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Self-Assessment Answers for Section 1: Root Cause Analysis For Reducing Medical Errors (CE Broker Course #: 20-581942)
1 . Which of the following statements is true regarding the initialization of the Root Cause Analysis (RCA) process?
A.
B.
C.
D.
2 . Which of the following statements is true regarding the use of a timeline in the RCA process?
A.
B.
C.
D.
3 . RCA2 Processes are NOT used to identify:
A.
B.
C.
D.
4 . Blameworthy events include all of the following EXCEPT:
A.
B.
C.
D.
5 . An effective risk-prioritization system does not rely on reports from staff on:
A.
B.
C.
D.
6 . An adverse event requiring surgical intervention not related to a patient’s illness or condition would fall into which Severity Category on a Safety Assessment Code Matrix?
A.
B.
C.
D.
7 . RCA2 team membership should include:
A.
B.
C.
D.
8 . Following an adverse event that resulted in a near death of a patient the RCA2 activities should be completed:
A.
B.
C.
D.
9 . The most important step in the RCA2 process is:
A.
B.
C.
D.
10 . A properly designed Safety Assessment Code Matrix will:
A.
B.
C.
D.
Self-Assessment Answers for Section 2: A Clinician's Guide To Intimate Partner Violence (CE Broker Course #: 20-581944)
11 . The term Intimate Partner Violence is preferred to the term Domestic Violence, because:
A.
B.
C.
D.
12 . Which of the following accurately represents the prevalence of intimate partner violence (IPV) in the United States?
A.
B.
C.
D.
13 . Studies have shown that which of the following characterizes physicians with respect to domestic violence?
A.
B.
C.
D.
14 . A clinician has integrated routine assessment for abuse in his hematology/internal medicine practice. He is seeing a new patient, Ms. Jones. She responds “yes” to the following question in the new patient health self assessment: "Has your partner ever harmed or threatened to harm you or someone you love?" Appropriate follow up questions or statements may include each of the following except:
A.
B.
C.
D.
15 . Which of the following is NOT a typical reason an abuse survivor might remain in a relationship with the abuser?
A.
B.
C.
D.
16 . Which of the following is a common potential barrier to a patient disclosing IPV to a clinician?
A.
B.
C.
D.
17 . The first “R” in the “RADAR” acronym stands for:
A.
B.
C.
D.
18 . Which of the following would not typically be part of a safety plan for a patient who has experienced IPV?
A.
B.
C.
D.
19 . Which statement describes a crucial consideration when clinicians must respond to legal reporting mandates related to IPV?
A.
B.
C.
D.
20 . Which of the following best describes the general pattern of IPV?
A.
B.
C.
D.
Self-Assessment Answers for Section 3: Reducing Diagnostic Error In Medicine (CE Broker Course #: 20-581946)
21 . Approximately what percentage of U.S. adults seeking outpatient care will experience a diagnostic error each year?
A.
B.
C.
D.
22 . The phrase “next frontier in patient safety” has been applied to which topic of current interest in medicine?
A.
B.
C.
D.
23 . A key part of defining “diagnostic error” from a patient-centered perspective is ____________________.
A.
B.
C.
D.
24 . Before initiating any treatment for a patient’s health problem, a clinician must _______________________.
A.
B.
C.
D.
25 . Which of the following is a potential challenge to the performance of an accurate patient medical history?
A.
B.
C.
D.
26 . Which of the following phases in the “brain-to-brain loop model” of diagnostic testing is least susceptible to error?
A.
B.
C.
D.
27 . What type of diagnostic testing is growing rapidly and, thus, posing a challenge for clinicians?
A.
B.
C.
D.
28 . Which of the following is not a potential source of error when using medical imaging technology?
A.
B.
C.
D.
29 . Which of the following is a model for more closely involving pathologists and radiologists in the diagnostic process?
A.
B.
C.
D.
30 . A potential limitation of using an empiric treatment strategy is that _____________________.
A.
B.
C.
D.
31 . The current understanding of clinical reasoning is based on which theory of decision making?
A.
B.
C.
D.
32 . Which of the following is an example of a situation involving slow system 2 cognitive processing?
A.
B.
C.
D.
33 . What is the formal name for the universal tendency to believe that we know more than we actually do?
A.
B.
C.
D.
34 . Which type of cognitive processing typically performs best in highly reliable and predictable environments?
A.
B.
C.
D.
35 . What can be the result of a diagnostic process in which the outcomes of the decision-making process are unknown?
A.
B.
C.
D.
36 . Because of fatigue, a radiologist misses identifying a suspicious spot on a lung x-ray. When the attending physician reviews the x-ray, she notices the irregularity and consults with the radiologist, who recognizes his mistake. No harm occurred to the patient. What is the proper label for this kind of situation?
A.
B.
C.
D.
37 . Over-diagnosis is considered a form of diagnostic error.
A.
B.
38 . Which of the following is not a recommended motivation for instituting a system for measuring diagnostic error?
A.
B.
C.
D.
39 . Which of the following is not a method for estimating the incidence of diagnostic errors?
A.
B.
C.
D.
40 . __________________ was reported to reduce hospitalization time and costs, improve service provision, and enhance patient satisfaction, staff motivation, and team innovation in the United Kingdom’s National Health Service.
A.
B.
C.
D.
41 . Which group is considered to be at the center of the diagnostic process?
A.
B.
C.
D.
42 . _____________ can ensure communication and care coordination among diagnostic team members, monitor a patient over time to see if the patient’s course is consistent with a working diagnosis, and identify potential diagnostic errors.
A.
B.
C.
D.
43 . Accountable Care Organizations (ACOs) were created to address delivery system fragmentation and to align incentives to improve communication and collaboration among health care professionals.
A.
B.
44 . Morbidity and mortality conferences bring health care professionals from different disciplines together to consider the diagnosis and treatment of specific patients.
A.
B.
45 . A survey of low-income patients faced with major medical decisions found that ____ wanted to be very involved in the decision-making process.
A.
B.
C.
D.
46 . An identified problem with electronic health records is that _______________.
A.
B.
C.
D.
47 . Evidence shows that disclosing medical or diagnostic errors to patients and their families _______________________________.
A.
B.
C.
D.
48 . The phrase “heuristic failure” means _______________________.
A.
B.
C.
D.
49 . Which statement best describes the current state of diagnostic decision support tools?
A.
B.
C.
D.
50 . What fundamental change is recommended to increase the utility of health IT systems as they relate to improving diagnosis?
A.
B.
C.
D.
51 . What does “mHealth” stand for?
A.
B.
C.
D.
52 . What is one barrier to the use of postmortem examinations as a way of obtaining more accurate information about diagnostic errors?
A.
B.
C.
D.
53 . Which of the following is not a characteristic of effective feedback interventions to reduce diagnostic errors?
A.
B.
C.
D.
54 . Which statement is most true about the relationship between fee-for-service (FFS) reimbursement systems and efforts to improve diagnoses?
A.
B.
C.
D.
55 . What system has been proposed as a way to provide injured patients with expedited compensation decisions for certain types of medical errors?
A.
B.
C.
D.
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