Risk Management Exam| 455Verified
Questions and Answers| 100% Correct|
Rated A+
States differ in their requirements for reporting adverse events or incidents. - -TRUE
-Exposure avoidance is the elimination of services that may cause losses. - -TRUE
-Occurrence Reporting method yields the highest percentage of reportable incidents. - -
FALSE
-Risk Management and Quality Assurance are 2 concepts that are mutually exclusive. - -
FALSE
-Incident or occurrence reports are a method of risk __________: - -b. Identification
-Adequate insurance coverage is an example of risk __________. - -a. Financing
-Continuous collection of information to search for liability risks is an example of risk
__________. - -b. Identification
-Quality Assurance and Risk Management: - -a. Have a close relationship and overlap in
several areas
-Risk Management tools are - -a. Incident, and occurrence reporting, along with
occurrence screening
-List 2 of the 'Red Flag' areas and describe what Risk Managers should watch out for in
each. - --Treatment Conditions: poor treatment results, repetition of the problem, lack of
follow-up care, and equipment malfunction.
-Conduct of staff: acting outside the scope of training, lack of qualified supervision,
performance of a procedure for the first time without supervision, outspoken or rude
behavior, personality conflict, and poor physician-staff relationship.
-Best Interest is the ethical standard which applies to individual who never had decision-
making capacity. - -a. TRUE
-Autonomy is the obligation to do good for patients (or at least no harm). - -a. FALSE
-Almost every organization of healthcare professionals has a code of ethics which details
the values, duties and responsibilities of their profession. - -a. TRUE
-The concept of justice means that people should be treated in an equitable or fair fashion.
- -a. TRUE
, -The process in which a patient is given all the information needed to allow them to make
a decision on medical care is called - -c. Informed consent
-Substituted judgment is used when - -b. Someone previously with capacity for decision-
making has lost that capacity
-A living will is: - -c. A & B
-Define Advanced Directives and discuss the difference between Living Will and Durable
Power of Attorney for Healthcare. - -a. Advanced Directives can make substituted
judgements much easier to achieve. This includes living wills, health care proxies, and
durable powers of attorney for health care. Living wills often contain what the patient
would not want, and there is some difficulty because they are often not specific to the
situation at hand. Durable Power of Attorney for Health care allows for the designation of
a surrogate decision maker, who is able to discuss the pros and cons of specific
interventions.
-Ethics committees are usually interdisciplinary. - -a. TRUE
-There is a single model for every ethics committee. - -a. FALSE
-A standard is a statement concerning proper procedures taken in a given situation. - -a.
TRUE
-Medicare is a state-run program so each state sets its standards for reimbursement. - -a.
FALSE
-EMTALA is a state mandate that requires healthcare providers to take care of certain
emergency patients until they are stabilized. - -a. FALSE
-The Federal mandate that requires healthcare providers to offer a safe work environment
for their staff is - -b. OSHA
-The federal mandate that ensures the continuity of healthcare coverage for persons
changing jobs is: - -c. HIPAA
-Written guidelines to ensure that everyone follows the same specific procedure in a given
clinical or administrative situation are called ____________ standards. - -c. Explicit
-Which is NOT a type of standard?
a. Explicit or Implicit
b. National or local
c. Validated or consensual
d. Used or ingnored
e. Periodically updated or static - -d. All of the above are types of standards
-Which of the following categories are not potential hazards found in hospitals? - -c.
Hydrostatic
, -Describe a patient grievance procedure. - -a. All patients are required to be given the
Patient's Bill of Rights within four hours of admission to the hospital, breastfeeding
mothers are required to be given the Mother's Bill of Rights in some states. Informed
consent is required for medical treatment and informed consent for surgical and invasive
procedures to be given to the physician of record. In the event that a patient refuses
treatment, a physician may treat the patient to save his or her life. Patients also have the
right of privacy, the right to receive treatment information in their primary language, and
the right to non-discrimination.
