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Equipment, staffing levels, and alarm system can also be culpable in restraint deaths, but problems with
orientation and training are much more likely.
Which piece of legislation established a new set of standards for corporate responsibility?
a. sarbanes-oxley act
b. united states patriot act
c. foreign corrupt practices act
d. stark law - ✔✔✔✔a. sarbanes-oxley act
Sarbanes-oxley act was passed after a series of high-profile financial scandals in early 2000s to protect
shareholders, improving corporate governance and accountability setting new set of standards for
corporate responsibility.
According to the Federal Sentencing Guidelines, which of the following factors could increase the
punishment of an organization?
a. obstruction of justice
b. violation of direct court order
c. prior history of violations
d. all of the above - ✔✔✔✔d. all of the above
These are aggravating factors that increase the culpability score under the FSG.
See FSG chapter 8-C2.5 https://guidelines.ussc.gov/gl/%C2%A78C2.5
When a hospital official notes that most errors are occurring at the "sharp end" she means that:
a. they involve surgical tools or knives
b. they occur in clusters
,c. they occur during the interactions between caregivers and patients
d. they are most likely to occur during busy periods - ✔✔✔✔c. they occur during the interactions
between caregivers and patients.
The "sharp end" and "blunt end" are used by quality management professionals to describe areas of
practice.
"Sharp end" is all of the operations that involve direct contact with patient/client/customer.
"Blunt end" is all actions that take place outside awareness of patient/client/customer.
The majority of fraud and abuse violations relate to irregularities in:
a. treatment
b. diagnosis
c. billing
d. scheduling - ✔✔✔✔c. billing
Which of the following words best describe the approach to punishment of the Federal Sentencing
Guidelines:
a. case-specific
b. draconian
c. consistent
d. remedial - ✔✔✔✔a. case-specific
FSG takes numerous factors into account when determining punishment. The range of penalties that
may be applied to a given violation is broad, and organizations may affect the severity of their
punishment with their actions subsequent to the violation
Which of the following groups may request information from the Healthcare Integrity and Protection
Data Bank?
a. professional societies with formal peer review
b. quality improvements organizations
c. plaintiff's attorneys
, d. state agencies - ✔✔✔✔d. state agencies
Other groups may include federal government, health plans, healthcare practitioners. Researchers are
only allowed to obtain statistical data form the data bank.
Research suggests that the largest proportions of adverse events attributable to negligence occur in the:
a. post-trauma unit
b. surgery unit
c. maternity unit
d. emergency unit - ✔✔✔✔d. emergency unit
According to title II of HIPAA, disclosure of Protected Health Information related to which of the
following actions requires the patient's express written authorization?
a. state in which the treatment occur
b. health care operations
c. treatment
d. payment - ✔✔✔✔a. state in which the treatment occur
A covered entity may disclose PHI for TPO (treatment, payment, and healthcare operations)
Which of the following groups is least likely to report errors:
a. primary care physicians
b. support staff
c. independent contractors
d. nurses - ✔✔✔✔c. independent contractors
Why does Healthcare Quality Improvement Act provide confidentiality and legal immunity for health
care peer review processes?
a. to prevent malpractice suits
b. to discourage complaints by patients