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Self-Assessment Answers for Section 1: EVIDENCE-BASED GUIDANCE ON IMPROVING PATIENT SAFETY AND REDUCING MEDICAL ERRORS
1 . Which of the following medical abbreviations is on the official Joint Commission “Do Not Use”?
A.
B.
C.
D.
2 . What was the result of a study looking at the impact of a computerized provider order entry program in Washington State as it replaced handwritten prescriptions?
A.
B.
C.
D.
3 . What was the median diagnostic error rate found in a systematic review of 53 different studies of autopsies?
A.
B.
C.
D.
4 . Which type of medical error has been asserted to be both the most preventable and most likely to result in patient harm?
A.
B.
C.
D.
5 . Which two factors were responsible for the bulk of medical errors in a root-cause analysis of diagnostic errors using the Diagnostic Error Evaluation and Research tool?
A.
B.
C.
D.
6 . Which of the following is not an area identified as a target of possible interventions to reduce diagnostic errors?
A.
B.
C.
D.
7 . Which statement most accurately describes the role of heuristics as a factor in making diagnostic errors?
A.
B.
C.
D.
8 . Which statement best describes findings about the relationship of clinician failure to notify patients of test results and health outcomes?
A.
B.
C.
D.
9 . Which statement best summarizes the current evidence about the costs of implementing patient safety practices (PSPs)?
A.
B.
C.
D.
10 . Which of the following safety practice is “Strongly encouraged” as opposed to being only “encouraged” by AHRQ guidelines?
A.
B.
C.
D.
Self-Assessment Answers for Section 2: ER/LA OPIOID REMS EDUCATION
11 . Long-acting (LA) and extended-release (ER) formulations of opioids should typically not be used for which of the following?
A.
B.
C.
D.
12 . If an organic pathology cannot be found to explain a patient’s pain, what should a clinician infer?
A.
B.
C.
D.
13 . Which of the following is the appropriate use of “universal precautions” as it applies to patients with chronic pain?
A.
B.
C.
14 . The DIRE and the COMM are examples of which of the following assessments?
A.
B.
C.
D.
15 . All of the following need to be documented in writing as part of an overall therapeutic approach to managing chronic pain patients EXCEPT:
A.
B.
C.
D.
16 . All of the following are possible advantages of patient/provider agreements EXCEPT:
A.
B.
C.
D.
17 . All of the following are examples of functional goals EXCEPT:
A.
B.
C.
D.
18 . The responsibility for obtaining evidence of success in meeting a functional goal lies with which of the following individuals?
A.
B.
C.
D.
19 . All of the following are reasonable causes for discontinuing treatment with an opioid medication EXCEPT:
A.
B.
C.
D.
20 . When opioid treatment is initiated, both the patient and clinician should view the commitment as:
A.
B.
C.
D.
21 . It can be particularly unsafe to combine opioids with which of the following other medicines?
A.
B.
C.
D.
22 . The duration of action of short-acting opioids is generally:
A.
B.
C.
D.
23 . Short-acting opioids are most appropriate and commonly used for which of the following conditions?
A.
B.
C.
D.
24 . Combination products are those that include an opioid with which of the following elements?
A.
B.
C.
D.
25 . What is the typical duration of action of the different ER/LA opioids?
A.
B.
C.
D.
26 . All of the following are of particular concern when prescribing an ER/LA opioid pain medication EXCEPT:
A.
B.
C.
D.
27 . All of the following types of patients need more frequent or intense monitoring EXCEPT:
A.
B.
C.
D.
28 . Of the following tools, which one can help patients pinpoint triggers of breakthrough pain?
A.
B.
C.
D.
29 . Uncomfortable or unpleasant side effects (aside from constipation) may potentially be reduced by which two approaches?
A.
B.
C.
D.
30 . All of the following are valid reasons to pursue opioid rotation EXCEPT:
A.
B.
C.
D.
31 . Which of the following is the APS-AAPM guideline regarding driving for patients prescribed opioid medication?
A.
B.
C.
D.
