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NSG 501 exam 2 Evidence-based practice and microsystem ...
Teacher 11 terms
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,At which level of the Medicare Part A or B appeals
process is the appeal reconsidered by a qualified
independent contractor?
a. first level appeal
b. second level appeal
c. third level appeal
d. fourth level appeal
b. second level appeal
There are five levels of appeal.
First level entails a redetermination of claim; second level involves
reconsideration by a qualified independent contractor; third level
includes a hearing overseen by admin law judge; fourth level is a
review of Medicare Review Council; and fifth level is a judicial
review in federal court.
If an at-risk patient is left unattended and has an
, If an at-risk patient is left unattended and has an
adverse response to medication, this is known as:
a. sentinel event
b. initiator
c. latent outcome
d. slip
a. sentinel event
Sentinel event is an adverse occurrence that is not in the normal
progression of a patient's illness. In this scenario, an adverse drug
event is considered a sentinel event. AND whenever a sentinel
events is confirmed, the facility should perform a Root Cause
Analysis (RCA).
A Latent Outcome - less apparent failures of organization or design
that contributed to the error/patient harm.
A Slip - can be a fall or an everyday risk at hospitals.
A behavioral health specialist notices a particularly