Risk management

EMTALA is the act which ensures that

A&B

Under the Stark Law all of the following practices are illegal except:

All types of joint venture arrangements

The best defense a surgical team and hospital may have in the event they need to defend their actions following an adverse surgical event is:

Documentation of the surgical process

The 4 requirements of Negligence do not include:

Health care worker must be an employee of the facility

Respondeat superior means

The employer is responsible for the wrongful acts of its employees

__________ analytics relies on the basic fundamental premise that the less significant the risk, the less funding that needs to be allocated to that risk.

actuarial

Which of the following are potential disciplinary actions for providers with confirmed misconduct?

all of the above

Which of the following is an important question that a provider must ask him/herself?

all of the above

Term denoting non-consensual, unlawful or wrongful physical constraint or touching.

battery

An insurance company owned solely for the benefit of an individual healthcare organization to insure its own risks is known as:

captive insurance company

According to the AHRQ's triage tool, patients assessed as Level 5 require immediate attention to survive.

false

Based on reported data, a significant majority of patients presenting to an ED are true emergency cases.

false

Credentialing of professional (physicians) need only be done at time of hire

false

In accordance with HIPAA guidelines, a patient's medical record can leave the office and is not necessary to kept in a securely locked place or a secured electronic medical record (EMR) system.

false

Peer review refers to a group of professional reviewing the performance of their employees.

false

Physicians are all held to the same standard of the skill and knowledge regardless of their specialty.

false

Slander is defamatory words in a written or printed statement.

false

The ambulatory setting has the same set of risk management concerns as the inpatient setting as shown by the fact that paid malpractice claims are greater in the inpatient setting.

false

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.

false

The number of times an event occurs and can be gauged in relation to any relevant period of time or are is called:

frequency

What is the level of care of an Obstetrics/Neonatal department who can only care for low-risk mothers and babies?

level 1

Which of the following is not true about clinical practice guidelines?

part of the liscencing process

_____________ reflects the freedom and encouragement that all people have to bring up their concerns and the earned trust they have that their concerns will be received with respect.

psychological safety

__________ means planning for losses by using available cash, establishing loss reserves or borrowing fund

risk retention

__________ takes place when an outside party pays for losses that occur

risk transfer

The cost of the loss in dollars is called:

severity

_____________ is where problems are openly discussed so that the organization can learn from them to improve the system of care.

transparency

A good rapport between emergency room staff and the patient/family is key for a successful outcome.

true

Clinical practice guidelines are systematically developed statements to assist practitioners about appropriate health care for specific clinical circumstances.

true

Communication, commonly seen as an innocuous component of healthcare delivery, is a real and dangerous threat to patient safety if handled poorly.

true

Delays prior to arrival for treatment in the emergency room can have an impact on successful medical/surgical treatment.

true

Even though appropriate training is given to clinicians and patients, the use of E-mail will never reduce physician and patient risk.

true

If a patient contacts a provider via the company's E-mail from his or her own E-mail, and it contains confidential information, the patient is not breaking any HIPAA laws. However, if the provider responds with confidential information, HIPAA laws are being violated.

true

Occurrence policies cover all injuries that occurred during the policy period, regardless of when they were reported.

true

SBAR stands for Situation, Background, Assessment, and Recommendation

true

Security issues are a major concern for EDs

true

Team integration also plays a role in faulty communication. Team instability, such as a circulating group of scrub nurses, can lead to inferior outcomes because team members simply do not know each other and their work styles.

true

The SBAR system is helpful but does not always meet the criteria needed for a complete and safe handoff.

true

The education and training of healthcare practitioners is a third factor that contributes to errors in communication. Nurses and doctors receive different training in communication, and that discrepancy leads to problems in practice.

true

The financial survival of a healthcare organization requires achieving the optimal balance between retaining risk and transferring risk.

true

The lack of standardized instruction regarding communication is a sixth factor that contributes to errors in communication. Although the inevitable daily changes in a patient's hospitalization make the task of communicating an important one, few medical trainees receive formal instruction, supervision, or feedback in the handoff process

true

The model for managing risk in the ambulatory setting rests on the following core principles: culture of safety, good employment practices and ethical business practices.

true

The principle of vicarious liability means physicians or owners of a practice are legally responsible for the actions of their employees.

true

Two physicians jointly participating in the diagnosis and treatment of a patient are liable for each other's negligent actions.

true