C430 HEALTHCARE QUALITY
IMPROVEMENT AND RISK MANAGEMENT
WGU FREQUENTLY TESTED.
A hospital officer reports that there were multiple incidences in which toxic
chemicals were incorrectly labeled that led to severe injuries of two lab
employees. The regulatory department that oversees this area of workplace
accidents is the Occupational Safety and Health Administration (OSHA).
What is the role of OSHA in providing oversight for this issue? - CORRECT
ANSWER -To promote safety by investigating the incidents
Which federal regulatory requirement was violated? - CORRECT ANSWER -A.)
Civil Rights Act
A highly productive medical coder has a spouse who sustained a serious
work-related injury. The coder asks the supervisor for eight weeks of
unpaid time off to care for the spouse, but the supervisor decides to
terminate the employee.
Which federal regulation has been violated in this scenario? - CORRECT
ANSWER -Family and Medical Leave Act
A hospital recently acquired a home health agency, which is a new service
for the hospital. Because employees will now go into patient homes to
provide care, this acquisition presents new risk management concerns.
What should be added to the hospital's risk management plan to manage
this new risk? - CORRECT ANSWER -
,A long-term care facility acquired a hospice care agency, which provides in-
home medical support including pain relief for dying patients. Care of
terminally ill patients presents new risk management concerns for the
facility.
What should be added to the facility's risk management plan to manage
this new risk? - CORRECT ANSWER -Create a procedure for storing controlled
substances to prevent diversion by family members
A hospital has an increasing number of patients injured during transfer. A
multidisciplinary team investigated the incidents and noticed that workers
are not using the mechanical lift assistance devices.
Which recommendation should decrease further risk? - CORRECT ANSWER -
Discipline workers who transfer without using the lift
After an event involving a near-miss abduction of an infant from the
newborn unit, a hospital risk manager plans to update the risk management
and safety plan.
What should the manager recommend to mitigate this risk? - CORRECT
ANSWER -Conduct regular infant abduction scenario drills
A nursing care center resident reported thefts of valuables from a drawer in
the resident's room. The nurse completed an incident form per the risk
management plan.
, What should the manager recommend to mitigate the risk of a recurrence?
- CORRECT ANSWER -Send valuables home with a family member
A nurse gives an inaccurate dose of medication to a patient, and the patient
has an adverse reaction. A team reviews the risk management plan and
identifies the problem as a miscalculated dosage.
Which action could the manager take to mitigate this risk? - CORRECT
ANSWER -Assess the nurse's competence for dosage calculations
A newborn male underwent a circumcision intended for another infant. A
root cause analysis team determined that proper patient identification
protocols were not followed by the physician and transporter.
Which patient safety action should be included in the risk management
plan to prevent a recurrence? - CORRECT ANSWER -Include the parent in the
patient identification process
A hospital officer reports the presence of multiple incidences of skin
breakdown among the Medicare/Medicaid eligible patients who were
admitted to the hospital. Admission assessment supports that the skin
breakdown was not present at the time of admission.
What is the initial role of the Centers for Medicare and Medicaid in
providing oversight for this issue? - CORRECT ANSWER -To deny
reimbursement to the facility
A home health agency has audited occurrences of falls over the last 12
months. The organization was cited by The Joint Commission for having
insufficient fall prevention measures.
IMPROVEMENT AND RISK MANAGEMENT
WGU FREQUENTLY TESTED.
A hospital officer reports that there were multiple incidences in which toxic
chemicals were incorrectly labeled that led to severe injuries of two lab
employees. The regulatory department that oversees this area of workplace
accidents is the Occupational Safety and Health Administration (OSHA).
What is the role of OSHA in providing oversight for this issue? - CORRECT
ANSWER -To promote safety by investigating the incidents
Which federal regulatory requirement was violated? - CORRECT ANSWER -A.)
Civil Rights Act
A highly productive medical coder has a spouse who sustained a serious
work-related injury. The coder asks the supervisor for eight weeks of
unpaid time off to care for the spouse, but the supervisor decides to
terminate the employee.
Which federal regulation has been violated in this scenario? - CORRECT
ANSWER -Family and Medical Leave Act
A hospital recently acquired a home health agency, which is a new service
for the hospital. Because employees will now go into patient homes to
provide care, this acquisition presents new risk management concerns.
What should be added to the hospital's risk management plan to manage
this new risk? - CORRECT ANSWER -
,A long-term care facility acquired a hospice care agency, which provides in-
home medical support including pain relief for dying patients. Care of
terminally ill patients presents new risk management concerns for the
facility.
What should be added to the facility's risk management plan to manage
this new risk? - CORRECT ANSWER -Create a procedure for storing controlled
substances to prevent diversion by family members
A hospital has an increasing number of patients injured during transfer. A
multidisciplinary team investigated the incidents and noticed that workers
are not using the mechanical lift assistance devices.
Which recommendation should decrease further risk? - CORRECT ANSWER -
Discipline workers who transfer without using the lift
After an event involving a near-miss abduction of an infant from the
newborn unit, a hospital risk manager plans to update the risk management
and safety plan.
What should the manager recommend to mitigate this risk? - CORRECT
ANSWER -Conduct regular infant abduction scenario drills
A nursing care center resident reported thefts of valuables from a drawer in
the resident's room. The nurse completed an incident form per the risk
management plan.
, What should the manager recommend to mitigate the risk of a recurrence?
- CORRECT ANSWER -Send valuables home with a family member
A nurse gives an inaccurate dose of medication to a patient, and the patient
has an adverse reaction. A team reviews the risk management plan and
identifies the problem as a miscalculated dosage.
Which action could the manager take to mitigate this risk? - CORRECT
ANSWER -Assess the nurse's competence for dosage calculations
A newborn male underwent a circumcision intended for another infant. A
root cause analysis team determined that proper patient identification
protocols were not followed by the physician and transporter.
Which patient safety action should be included in the risk management
plan to prevent a recurrence? - CORRECT ANSWER -Include the parent in the
patient identification process
A hospital officer reports the presence of multiple incidences of skin
breakdown among the Medicare/Medicaid eligible patients who were
admitted to the hospital. Admission assessment supports that the skin
breakdown was not present at the time of admission.
What is the initial role of the Centers for Medicare and Medicaid in
providing oversight for this issue? - CORRECT ANSWER -To deny
reimbursement to the facility
A home health agency has audited occurrences of falls over the last 12
months. The organization was cited by The Joint Commission for having
insufficient fall prevention measures.
