RISK MANAGEMENT Flashcards

(49 cards)

1
Q

Purpose of Risk Management

A

striving toward the prevention of medical malpractice and associated legal actions.

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2
Q

Goal of Risk Management

A

To promote the safe delivery of quality patient care, thereby minimizing preventable injuries and accidents and reducing financial loss.

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3
Q

Similarities Risk management vs Quality improvement

A

Both minimize liability exposure while maximizing the quality of patient care.
Both overlap on their focus on patient safety

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4
Q

Differences:Risk management vs Quality improvement

A

Risk management programs are focused on reducing liability exposure
Quality improvement programs goal is to maintain and improve the quality of patient care

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5
Q

Risk management

A

Cite reasonable concerns over future litigation
Go to efforts to protect information
Conduct and in-depth investigation

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6
Q

ESRD

A

ASA 4

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7
Q

Risk management programs are focused on

A

reducing the liability exposure of the organization.

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8
Q

focus for quality improvement programs on the other hand, is to

A

maintain and improve the quality of patient care.

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9
Q

A “Code 15” Report must be filed with the agency

within

A

15 calendar days of the occurrence of any of the

following adverse incidents:

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10
Q

The Joint Commission requires that organizations conduct a root-cause analysis to identify contributing factors within

A

45 days of a sentinel event or becoming aware of the event.

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11
Q

The 3 key factors in the prevention of patient injury are

AVU

A

vigilance
Up-to-date knowledge, and
Adequate monitoring.

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12
Q
Vigilance
Monitor -----
Detection -----
re-assessment
OR awareness
A

Monitor VS
Detection of changes
Pre-assessment
OR awareness

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13
Q

Adequate monitoring

A

Use appropriate monitors

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14
Q

Uptodate Knowledge

A

ASA and AANA website yearly for any changes in standards

Expert witnesses will certainly hold any practitioner to the ASA standards.

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15
Q

Identify and analyze loss exposures

Consider alternative risk management solutions

A

Risk management processes

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16
Q

Look for trends and opportunities for process improvement; Recommend best practices

A

Risk management processes

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17
Q

Implement and educate new processes

Monitor and improve the risk management program

A

Risk management processes

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18
Q

Joint Commission requires to conduct a root-cause analysis to identify contributing factors within

A

For sentinel event

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19
Q

For sentinel event, a

A

Root cause analysis should be conducted

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20
Q

Retention of a foreign object after surgery is

A

Sentinel event

21
Q

Unexpected death suicide of any individual receiving care

A

Sentinel event

22
Q

Code 15 pertains to

A

Ambulatory surgical centers

23
Q

Code 15 required by the Florida

A

Agency for Health Care Administration

24
Q

Wrong site or procedures, surgery medically unneccessary, surgical repair that leads to damage

25
Aspects relevant to liability exposures
Prevention of patient injury Adherence to standards of care Documentation Patient relations
26
Keep Record
Accurate and as neat as possible
27
Document neatly _______Administered ______and times Only used ________
Fluid and blood products Doses approved abbreviations
28
Can be damaging to the defense
Sloppy and inacurate records
29
Unacceptable abbreviations
Write subq D/C write discharge Do not use decimals Write morphine sulfate, magnesium sulfate
30
Elements of a consent
Understand anesthetics risk involved risks discussed , of proposed anesthetic plan Reason for change of plan should be documented.
31
What do do after an adverse event?
Attend to patient's safety and well being Remove medical equipment Notify management about the incident
32
THE CRNA should document
In a narrative form in the patient's PROGRESS NOTES ASAP
33
The CRNA should document all the following
What happened Drugs used Time sequence Who was present
34
After incident RCA and action plan submitted to
JCAHO within 45 days
35
Record of incident in RCA should be
consistent with other records (OR, recovery room, and cardiac arrest records) , If documents do not agree RED FLAG.
36
Record should never
be altered after the fact
37
If error is made
Draw a line through the error , leaving it legible , the correction should be initialed and timed
38
Litigation is
Lengthy (years may passed before it is presented to a jury)
39
If complications occur, the CRNA should be ____
Honest
40
Express regret about the outcome and
GIVE A FORMAL APOLOGY
41
Be familiar with state law some mandate disclosure of serious events to
Patients: Florida Chapter 395. Some prohibit use of disclosure discussions as evidence in malpractice litigation
42
DNR/Advanced directives
May be general or specific | Clarify intentions and document in patient's chart
43
Jehovah's witness believe
Transfusion is a moral sin with no possibility of salvation
44
Provider may
Decline to provide care if he feels this limits their ability to provide optimal care for the patient
45
Parents of a child may
NOT LEGALLY prevent that child from receiving blood
46
Acts of sexual abuse nature committed for the gratification of anyone, upon, or in the presence of a vulnerable adult, without the vulnerable adult's informed consent
Sexual abuse
47
HIPAA and year
Health insurance Portability and Accountability act in 1996
48
Violations
250,000 fine and 10 years imprisonment
49
Risk managment is creating a
Culture of safety and promoting continual improvement in prevention of adverse outcomes