 2026/2027
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
CHAPTER 1
The Joint Commission Standards - correct answer-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 - correct answer-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 - correct answer-uncertainty about future events that may
threaten the safety of patients, assets (people, property,
financial, and goodwill), and reputation of providers
Risk management process - correct answer-1. Risk
Identification
2. Risk Analysis
3. Risk control/treatment
4. Risk financing
Risk identification - correct answer-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 - correct answer-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 - correct answer-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 - correct answer--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 - correct answer-techniques that provide for the
funding of losses
-self insurance, commercial insurance, captive
, Risk Management activities - correct answer--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 - correct answer-structural damage, car
accidents, technological obsolescence, theft, sabotage,
production breakdown, and consequential losses
Casualty/liability risks - correct answer-Professional negligence
(PCEs and adverse patient occurrences), worker's
compensation, directors and officers liability, environmental
liability, and product liability
AND RISK MANAGEMENT 2026/2027
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
CHAPTER 1
The Joint Commission Standards - correct answer-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 - correct answer-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 - correct answer-uncertainty about future events that may
threaten the safety of patients, assets (people, property,
financial, and goodwill), and reputation of providers
Risk management process - correct answer-1. Risk
Identification
2. Risk Analysis
3. Risk control/treatment
4. Risk financing
Risk identification - correct answer-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 - correct answer-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 - correct answer-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 - correct answer--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 - correct answer-techniques that provide for the
funding of losses
-self insurance, commercial insurance, captive
, Risk Management activities - correct answer--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 - correct answer-structural damage, car
accidents, technological obsolescence, theft, sabotage,
production breakdown, and consequential losses
Casualty/liability risks - correct answer-Professional negligence
(PCEs and adverse patient occurrences), worker's
compensation, directors and officers liability, environmental
liability, and product liability
