{"id":1175,"date":"2013-10-10T19:17:49","date_gmt":"2013-10-10T19:17:49","guid":{"rendered":"http:\/\/jacobimed.org\/NS\/?page_id=1175"},"modified":"2013-10-10T19:17:49","modified_gmt":"2013-10-10T19:17:49","slug":"qa-and-risk-mgmt","status":"publish","type":"page","link":"https:\/\/jacobimed.org\/old\/ambulatory\/mlove\/curriculumprevention\/risk-management\/qa-and-risk-mgmt\/","title":{"rendered":"QA and Risk Mgmt"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p class=\"MsoBodyText\" align=\"center\"><span style=\"font-size: x-large;\">QUALITY ASSURANCE &amp;<br \/>\nRISK MANAGEMENT<\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: center;\" align=\"center\"><span style=\"font-size: 20pt;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\" style=\"text-align: center;\" align=\"center\"><span style=\"font-size: 10pt;\">By<br \/>\nDr. Cynthia Chong<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoBodyText2\"><span style=\"font-size: medium;\">Dr. Chong will be giving a lecture.<span><br \/>\n<\/span>Please read through the following articles before it.<span><br \/>\n<\/span>They are from a series done by the <em>New England Journal of Medicine <\/em>on<br \/>\nQuality of Care.<\/span><\/p>\n<p class=\"MsoBodyText2\">\n<p class=\"MsoBodyText2\"><span style=\"font-size: x-large;\"><strong><span style=\"text-decoration: underline;\">Articles<\/span><\/strong><\/span><\/p>\n<p class=\"MsoBodyText2\"><strong><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 1.pdf\"><span style=\"font-family: NEJMGalliard-Bold;\">P<\/span><\/a><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 1.pdf\"><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ART <\/span><span style=\"font-family: NEJMGalliard-Bold;\">1: Q<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">UALITY OF <\/span><span style=\"font-family: NEJMGalliard-Bold;\">C<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ARE<br \/>\n<\/span><span style=\"font-family: NEJMGalliard-Bold;\">\u2014 W<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">HAT <\/span><span style=\"font-family: NEJMGalliard-Bold;\">I<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">S <\/span><span style=\"font-family: NEJMGalliard-Bold;\">I<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">T<\/span><span style=\"font-family: NEJMGalliard-Bold;\">?<\/span><\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 2.pdf\"><span style=\"font-family: NEJMGalliard-Bold;\">P<\/span><\/a><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 2.pdf\"><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ART <\/span><span style=\"font-family: NEJMGalliard-Bold;\">2: M<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">EASURING <\/span><span style=\"font-family: NEJMGalliard-Bold;\">Q<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">UALITY<br \/>\nOF <\/span><span style=\"font-family: NEJMGalliard-Bold;\">C<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ARE<\/span><\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 3.pdf\"><span style=\"font-family: NEJMGalliard-Bold;\">P<\/span><\/a><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 3.pdf\"><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ART <\/span><span style=\"font-family: NEJMGalliard-Bold;\">3: I<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">MPROVING THE <\/span><span style=\"font-family: NEJMGalliard-Bold;\">Q<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">UALITY<br \/>\nOF <\/span><span style=\"font-family: NEJMGalliard-Bold;\">C<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ARE<\/span><\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 4.pdf\"><span style=\"font-family: NEJMGalliard-Bold;\">P<\/span><\/a><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 4.pdf\"><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ART <\/span><span style=\"font-family: NEJMGalliard-Bold;\">4: T<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">HE <\/span><span style=\"font-family: NEJMGalliard-Bold;\">O<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">RIGINS<br \/>\nOF THE <\/span><span style=\"font-family: NEJMGalliard-Bold;\">Q<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">UALITY<\/span><span style=\"font-family: NEJMGalliard-Bold;\">\u2013<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">OF<\/span><span style=\"font-family: NEJMGalliard-Bold;\">\u2013C<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ARE <\/span><span style=\"font-family: NEJMGalliard-Bold;\">D<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">EBATE<\/span><\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 5.pdf\"><span style=\"font-family: NEJMGalliard-Bold;\">P<\/span><\/a><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 5.pdf\"><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ART <\/span><span style=\"font-family: NEJMGalliard-Bold;\">5: P<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">AYMENT BY <\/span><span style=\"font-family: NEJMGalliard-Bold;\">C<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">APITATION<br \/>\nAND THE <\/span><span style=\"font-family: NEJMGalliard-Bold;\">Q<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">UALITY OF <\/span><span style=\"font-family: NEJMGalliard-Bold;\">C<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ARE<\/span><\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 6.pdf\"><span style=\"font-family: NEJMGalliard-Bold;\">P<\/span><\/a><a href=\"\/public\/Ambulatory_files\/mlove\/CurriculumPrevention\/Risk Management\/QA part 6.pdf\"><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ART <\/span><span style=\"font-family: NEJMGalliard-Bold;\">6: T<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">HE <\/span><span style=\"font-family: NEJMGalliard-Bold;\">R<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">OLE<br \/>\nOF <\/span><span style=\"font-family: NEJMGalliard-Bold;\">P<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">HYSICIANS