Which of the following best define Risk analysis?A process used by the person or the person’s assigned risk management functions to determine the potential severity of the loss from an identified ri

Which of the following best define Risk analysis?A process used by the person or the person’s assigned risk management functions to determine the potential severity of the loss from an identified risk, the probability that the loss will happen, and alternatives for dealing with the risk.Working with business units to assist the leaders in understanding risk in business transactionsAdvising staff and leaders on the best approach to manage the new or emerging risk for the organizationProviding leadership to maintain an understanding of the organization’s mission and goals, and defining who is able to provide direction2 points   QUESTION 2The purpose of patient safety is to provide a safe environment, to explore the possibility of failure, and to create “defenses” that will change the current system of operation in order to reduce the potential for failure. True False2 points   QUESTION 3Patient safety is about the organizational tactics to fix problems. Focus is on individual case, Post- event investigation, Implement tactics to address the event rather than the system failures, Relationship with legal standard of care, Unexpected outcomes drive the process. True False2 points   QUESTION 4Which of the followings is not a characteristic of board engagement in quality improvement and patient safety identified by the Executive Quality Improvement Survey?The board receives a formal quality-performance- measurement report.There is a high level of interaction between the board and the medical staff on quality strategy.The senior executives’ compensation is based in part on quality performance.The board sets clear policies and procedures to guide the medical staff.2 points   QUESTION 5Duty of care requires the board to make responsible and informed decisions on behalf of the organization True False2 points   QUESTION 6Duty of obedience is the obligation to further the purposes of the organization as set forth in its articles of incorporation or bylaws. True False2 points   QUESTION 7Medical malpractice, a professional-liability subset of negligence law, has never been criticized on the grounds of inefficiency and poor distribution True False2 points   QUESTION 8Medical malpractice is the longest- standing social- incentive structure that attempts to promote safety in healthcare delivery and represents an ethos of individual responsibility True False2 points   QUESTION 9Which of the following best describe Enterprise Risk Management?Enterprise risk management is a comprehensive process which evaluates all risk exposures confronting an organization from the top down.Enterprise risk management is a process, effected by an entity’s board of directors, management and other personnel, applied in strategy setting and across the enterprise, designed to identify potential events that may affect the entity, and manage risks to be within its risk appetiteEnterprise risk management process is a broad- based discipline requiring the active involvement of all in healthcare and has risk identification and analysis, risk prioritization, and the implementation and monitoring of risk mitigation initiatives at its core.Enterprise risk management is an enterprise- wide process designed to identify potential events that may affect the entity, determine the enterprise’s appetite for risk, and manage the event risk according to enterprise objectives.All of the above.2 points   QUESTION 10Which of the following best define Financial Risk?The business of health care is the delivery of care that is safe, timely, effective, efficient, and patient-centered within diverse populations.These risks affect the profitability, cash position, access to capital or external financial ratings through business relationships, or the timing and recognition of revenue and expenses.Risks associated with brand and reputation, business strategy, and failure to adapt to a changing healthcare environment, changing customer priorities, and competition.Refer to the organization’s most valuable asset: its workforce. This is an explosive area of exposure in today’s tight labor and economic markets2 points   QUESTION 11Which of the following best define Operational Risks?The business of health care is the delivery of care that is safe, timely, effective, efficient, and patient centered within diverse populations.These risks affect the profitability, cash position, access to capital or external financial ratings through business relationships, or the timing and recognition of revenue and expenses.Risks associated with brand and reputation, business strategy, and failure to adapt to a changing healthcare environment, changing customer priorities, and competition.Refer to the organization’s most valuable asset: its workforce. This is an explosive area of exposure in today’s tight labor and economic markets2 points   QUESTION 12The Sarbanes– Oxley Act of 2002 (SOX) requires management of public companies, both large and small, to annually assess and report on the effectiveness of internal control over financial reporting. True False2 points   QUESTION 13Which of the following best define Benchmarking?Allows risk managers or healthcare organizations to look outside their own setting to identify best performers in the industry. When processes are to be evaluated, healthcare organizations may wish to look outside the healthcare industry to identify other service providers who have excelled at the same or similar function.Collect only data elements from within their own organization. The data can be analyzed after the first data collection to identify best performers at the unit or department levels.Process of collecting and analyzing data to identify trends in performance and, when compared