-Define and discuss false claims. - -a. A false claim can be made by anyone who
"knowingly" submits or causes the submission of a false or fraudulent claim to the United
States. Anti-fraud activities of the federal government under the regulations of the False
Claims Act range from audits of hospitals, nursing homes, medical care organizations, and
practicing health professionals to targeted medical care claims.
-Physicians are all held to the same standard of the skill and knowledge regardless of their
specialty. - -a. FALSE
-Two physicians jointly participating in the diagnosis and treatment of a patient are liable
for each other's negligent actions. - -a. TRUE
-With some exceptions, the statutory period is deferred during the infancy of a minor
patient and starts to run only on the patient's 20th birthday. - -a. FALSE
-Slander is defamatory words in a written or printed statement. - -a. FALSE
-Term denoting nonconsensual, unlawful or wrongful physical constraint or touching. - -b.
Battery
-The 4 requirements of Negligence do not include: - -d. Health care worker must be an
employee of the facility
-Respondeat superior means - -a. The employer is responsible for the wrongful acts of its
employees
-Discuss the difference between Respondeat Superior and Ostensible Agency. - -a.
Respondeat Superior states that the employer is liable for the actions of their employees,
whereas ostensible agency is implemented in cases of independent contractors, in which
the physician themselves would be held liable for wrong doing.
-Describe the difference between Compensatory damage and Punitive damage. - -a.
Compensatory damage awards cover economic losses for past and future medical and
supportive care, or past and future loss of earnings resulting from physical impairment.
Punitive damage awards more than usual compensatory damages reflect gross negligence
or deliberate wrongful intent.
-Define Res Ipsa Loquitur and the 4 elements that a plaintiff must demonstrate. - -a. Res
Ipsa Loquitur means "the thing speaks for itself." The four elements a plaintiff must
demonstrate are: The injury would not ordinarily occur in the absence of negligence, the
injury was caused by the actions or instrumentality within the exclusive control of the
, defendant, the injury was not due to any action on the part of the plaintiff, and the evidence
surrounding the circumstances relating to or concerning the injury was mostly within the
control of the defendant.
-'Employment at Will' states that the employer can terminate an employee for any or no
reason. - -TRUE
-People with HIV or AIDS are protected under the Americans with Disabilities Act. - -
TRUE
-The claim of Retaliation is very difficult to prove. - -FALSE
-Healthcare employers are obligated to provide a safe workplace. - -TRUE
-Negligent hiring is a legally recognized cause of action that requires a plaintiff to prove
all of the following: - --the subject was an employee
-the employee was incompetent or posed a forseeable risk
-the employer knew or should have known about the incompetence or the risk of the
employee
-the employee caused a injury
-the negligent hiring was the proximate cause of the injury, bringing the employee into
contact with the damaged party
-The mutually beneficial social insurance system where the employer takes care of an
injured employee's medical costs in exchange for the waiver of the right sue is: - -Workers'
Compensation
-Sexual Harassment can occur when an unwelcome sexual advance or request for sexual
favors: - -All of the above
-Employers can achieve fewer accidents and lower workers compensation cost by: - -
Minimize safety hazards and investigate all accidents with a view toward future deterrence
-Define and discuss the phrase "Hostile Environment Sexual Harassment." - -"Hostile
Environment Sexual Harassment" occurs when conduct has the purpose or effect of
unreasonably interfering with a person's work environment based on actions or word with a
sexual connotation.
-Define and discuss the phrase "Due Process." - -"Due Process" requires that there be a
clear rule against the misconduct, a reasonable rule, a thorough and objective investigation
in which the employee has the opportunity to offer his or her side of the story, notice of the
charges and penalty sought, and an opportunity to respond or appeal in some fashion. In
order to achieve these zones of relative safety, employers usually apply ascending penalties
where feasible.