IN THE <\/span><span style=\"font-family: NEJMGalliard-Bold;\">F<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">UTURE OF <\/span><span style=\"font-family: NEJMGalliard-Bold;\">Q<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">UALITY <\/span><span style=\"font-family: NEJMGalliard-Bold;\">M<\/span><span style=\"font-size: 9pt; font-family: NEJMGalliard-Bold;\">ANAGEMENT<\/span><\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong><span style=\"font-family: NEJMGalliard-Bold;\">\u00a0<\/span><\/strong><\/p>\n<p>&nbsp;<\/p>\n<h1><span style=\"text-decoration: underline;\">Boards-type Practice Questions<\/span><strong><span style=\"font-family: NEJMGalliard-Bold;\">\u00a0<\/span><\/strong><\/h1>\n<p class=\"MsoNormal\"><span style=\"font-family: NEJMGalliard-Bold;\"><strong>(scroll<br \/>\ndown for answers)<\/strong><\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">1.<span><br \/>\n<\/span>Risk management activities are designed to:<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\"><span><br \/>\n<\/span>a.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Weed<br \/>\nout residents from promotion<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\"><br \/>\n<\/span><span style=\"font-size: 14pt;\"><span><br \/>\n<\/span>b.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Promote<br \/>\na minimum standard of care<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>c.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Alert<br \/>\nregulatory agencies to poorly managed admissions<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>d.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Regulate<br \/>\nphysicians applying for relicensing<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>e.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Provide<br \/>\ninformation for patients suing for malpractice<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">2.<span><br \/>\n<\/span>An example of an error of omission would be:<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>a.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>No<br \/>\nadmission note<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>b.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>No<br \/>\ndeath note<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>c.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>No<br \/>\nEKG ordered for patient with chest pain and tachycardia<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>d.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Procedure<br \/>\nperformed by uncredentialed individual<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>e.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>No<br \/>\nurology consultation within 24 hours of request<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<\/span><span style=\"font-size: 14pt;\">3.<span><br \/>\n<\/span>An error of commission would be:<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>a.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Pneumothorax<br \/>\nafter placing an IJ line<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>b.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Calling<br \/>\na 1-2-6 when a patient is without respirations or pulse<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>c.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Discharging<br \/>\na patient AMA<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>d.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Ordering<br \/>\nampicillin for patient with known penicillin allergy<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>e.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Ordering<br \/>\nsubcutaneous heparin for a bed bound patient<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<\/span><span style=\"font-size: 14pt;\">4.<span><br \/>\n<\/span>Patients\/families most often litigate when there is:<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>a.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>A<br \/>\nbilling problem<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>b.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>An<br \/>\nerroneous test ordered<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>c.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Poor<br \/>\nprovider-patient\/family communication<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>d.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Poor<br \/>\ndocumentation<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<span><br \/>\n<\/span>e.<span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>A<br \/>\nperception that the physician is wealthy<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\">\n<p class=\"MsoNormal\">\n<p class=\"MsoNormal\">\n<p class=\"MsoNormal\">\n<p class=\"MsoNormal\"><span style=\"font-size: 14pt;\">Answers:<span><br \/>\n<\/span>b,c,d, c<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; QUALITY ASSURANCE &amp; RISK MANAGEMENT \u00a0 &nbsp; By Dr. Cynthia Chong &nbsp; \u00a0 &nbsp; \u00a0 &nbsp; Dr. Chong will be giving a lecture. Please read through the following articles before it. They are from a series done by the New England Journal of Medicine on Quality of Care. Articles PART 1: QUALITY OF CARE&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1173,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-1175","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1175","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/comments?post=1175"}],"version-history":[{"count":1,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1175\/revisions"}],"predecessor-version":[{"id":1176,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1175\/revisions\/1176"}],"up":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1173"}],"wp:attachment":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/media?parent=1175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}