CPPS Patient Safety Certification Already Passed

CPPS Patient Safety Certification Already Passed One important route to restoring trust is through a commitment to transparency by all health care systems. Organizations and clinicians that act as though they have nothing to hide become more trustworthy. The health care system should seek to earn renewed trust not by hiding its defects, but by revealing them, along with making a relentless commitment to improve. The transition to openness is a difficult one for our often-beleaguered health care organizations, but it is a journey worth making. In the longer run, access to information can inspire trust among patients and caregivers that the system is working effectively to ________________________. advance health Although trigger tools are neither perfectly sensitive nor specific, they have reasonably good interrater reliability and often identify cases of medical errors that incident reporting or administrative data-based systems miss. Since many triggers do not represent errors or even true harm, they are best used as which of the following? a screen One of the goals of the FDA is to protect the health of the public by assuring that the practice of reprocessing and reusing single-use devices (SUDs) is safe and effective and based on good science. The FDA has designed an approach that applies existing regulations for original equipment manufacturers (OEMs) to third parties and hospitals to minimize risks associated with reprocessed SUDs. The public expects and the law requires all medical devices to be safe, effective, and manufactured in accordance with which of the following? Quality System Regulations 1. the growing complexity of science and technology, 2. the increase in chronic conditions, 3. a poorly organized delivery system, 4. constraints on exploiting the revolution in information technology Four key aspects of the current context for health care delivery Poor designs set the workforce up to fail, regardless of how hard they try outmoded systems of work The high standards of practice that are taught to nurses, pharmacists, and physicians have often been reinforced in hospital practice by an unforgiving system of _____________________________________________________. Censure and discipline co-workers are unaware that a study is taking place while another employee collects data participant observer approach false T or F Many physicians believe the statistical reports The challenges of applying information technology to health care should not be underestimated. Health care is undoubtedly one of the most, if not the most, complex sector of the economy. The number of different types of transactions (i.e., patient needs, interactions, and services) is very large. Which of the following will be required? Sizable capital investments and multiyear commitments to building systems Modifying training, regulatory, and legal environments is not a quick strategy for changing practice. These environments are closely interrelated with ________________. the delivery setting used to double-check the accuracy of medication cart filling, filling new orders, and filling prescriptions. Observers legally recognized report of a medication error incident report disadvantages of the Voluntary Incident Reporting Systems 1) Captures small fraction of adverse events 2) Retrospective review is only based on provider self-reports 3) No standardization or uniformity of adverse events reports The Foundation for Accountability model organizes comparative information about quality performance into five categories based on how consumers think about their care the basics staying healthy getting better living with illness changing needs valid and reliable quality measures for priority conditions that can be used for both internal quality improvement and external accountability A stronger and more organized evidence base should facilitate the development of ________ regulatory conflict legal conflict financial conflict Support the accomplishment of innovators despite these factors: conducts and funds research on safety and health problems, provides technical assistance to OSHA, and recommends standards for OSHA adoption NIOSH (National Institute for Occupational Safety and Health) 5 years for insulin dependent and immediately for non-insulin dependent patients when should screening begin for diabetic retinopathy after diagnosis? Developed by Barker and McConnell, trained observer accompanies the person giving medications and witnesses the preparation and administration of each dose. direct observation technique performance measurement tool designed to help purchasers and consumers evaluate managed care plans and to hold plans accountable for the quality of their services Health Plan Employer Data and Information Set (HEDIS) Groups of medical reviewers contracted by the Centers for Medicare and Medicaid Services (CMS) to ensure quality control and the medical necessity of services provided by a facility. 1. conduct cooperative quality improvement projects in partnership with other quality-focused organizations. 2. conduct mandatory case review in response to beneficiary complaints, as well as educational and outreach activities 3. oversee program integrity by ensuring that Medicare pays only for medically necessary services peer review organizations (PROs) timely, tailored, and expert management of such symptoms. Attention to physical comfort The application of human factors in other industries has successfully reduced errors. Health care has to look at medical error not as a special case of medicine, but as which of the following? A special case of error 1. Recall is required if a product may cause serious adverse health consequences or death [FDA, Title 21, Part 7, Section 3 (m)(1)]. 2. Recall is required if a product may cause temporary or medically reversible adverse health consequences or where the probability of serious adverse health consequences is remote [FDA, Title 21, Part 7, Section 3 (m)(2)]. 3. Recall is required if a product associated with a situation in which use of or exposure to a product is not likely to cause adverse health consequences [FDA, Title 21, Part 7, Section 3 (m)(3)]. The FDA has specific classifications for recalls - it lacks detailed clinical data - concerns over variability and inaccuracy of ICD-10-CM codes across and within systems - detect high proportion of false positives. disadvantages of Administrative/Claims Data techniques, drugs equipment and procedures. Technology includes capture, storage, communication, processing, and presentation of health information United States still lacks national standards for the protection of health data 500,000 Number of serious allergic reactions to medications the reporting of when an error occurs is done through? Incident reports categories of direct costs of medication related errors 1. Population based studies 2. Medication errors in hospitals 3. medication errors in nursing homes put it on your calendar. making reward and recognition routine More difficult to quantify than accidents. Practitioners reporting uncovers only a fraction of the errors that occur. errors in health care physicians do not typically screen for? Potential drug interations pattern mismatching biased memory greatest risks to human health inadequate immunizations example of communication safety issue Error-prone presentation of medication groups do not manage just one activity but rather a number of processes for a single condition. the price is negotiated among all the partners. Care processes (shared-rick arrangements)