32 . One reason that methadone must be prescribed with particular caution is that:
A.
B.
C.
D.
33 . In 2006, the FDA added a caution to the “black box” warning that methadone may cause which of the following serious adverse effects?
A.
B.
C.
D.
Self-Assessment Answers for Section 3: HEALTH INFORMATION TECHNOLOGY AND PATIENT SAFETY
34 . For which aspect of medical practice is the evidence strongest that Health IT system can actually improve patient safety?
A.
B.
C.
D.
35 . Which of the following may discourage users from sharing health IT-related patient safety risks?
A.
B.
C.
D.
36 . According to the latest data, approximately what percentage of office-based physicians use any type of electronic health record (HER)?
A.
B.
C.
D.
37 . In what way might a Health IT system actually decrease patient safety?
A.
B.
C.
D.
38 . What was the conclusion of a systematic review of the evidence about how Health IT affects patient safety?
A.
B.
C.
D.
39 . What is one barrier to identifying and sharing information on Health IT features related to adverse events?
A.
B.
C.
D.
40 . What is a potential benefit of a Computerized Provider Order Entry (CPOE) system?
A.
B.
C.
D.
41 . What is a potential safety concern related to Clinical Decision Support (CDS) software?
A.
B.
C.
D.
42 . What was a significant result of the use of an Electronic Health Record (EHR) system by Kaiser Permanente in 2001?
A.
B.
C.
D.
43 . What is one main conclusion from broad country comparison studies of the use of Health IT and its potential to improve patient safety?
A.
B.
C.
D.
44 . What time frame is considered to pose the greatest threat to patient safety when an organization decides to use a Health IT system?
A.
B.
C.
D.
45 . Which of the following is not a generally-accepted feature of a safe Health IT system?
A.
B.
C.
D.
46 . Workarounds, which are common in Health IT environments, are often a symptom of _____________.
A.
B.
C.
D.
47 . Which organization has developed guidelines and standards for usability design and evaluation of Health IT systems?
A.
B.
C.
D.
48 . What does a “Big Bang” strategy mean in the context of implementing Health IT systems?
A.
B.
C.
D.
49 . Approximately what percentage of U.S. Internet users search for health information online?
A.
B.
C.
D.
50 . What was a result of a study examining the outcomes of giving people easy online access to their health information
A.
B.
C.
D.
51 . Microsoft HealthVault is an example of what kind of Health IT program?
A.
B.
C.
D.
52 . Which of the following is not a potential barrier to widespread use of PHRs?
A.
B.
C.
D.
53 . Who is responsible for initiating, organizing, and maintaining health-related information in a freestanding PHR?
A.
B.
C.
D.
54 . An “adjacency error” is when _________________.
A.
B.
C.
D.
55 . A drawback of the large private-sector role in U.S. Health IT development and implementation is ________________________.
A.
B.
C.
D.
56 . What organization or entity currently performs the crucial function of investigating Health IT-related patient safety incidents?
A.
B.
C.
D.
57 . What significant step did the Committee recommend if progress toward increasing safety and reliability of Health IT systems is not significantly improved?
A.
B.
C.
D.
58 . What change in the culture of the current health care system as it relates to the creation, implementation, and management of Health IT systems does the Committee believe is key to making progress?
A.
B.
C.
D.
Self-Assessment Answers for Section 4: SELF-DIRECTED LEARNING
59 . All of the following describe self-directed learning (SDL) EXCEPT:
A.
B.
C.
D.
60 . The primary emphasis of the Maintenance of Competence (MOC) program is on
A.
B.
C.
D.
61 . Many states are adding the requirement that CME include which of the following components?
A.
B.
C.
D.
62 . Internet point of care (IPOC) is a CME format that makes use of which of the following resources?
A.
B.
C.
D.
63 . IPOC serves as a CME tool for Internet searches by doing which of the following?
A.
B.
C.
D.
64 . In order to claim a CME activity using IPOC, the learner must do all of the following EXCEPT:
A.
B.
C.
D.
65 . When using IPOC for CME credit the learner must:
A.
B.
C.
D.
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