Safety and Compliance Flashcards
7 cards from real ABFM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Safety and Compliance flashcards as text
A patient is prescribed warfarin and a new antibiotic. Which antibiotic class most commonly requires INR monitoring due to drug interaction?
Answer: Macrolides
Macrolides inhibit CYP2C9 and can significantly increase warfarin levels, requiring close INR monitoring.
Under HIPAA, which of the following is considered a permissible disclosure of protected health information (PHI) without patient authorization?
Answer: Reporting a gunshot wound to law enforcement
HIPAA permits disclosure to law enforcement for reporting certain injuries like gunshot wounds as required by law.
A physician discovers a medication error that reached the patient but caused no harm. What is the most appropriate next step?
Answer: File an incident report and disclose the error to the patient
Transparency requires disclosing errors to patients even when no harm occurred, and incident reporting supports system safety improvement.
Which federal law primarily governs workplace safety standards in medical offices?
Answer: OSHA
OSHA (Occupational Safety and Health Administration) sets and enforces workplace safety standards, including bloodborne pathogen regulations in medical settings.
A physician prescribes opioids for chronic pain. Which practice best reduces diversion risk while maintaining patient care?
Answer: Checking the PDMP before each opioid prescription
Checking the Prescription Drug Monitoring Program (PDMP) before prescribing opioids helps identify patients obtaining controlled substances from multiple providers.
Under the Emergency Medical Treatment and Labor Act (EMTALA), a hospital emergency department must:
Answer: Provide a medical screening exam to all patients regardless of ability to pay
EMTALA requires that all patients presenting to an emergency department receive a medical screening examination regardless of their ability to pay.
When performing a hand-off to a covering physician, which communication tool is most evidence-based for reducing errors?
Answer: SBAR (Situation, Background, Assessment, Recommendation)
SBAR is a structured communication framework proven to reduce errors during patient hand-offs by ensuring critical information is conveyed systematically.