HPR 1008 Chapter 6

What is the TJC's accreditation rule about improving the accuracy of patient identification?

Use at least two ways to identify a patient

When should a physician seek a therapeutic course?

When they have exhausted all reasonable methods of securing a diagnosis

Once a claims-made policy is canceled, coverage does not continue in the future for any claims that might be reported unless __________ coverage or ____________ ____________ coverage is secured at the time the policy is canceled.

tail, prior acts

What methods should a physician use to diagnose and treat a patient? 1. Conservative 2. Immediate clinical trials 3. Investigational treatment 4. The least dangerous

1 & 4

Who can sign an informed-consent form? 1. An authorized representative 2. Any family member 3. A minor 4. The patient

1 & 4

What should a physician do if he/she decides to use a toxic agent for diagnosis or treatment? 1. Handle it accordingly 2. Know customary dosages 3. Store it in a lower shelf 4. Know possible side effects

1, 2 & 4

Which of the following are reasons that patients give when considering filing lawsuits? 1. Errors in medication administration 2. Patients want answers that physicians don't give 3. Physicians who behave respectfully toward patients 4. Billing disputes

1, 2 & 4

According to a 2018 Medscape Report, which of these are reasons that a patient might file a lawsuit? 1. Billing disputes 2. A compassionate physician 3. Desperation 4. Details are missing

1, 3 & 4

What behavior is best practice when handling patients? 1. Tact 2. Large medical terms 3. Professionalism 4. Good judgment

1, 3 & 4

Which of the following activities may affect the likelihood of course of litigation in risk management? 1. Medical record charting 2. Billing services 3. Prescription writing 4. Patient scheduling

1, 3 & 4

What can happen if a physician drops liability insurance? 1. A physician can lose employees 2. A physician can be dropped from a hospital 3. A physician can lose their credentialing 4. A physician can be sued

2

If a lawsuit is filed against a physician, who should his/her employees speak to? 1. The prosecution 2. The physician's attorney 3. The court 4. The plaintiff

2 & 3

What does clear documentation in a medical record demonstrate? 1. A patient followed their advice 2. The care provided met the standards demanded by law 3. There was no negligence on the part of the physician 4. Only urgent referrals to other physicians

2 & 3

For an autopsy to be performed, who would typically sign the informed-consent form? 1. At least three witnesses 2. Designated representative 3. Anyone that knows the deceased 4. Next of kin

2 & 4

What are some preferred practices to help decrease malpractice litigation? 1. Referrals 2. Competence 3. Avoidance 4. Communication

2 & 4

Who do malpractice lawsuits often take a toll on? 1. Lawyers 2. Health care practitioners 3. Alternative dispute resolution (ADR) 4. Patients

2 & 4

Important times when a physician should insist on a professional consultation include 1. If the physician is running behind. 2. If the patient is happy. 3. If the patient is not doing well. 4. If the family is dissatisfied.

3 & 4

What is an insured coverage option whereby insured subscribers contribute to a trust fund to be used in paying potential damage awards?

Self-insurance coverage

What is the legal and ethical response when a health care mistake is made? 1. Report the mistake to attending physicians and supervisors 2. Note it on the patient's record 3. Cover it up as quickly and quietly as possible 4. Do not inform the patient

1 & 2

What must be known and conformed to when using telemedicine over the internet? 1. State laws 2. Federal laws 3. Local laws 4. County laws

1 & 2

What should health care workers develop so that patients feel time spent with them is not rushed? 1. Good listening skills 2. Good nonverbal communication techniques 3. Defensive body postures 4. Skills on being short and to the point

1 & 2

When working with "difficult" patients, medical office staff should display what behaviors? 1. Courtesy 2. Tact 3. Aloofness 4. Curtness

1 & 2

Which of these could be considered hazards in a medical office that might cause injury? 1. Slippery floors 2. Tables with sharp edges 3. Respirator 4. Hand gloves

1 & 2

What are two important benefits to showing your patients that you care? 1. Improvement in a patient's medical condition 2. Increased competence 3. Increased dissatisfaction with the care provided 4. Decreased likelihood that your patients will feel the need to sue

1 & 4

TJC recommends confirming which of the following prior to any surgery or invasive procedure? 1. Confirming the doctor 2. Confirming the operating room 3. Confirming the patient 4. Confirming the place on the patient's body where surgery will occur

3 & 4

In a medical office, who should know safe procedures for operating all equipment and report when they need maintenance or repair?

All employees

What is occurrence insurance also knows as?

Claims-incurred insurance

Tail coverage protects a physician when which type of policy expires?

Claims-made

If a health care practitioner is in doubt about what should be recorded in a patient's record, what should they do?

Contact legal authorities

What is liability insurance?

Contract coverage for potential damages incurred as a result of a negligent act

What will show a patient that a health care practitioner is caring and interested?

If he/she sits rather than stands while interviewing or conversing with the patient

What are some of the requirements in regards to the fourth C of Medical Malpractice Prevention, charting?

If it isn't in writing and explained completely and accurately, it wasn't done.

Should practitioners and facilities try to cover up mistakes, they could lose accreditation by which body?

Joint Commission

What is an advantage of self-insurance coverage?

Less expensive

Physicians may drop their ___________ ___________ coverage if the premiums get too high.

Liability insurance

An employee may be held ___________ if he or she knowingly remains silent to protect a physician who has performed an illegal act.

Liable or responsible

Failure to communicate with patients sometimes can be the reason behind ____________.

Litigation or lawsuits

If a medical professional liability insurance policy covers a physician up to a certain established amount, in the event that the physician loses a lawsuit, what will the insurance company pay?

No more than the established amount

What entity requires employees to have access to Material Safety Data Sheets?

OSHA

What is a type of liability insurance that covers the insured for any claims arising from an incident that occurred or is alleged to have occurred while the policy is in force, regardless of when the claim is made?

Occurrence insurance

In regard to charting, documentation is ___________ of what was done.

Proof or evidence

In telemedicine communication, what is it important to do to avoid malpractice claims?

Record everything in the patient's chart

Which of the following has become a necessary practice component in health care delivery?

Risk management