-Studies have concluded clinician communication provided in a timely manner with
sincerity influences patients' responses to adverse events. - -TRUE
-Cultural Sensitivity is of no concern in the provision of healthcare services. - -FALSE
Questions and Answers| 100% Correct|
Rated A+
States differ in their requirements for reporting adverse events or incidents. - -TRUE
-Exposure avoidance is the elimination of services that may cause losses. - -TRUE
-Occurrence Reporting method yields the highest percentage of reportable incidents. - -
FALSE
-Risk Management and Quality Assurance are 2 concepts that are mutually exclusive. - -
FALSE
-Incident or occurrence reports are a method of risk __________: - -b. Identification
-Adequate insurance coverage is an example of risk __________. - -a. Financing
-Continuous collection of information to search for liability risks is an example of risk
__________. - -b. Identification
-Quality Assurance and Risk Management: - -a. Have a close relationship and overlap in
several areas
-Risk Management tools are - -a. Incident, and occurrence reporting, along with
occurrence screening
-List 2 of the 'Red Flag' areas and describe what Risk Managers should watch out for in
each. - --Treatment Conditions: poor treatment results, repetition of the problem, lack of
follow-up care, and equipment malfunction.
-Conduct of staff: acting outside the scope of training, lack of qualified supervision,
performance of a procedure for the first time without supervision, outspoken or rude
behavior, personality conflict, and poor physician-staff relationship.
-Best Interest is the ethical standard which applies to individual who never had decision-
making capacity. - -a. TRUE
-Autonomy is the obligation to do good for patients (or at least no harm). - -a. FALSE
-Almost every organization of healthcare professionals has a code of ethics which details
the values, duties and responsibilities of their profession. - -a. TRUE
-The concept of justice means that people should be treated in an equitable or fair fashion.
- -a. TRUE
, -The process in which a patient is given all the information needed to allow them to make
a decision on medical care is called - -c. Informed consent
-Substituted judgment is used when - -b. Someone previously with capacity for decision-
making has lost that capacity
-A living will is: - -c. A & B
-Define Advanced Directives and discuss the difference between Living Will and Durable
Power of Attorney for Healthcare. - -a. Advanced Directives can make substituted
judgements much easier to achieve. This includes living wills, health care proxies, and
durable powers of attorney for health care. Living wills often contain what the patient
would not want, and there is some difficulty because they are often not specific to the
situation at hand. Durable Power of Attorney for Health care allows for the designation of
a surrogate decision maker, who is able to discuss the pros and cons of specific
interventions.
-Ethics committees are usually interdisciplinary. - -a. TRUE
-There is a single model for every ethics committee. - -a. FALSE
-A standard is a statement concerning proper procedures taken in a given situation. - -a.
TRUE
-Medicare is a state-run program so each state sets its standards for reimbursement. - -a.
FALSE
-EMTALA is a state mandate that requires healthcare providers to take care of certain
emergency patients until they are stabilized. - -a. FALSE
-The Federal mandate that requires healthcare providers to offer a safe work environment
for their staff is - -b. OSHA
-The federal mandate that ensures the continuity of healthcare coverage for persons
changing jobs is: - -c. HIPAA
-Written guidelines to ensure that everyone follows the same specific procedure in a given
clinical or administrative situation are called ____________ standards. - -c. Explicit
-Which is NOT a type of standard?
a. Explicit or Implicit
b. National or local
c. Validated or consensual
d. Used or ingnored
e. Periodically updated or static - -d. All of the above are types of standards
-Which of the following categories are not potential hazards found in hospitals? - -c.
Hydrostatic
, -Describe a patient grievance procedure. - -a. All patients are required to be given the
Patient's Bill of Rights within four hours of admission to the hospital, breastfeeding
mothers are required to be given the Mother's Bill of Rights in some states. Informed
consent is required for medical treatment and informed consent for surgical and invasive
procedures to be given to the physician of record. In the event that a patient refuses
treatment, a physician may treat the patient to save his or her life. Patients also have the
right of privacy, the right to receive treatment information in their primary language, and
the right to non-discrimination.