with other collectors of the same data, identifying best performers and determining if interventions that were introduced to address identified problems yielded the desired results.All of the above2 points   QUESTION 14Which of the following best define Internal Benchmarking?Allows risk managers or healthcare organizations to look outside their own setting to identify best performers in the industry. When processes are to be evaluated, healthcare organizations may wish to look outside the healthcare industry to identify other service providers who have excelled at the same or similar function.Collect only data elements from within their own organization. The data can be analyzed after the first data collection to identify best performers at the unit or department levels.Process of collecting and analyzing data to identify trends in performance and, when compared with other collectors of the same data, identifying best performers and determining if interventions that were introduced to address identified problems yielded the desired results.All of the above2 points   QUESTION 15Which of the following best define External or Competitive Benchmarking?Allows risk managers or healthcare organizations to look outside their own setting to identify best performers in the industry. When processes are to be evaluated, healthcare organizations may wish to look outside the healthcare industry to identify other service providers who have excelled at the same or similar function.Collect only data elements from within their own organization. The data can be analyzed after the first data collection to identify best performers at the unit or department levels.Process of collecting and analyzing data to identify trends in performance and, when compared with other collectors of the same data, identifying best performers and determining if interventions that were introduced to address identified problems yielded the desired results.All of the above.2 points   QUESTION 16Which of the following are the claims data collected as part of the benchmarking process aggregated to establish rates?Number of incidents per year.Number of potentially compensable events.Number of claims per year.All of the above.2 points   QUESTION 17Benchmarking is risk management can be both a challenging and exciting activity, yielding valuable information that can provide direction to the organization. True False2 points   QUESTION 18Which areas could Risk Managers add value to the administration of Workers Compensation?Risk FinancingLoss PreventionLoss MitigationClaims AdministrationAll of the above2 points   QUESTION 19Claims Administration: handling workers’ compensation claims bears some resemblance to handling professional-liability or general- liability claims, except fewer issues are subject to dispute and the payments are controlled by statutory schedules. The extensive medical knowledge gained from professional liability claims becomes very beneficial in workers’ compensation because most issues are resolved by medical opinion. True False2 points   QUESTION 20Loss Mitigation: Reducing the accidents giving rise to workers’ compensation claims can be incorporated easily into the risk manager’s role. Given the volume of workers’ compensation incidents, it is usually possible not only to analyze the loss history to pinpoint likely sources of problems but also to demonstrate improvements using the loss data. True False2 points   QUESTION 21Which of the followings is NOT one of the 10 events on the National Quality Forum’s “never-events” list?Objects left in the body during surgeryMismatched blood transfusionAir embolismCancer2 points   QUESTION 22Is Vascular-catheter- associated infections one of the 10 events on the National Quality Forum “never-events” list? True False2 points   QUESTION 23Obstetrics and Neonatology, Anesthesia and Emergency Medicine were those clinical areas given early risk modification efforts because:Patients were often highly vulnerable to errors.Providing care required or was supplemented by the use of complex technology.The injuries suffered were significant and often deadly.A and B onlyAll of the above2 points   QUESTION 24A high-reliability organization (HRO) is a complex high-hazard organization that is prone to unexpected error or injury. True False2 points   QUESTION 25The platform for patient safety and the rationality of promoting a culture of high reliability is predicated on multiple important competencies:The ability to reinforce the systems and structures to promote safety based on evidence drawn from the science of safety.The ability to create a culture that develops and supports those who provide care and services to allow for greater capacity for teamwork, risk awareness, risk mitigation, and resiliency.The ability to focus and align resources to create and promote advancements in safety.The commitment to assure that evidence-based, patient-centered and system-centered work is done.All of the above2 points   QUESTION 26Which of the following states the concept that reduces the probability of accident and harm?Health care is a complex system, and complex systems are inherently risk-prone, particularly operating rooms, intensive care units, and emergency rooms.People, no matter how competent and vigilant, are fallible because they are human and therefore physically and psychologically limited in memory capacity and the ability to deal with simultaneous multiple cognitive demands.People create safety by defending against risk and intercepting error before it reaches the patient.Safety is a system and can pose threats of failure from inadequate or clumsy equipment, fatigue- inducing schedules, flawed or incomplete procedures, excessive incentives for production, and risk-prone professional and organizational cultures often associated with faulty communications.All of the above.2 points   QUESTION 27Which of the following are