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PMI Ch 2

PMI Quality Assurance & Legal Issues

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
Popular Phlebotomy sets




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