C430 Healthcare Quality Improvement and Risk Management - Exam Questions with Correct Solutions Latest Version

C430 Healthcare Quality Improvement and Risk Management - Exam Questions with Correct Solutions Latest Version 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? - Answers To promote safety by investigating the incidents 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? - Answers To deny reimbursement to the facility 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. What should the home health agency do to resolve this issue? A.) Provide at-risk patients with 24-hour care B.) Educate patients on actions to take after a fall C.) Report patient falls for the next two months and take action if falls continue to increase D.) Institute a policy to identify patients most likely to fall and procedures to assist in ambulating - Answers Institute a policy to identify patients most likely to fall and procedures to assist in ambulating 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? - Answers Reduce the number of patients scheduled per time slot 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? - Answers Business process re-engineering An administrator notices the clinic's inventory does not meet patient demand. The clinic wants to add an inventory management system to track patient visits versus supplies used on any given day. Which methodology should be used to ensure successful implementation of the system with minimal disruption? - Answers Business process re-engineering 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? - Answers Occupational Safety and Health Administration 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? - Answers Increase staff awareness on patient pain control techniques Per the workers compensation policy, a quarterly employee injury report was submitted to a hospital's safety committee. The committee noted low compliance with the requirement that managers complete an investigation within 24 hours of an employee injury. The hospital risk manager has requested action plans from those departments with low compliance Which action will bring the facility back into compliance with this requirement? - Answers Have departments in violation submit their action plans to senior management 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? - Answers Identify the cause of variances from evidence-based interventions 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? - Answers Gather baseline data Residents in a nursing care center report that food is cold when served. The center has developed an improvement plan that involves monitoring the temperature of food when it leaves the kitchen and again when it is served. After implementing the temperature log, the residents reported improvement. Why is this continuous improvement practice successful? - Answers Because the food temperature is satisfactory Fifty percent of physician orders in a nursing care center are not getting signed within 48 hours of a resident's admission as per the policy. A continuous improvement (CI) practice was implemented. All but three residents out of 81 had their admission orders signed within 48 hours at the last quarterly review. Why is the continuous improvement (CI) practice successful? - Answers Because the facility has fewer residents missing signed orders A staff member notices a co-worker walking away from a computer without logging off, leaving sensitive patient information available to other viewers. Which action by the staff member will reduce security risk? - Answers Lock the staff member's computer screen A hospital employee was transporting a patient when the stretcher collapsed. The fall broke the patient's arm. Which action should be taken to address this safety risk? - Answers Evaluate the stretchers for mechanical problems A cafeteria worker has a migraine headache and needs medication, but the hospital pharmacy is closed. A nurse provides the worker the access code to obtain narcotics from a drug dispensing unit on the floor. Another worker observes the event and reports the situation the next morning. What should the hospital do first to reduce the immediate safety risks in this situation? - Answers Change the access code. A nurse is called away for an urgent situation in another room while still charting. A few minutes later a nursing assistant comes in to assist the patient to the restroom. The nursing assistant charts on the patient under the previous nurses' login password. - Answers The nurse should lock the workstation prior to leaving for another room and her assistant should log in with own password An employee witnesses a fire erupted in the medical facility kitchen. Which action should the employee take first? - Answers Pull the fire alarm the hospital has been cited by The Joint Commission for several sound-alike medication errors. The unit supervisor is implementing an action plan with the pharmacy to label the medications better. How does this supervisor's response affect quality? - Answers Patient outcomes will improve The hospital employees complain that quarterly fire drills are disruptive. The leadership has decided to reduce the fire drill frequency every six months to enhance work productivity. How does this decision affect quality? - Answers It increases the level of risk. A nurse has been working with the same patient for the last three days. Since the nurse knew the patient, only a name was requested as an identifier when medications were being administered. How does this decision affect quality? - Answers Medication errors may increase since control procedures were reduced. After a vaccine was given, the nurse realized that the dosage administered was less than it