safety principles from industry to incorporate into daily work?An employee- training process that trains staff in effective teamwork, decision making, risk awareness, and error management.Policies and procedures that simplify and standardize work processes and products.A commitment to designing self-correcting systems or redundant systems.Systems and processes that reduce reliance on human memory through protocols, checklists, and automated systems.All of the above.2 points   QUESTION 28Which of the following are generally the most common allegations of malpractice problems associated with emergency medicine related to a failure to diagnose?FracturesMyocardial InfarctionsComplications of lacerations, including tendons and nervesForeign bodies in woundsAll of the above.2 points   QUESTION 29Which of the following is considered Primary Allegations Arising out of Obstetric Neonatal Care?Infant neuromuscular development problemsMaternal hemorrhageMaternal or infant deathDelay in failure to treat fetal distress–delayed Cesarean sectionAll of the above2 points   QUESTION 30The most frequent allegations related to surgery are:Postoperative complications, including deathInadvertent acts and Inappropriate proceduresUnnecessary surgery and Retained foreign bodiesd. Postoperative infectionAll of the above2 points   QUESTION 31Informed Consent is not important when discussing risk management in surgery and anesthesia. True False2 points   QUESTION 32Which of the following is an example of engineered patient safety practice?Requiring computerized physician order entryMandating pre-procedure “time-outs” and checklistsCommunication tools including situation background analysis recommendationThe use of approved and restricted abbreviation lists for clinical documentationAll of the above2 points   QUESTION 33Lean organizations see that every problem and cause of variation, whether a highly visible severe harm event must be addressed to prevent the problem from becoming a severe harm. True False2 points   QUESTION 34Which of the following is one of the Applicability to Risk Management?Prevention of adverse eventsMitigation of outcomesReduction of claim likelihoodA and Ce. A, B, and C2 points   QUESTION 35Which of the following procedures requires Express Consent?Surgery (major/minor)AnesthesiaRadiographic imagingBlood, blood product transfusion, and BiopsiesAll of the above2 points   QUESTION 36The two principal types of consent are implied consent and expressed consent. True False2 points   QUESTION 37The implied consent is based on either verbal or written expression from the patient that a proposed course of treatment is acceptable. True False2 points   QUESTION 38Expressed Consent is based on an unspoken understanding between the treating physician and the patient that a proposed method of treatment is advisable and suitable to both parties. True False2 points   QUESTION 39Components of clear communication include the ability to speak and write plainly about health information, to effectively use visual aids, to implement teach-back techniques in which patients’ true comprehension is tested, to provide interpreter services when required, and to provide culturally competent care to all patients. True False2 points   QUESTION 40The Joint Commission Resources published “ Strategies for Addressing Health Care Worker Fatigue” and named education as the foundation of raising awareness and thereby reducing fatigue in the workplace. True False2 points   QUESTION 41Handoff communication is the contemporaneous, interactive process of passing patient-specific information from one caregiver or team of caregivers to another for the purpose of ensuring the continuity and safety of the patient’s care. True False2 points   QUESTION 42Which of the followings are elements that should be included in handoff?Interactive communication that allows for the opportunity for questioning between the giver and receiver of patient informationUp- to- date information regarding the patient’s condition, care, treatment, medications, services, and any recent or anticipated changes.An opportunity for the receiver of the handoff information to review relevant patient historical dataInterruptions during handoffs are limited to minimize the possibility that information fails to be conveyede. All of the above2 points   QUESTION 43SBAR stands for Situation, Background, Assessment, and Recommendation True False2 points   QUESTION 44The SBAR system is helpful but does not always meet the criteria needed for a complete and safe handoff. True False2 points   QUESTION 45The hospital setting most handoff communication policies for nurses include the following:Handoffs must be interactive so that the nurse receiving the patient has the opportunity to question and confirm what is reported.There should be minimal interruptions. The content of the report should be objective, concise, and related to the patient’s care.Nurses are responsible for all handoff communications to contain specific information such as age, gender, diagnosis, allergies, medications, and code status.A and B onlyAll of the above2 points   QUESTION 46Plan-do-check-act is an approach to systematic process improvement and patient safety promotion. True False2 points   QUESTION 47There is no fundamental responsibility of the hospital board to the community regarding patient safety or quality care. True False2 points   QUESTION 48When managing clinical risk, the initiative should include hiring the right staff or offering additional training to current staff.  True False2 points   QUESTION 49The CMS strategy of pay for performance helps place patient safety responsibility on physicians. True False2 points   QUESTION 50A focus on physician competency and the requirement for medical staff to be active in QA initiatives  can ensure safe, quality care. True False

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