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PMI Ch 2
PMI Quality Assurance & Legal Issues
| Question | Answer |
|---|---|
| Act or threat causing another to be in fear of immediate battery | Assault |
| Federal agency that administers the CLIA | Centers for Medicare and Medicaid Services (CMS) |
| Organization that develops voluntary standards and guidelines for the laboratory | Clinical Laboratory Standards Institute (CLSI) |
| Compares current lab test results with previous results for the same test on the same patient | Delta check |
| Deceitful practice or false portrayal of facts either by words or by conduct | Fraud |
| Program designed to nationally standardize measurement of performance | Continuous Quality Improvement (CQI) |
| Failure to keep privileged medical information private | Breach of confidentiality |
| Formal process in litigation that involves taking depositions and interrogating parties involved | Discovery |
| Practices that emphasize quality assurance when in any laboratory setting | Good Laboratory Practices (GLPs) |
| Implies voluntary and competent permission for medical procedure, test, or medication | Informed consent |
| Intentional offensive touching or use of force without consent or legal justification | Battery |
| Legal actions in which the alleged injured party sues for monetary damanges | Civil action |
| Level of care a person with good sense provides under given circumstances | Due care |
| Person against whom a complaint is filed | Defendant |
| When one party questions another under oath with a court reporter present | Deposition |
| Failure to exercise due care | Negligence |
| Guides used to monitor all areas of patient care | Quality indicators |
| Injured party in the litigation process | Plaintiff |
| Latin phrase meaning "let the master respond" | Respondeat superior |
| Length of time after alleged injury in which a lawsuit can be filed | Statute of limitations |
| Level of acceptable practice beyond which quality care cannot be assured | Threshold value |
| Liability imposed on one person for acts committed by another | Vicarious liability |
| Level of care and skill that provides due care for patients | Standard of care |
| Overall process that established policies and procedures for assured quality | Quality assurance (QA) |
| A component of a CQI program that is a form of procedural control | Quality control (QC) |
| Safety practices for protecting patients and advancing quality care | National Patient Safety Goals (NPSGs) |
| A core set of systems essentials for quality outcomes | Quality System Essentials (QSE) |
| Type of negligence implying a greater standard of care was owed to the injured person | Malpractice |
| Violation of one's right to be left alone | Invasion of privacy |
| Wrongful act committed against one's person, property, or reputation | Tort |
| A constitutional right to refuse a medical procedure | Refusal of consent |
| Consent is implied by actions. Necessary in emergency/CPR situation. Enacted at a state level - may differ state to state. | Implied consent |
| Implies voluntary and competent permission. Pt given adequate info regarding method, risks, & consequences of procedure. Info in pt language & nontechnical terms. Pt consent before procedure. Minor require parent/guardian consent | Informed consent |
| Parental/guardian consent required for medical treatment. Generally, minor cannot consent for medical treatment. If violated, personnel is liable for assault and battery. | Minor consent |
| Required before surgery or high-risk procedure. Verbally or written. Written-best protection-sign by pt & provide & witnessed by 3rd party. Verbal-Documented fully in chart what was discussed. Consent covers what procedure(s) will be done. | Expressed consent |
| State laws specify what type of information can be given. Legislation governing informed consent for HIV tests has been enacted in most states. Usually, pt must be advised on test and purposes, how test may be used, & meaning of test and limitations | HIV consent |
| Process control | Safety |
| Internal assessment | Self-assessments On-site assessments |
| Patient assessment | Duplicate test ordering Practice guideline implementation |
| Specimen receiving/processing | Sample acceptability Blood gas sample acceptability Chemistry sample acceptability |
| Specimen collection/labeling | Wristband evaluation |
| Test request | Ordering accuracy Accuracy of order transmission Verbal order evaluation |
| Personnel | Employee retention Competence evaluation |
| Occurrence management | Incidents |
| Specimen transport | Transit time Stat transit time |
| OSHA | Occupational Safety & Health Administration |
| JCAHO | Joint Commission Accreditation Healthcare Organization |
| CLSI | Clinical Laboratory Standards Institute |
| CLIA | Clinical Laboratory Improvement Amendment |
| Low complexity testing phlebotomists can perform (5) | Pregnancy test Urinalysis Throat cultures Blood sugar Blood typing |
| Areas to avoid when performing throat cultures (7) | Teeth Cheeks Gums Uvula Lips Tongue Roof of mouth |
| Oldest & largest healthcare standard-setting body in the nation? | Joint Commission |
| CLIA federal regulations are administered by: | CMS |
| These are set up to monitor all aspects of laboratory work? | Quality indicators |
| QA program monitors: | Outcomes |
| What book describes the necessary steps to follow in patient preparation? | Specimen Collection Manual |
| Necessary elements of risk management... | Education Evaluation Identification |
| What book describes the chemical, electrical, and radiation safety for the laboratory? | Safety Manual |
| What book outlines hand washing and other decontamination procedures, precautions to take when dealing with patients or handling specimens, and how to handle accidental contamination? | Infection Control Procedure Manual |
| What book states the policies and procedures that apply to each test or practice performed in the laboratory? | Procedure Manual |
| Which laboratory regulatory agency classifies laboratory tests by their complexity? | CMS |
| A phlebotomist who fails to change gloves and wash hands between patients is not observing: | Joint Commission Patient Safety Goals |
| Plebotomists' involvement with Patient's Bill of Rights does not include the patient's right to: | Examine their hospital bill |
| Ethics are defined as: | Standards of right and wrong |
| The law that specifically addresses privacy of health information is: | Health Insurance Portability and Accountability Act |
| A phlebotomist who tells a pt who is refusing to have blood drawn to calm down or they will get someone to hold them down is committing: | Assault |
| Performing an unauthorized arterial puncture that results in damage to the pt's use of arm is termed: | Malpractice |
| When a pt refused to have blood drawn the phlebotomist should: | Notify pt healthcare provider & document the refusal |
| Any unfavorable event that is unexpected and results in death or serious physical or psychological injury | Sentinel event |
Created by:
rainie529
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