-Define and discuss false claims. - -a. A false claim can be made by anyone who
"knowingly" submits or causes the submission of a false or fraudulent claim to the United
States. Anti-fraud activities of the federal government under the regulations of the False
Claims Act range from audits of hospitals, nursing homes, medical care organizations, and
practicing health professionals to targeted medical care claims.
-Physicians are all held to the same standard of the skill and knowledge regardless of their
specialty. - -a. FALSE
-Two physicians jointly participating in the diagnosis and treatment of a patient are liable
for each other's negligent actions. - -a. TRUE
-With some exceptions, the statutory period is deferred during the infancy of a minor
patient and starts to run only on the patient's 20th birthday. - -a. FALSE
-Slander is defamatory words in a written or printed statement. - -a. FALSE
-Term denoting nonconsensual, unlawful or wrongful physical constraint or touching. - -b.
Battery
-The 4 requirements of Negligence do not include: - -d. Health care worker must be an
employee of the facility
-Respondeat superior means - -a. The employer is responsible for the wrongful acts of its
employees
-Discuss the difference between Respondeat Superior and Ostensible Agency. - -a.
Respondeat Superior states that the employer is liable for the actions of their employees,
whereas ostensible agency is implemented in cases of independent contractors, in which
the physician themselves would be held liable for wrong doing.
-Describe the difference between Compensatory damage and Punitive damage. - -a.
Compensatory damage awards cover economic losses for past and future medical and
supportive care, or past and future loss of earnings resulting from physical impairment.
Punitive damage awards more than usual compensatory damages reflect gross negligence
or deliberate wrongful intent.
-Define Res Ipsa Loquitur and the 4 elements that a plaintiff must demonstrate. - -a. Res
Ipsa Loquitur means "the thing speaks for itself." The four elements a plaintiff must
demonstrate are: The injury would not ordinarily occur in the absence of negligence, the
injury was caused by the actions or instrumentality within the exclusive control of the
, defendant, the injury was not due to any action on the part of the plaintiff, and the evidence
surrounding the circumstances relating to or concerning the injury was mostly within the
control of the defendant.
-'Employment at Will' states that the employer can terminate an employee for any or no
reason. - -TRUE
-People with HIV or AIDS are protected under the Americans with Disabilities Act. - -
TRUE
-The claim of Retaliation is very difficult to prove. - -FALSE
-Healthcare employers are obligated to provide a safe workplace. - -TRUE
-Negligent hiring is a legally recognized cause of action that requires a plaintiff to prove
all of the following: - --the subject was an employee
-the employee was incompetent or posed a forseeable risk
-the employer knew or should have known about the incompetence or the risk of the
employee
-the employee caused a injury
-the negligent hiring was the proximate cause of the injury, bringing the employee into
contact with the damaged party
-The mutually beneficial social insurance system where the employer takes care of an
injured employee's medical costs in exchange for the waiver of the right sue is: - -Workers'
Compensation
-Sexual Harassment can occur when an unwelcome sexual advance or request for sexual
favors: - -All of the above
-Employers can achieve fewer accidents and lower workers compensation cost by: - -
Minimize safety hazards and investigate all accidents with a view toward future deterrence
-Define and discuss the phrase "Hostile Environment Sexual Harassment." - -"Hostile
Environment Sexual Harassment" occurs when conduct has the purpose or effect of
unreasonably interfering with a person's work environment based on actions or word with a
sexual connotation.
-Define and discuss the phrase "Due Process." - -"Due Process" requires that there be a
clear rule against the misconduct, a reasonable rule, a thorough and objective investigation
in which the employee has the opportunity to offer his or her side of the story, notice of the
charges and penalty sought, and an opportunity to respond or appeal in some fashion. In
order to achieve these zones of relative safety, employers usually apply ascending penalties
where feasible.
-Studies have concluded clinician communication provided in a timely manner with
sincerity influences patients' responses to adverse events. - -TRUE
-Cultural Sensitivity is of no concern in the provision of healthcare services. - -FALSE
