PRE-ASSESSMENT: HEALTHCARE QUALITY IMPROVEMENT AND RISK MANAGEMENT EXAM UPDATE.

PRE-ASSESSMENT: HEALTHCARE QUALITY IMPROVEMENT AND RISK MANAGEMENT EXAM UPDATE. Status: Passed 1. A hospital officer reports that there were multiple incidences in which toxic chemicals were incorrectly labeled that led to severe injuries of two lab employees. The regulatory department that oversees this area of workplace accidents is the Occupational Safety and Health Administration (OSHA). What is the role of OSHA in providing oversight for this issue? YOUR ANSWER CORRECT ANSWER To discipline the staff involved in the event To remove the hospital's accreditation status To implement a quality improvement strategy To promote safety by investigating the incidents 2. A hospital officer reports the presence of multiple incidences of skin breakdown among the Medicare/Medicaid eligible patients who were admitted to the hospital. Admission assessment supports that the skin breakdown was not present at the time of admission. What is the initial role of the Centers for Medicare and Medicaid in providing oversight for this issue? YOUR ANSWER CORRECT ANSWER To deny reimbursement to the facility To notify the state hospital association To ensure the hospital opens a wound care clinic To alert The Joint Commission to review the facility 3. A home health agency has audited occurrences of falls over the last 12 months. The organization was cited by The Joint Commission for having insufficient fall prevention measures. Accessibility Policy Accessibility Settings YOUR ANSWER CORRECT ANSWER Provide at-risk patients with 24-hour care Educate patients on actions to take after a fall Report patient falls for the next two months and take action if falls continue to increase Institute a policy to identify patients most likely to fall and procedures to assist in ambulating 4. A doctor’s office recently received results from a National Committee for Quality Assurance survey, which indicated that 75% of patients at this office are dissatisfied with long wait times in the waiting room. What should the doctor’s office do to increase patient satisfaction? YOUR ANSWER CORRECT ANSWER Schedule patients with serious illnesses in the morning Reduce the number of patients scheduled per time slot Extend the daily office hours until later into the evenings Decrease the amount of time spent treating each patient 5. An administrator wants to improve patient relations in a clinic and starts by implementing a new survey to track patient satisfaction in key areas. Which methodology should the administrator use to integrate the survey into current patient flow? YOUR ANSWER CORRECT ANSWER Advanced ISO 9001 Root cause analysis Hazard assessment Business process re-engineering Which methodology should be used to ensure successful implementation of the system with minimal disruption? YOUR ANSWER CORRECT ANSWER Design of the experiments Vendor relationship management Failure mode and effects analysis Business process re-engineering 7. A data report reveals a facility is not maintaining the biohazard sharps containers according to standards. The medical staff continues to add additional needles after the containers are full. Which regulatory agency requires immediate action? YOUR ANSWER CORRECT ANSWER The Joint Commission Food and Drug Administration Environmental Protection Agency Occupational Safety and Health Administration 8. A hospital recently reviewed its data report for patient satisfaction and found that pain management is falling below the hospital's 80% performance expectations. How can the hospital reach this performance expectation? YOUR ANSWER CORRECT ANSWER Increase the use of narcotics for patient pain control Increase staff awareness on patient pain control techniques Encourage patients to contact the primary care provider about pain Encourage patients to understand pain is part of the healing process manager has requested action plans from those departments with low compliance Which action will bring the facility back into compliance with this requirement? YOUR ANSWER CORRECT ANSWER Revise the hospital's policy to remove the investigation requirement Send an e-mail to managers asking them to complete the investigations Request the injured employee complete the investigation within 24 hours Have departments in violation submit their action plans to senior management 10. An improvement team at a nursing care center has been charged with reducing resident falls within the facility. Which task should the team complete first? YOUR ANSWER CORRECT ANSWER Revise protocols and procedures for keeping residents safe Identify the cause of variances from evidence-based interventions Obtain benchmark data from other nursing care centers in the area Analyze grievances and liability claims for residents who have been injured 11. A hospital improvement project is focused on reducing the time between a patient discharge order and the patient's actual discharge. What should be the first step of the project? YOUR ANSWER CORRECT ANSWER Gather baseline data Define the sub-processes Identify non-value added steps Accessibility Policy Accessibility Settings YOUR ANSWER CORRECT