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 child is brought in with bruises in various stages of healing in unusual locations. After reporting suspected abuse to child protective services, what is the physician's obligation if the family demands the report be withdrawn?
Answer: Explain that mandatory reporting laws require the report to stand
Mandatory reporting laws require physicians to report suspected child abuse, and these reports cannot be withdrawn at the request of the family.
Which of the following best describes 'never events' in patient safety?
Answer: Serious, largely preventable patient safety events that should never occur
Never events are serious, preventable adverse events such as wrong-site surgery or retained surgical instruments that should never occur with proper safety protocols.
A patient with HIV requests that their diagnosis not be shared with their sexual partner. The physician should:
Answer: Counsel the patient on partner notification and follow state law on duty to warn
Physicians must balance patient confidentiality with the duty to protect third parties, counseling on partner notification and following state-specific duty-to-warn laws.
In the context of medication safety, what does the 'five rights' framework include?
Answer: Right patient, right drug, right dose, right route, right time
The five rights of medication administration are: right patient, right drug, right dose, right route, and right time.
Under CLIA (Clinical Laboratory Improvement Amendments), which test complexity level requires the least stringent quality control in a physician office laboratory?
Answer: Waived tests
Waived tests under CLIA have the simplest quality control requirements because they use simple, cleared methodologies with minimal risk of error.
A physician suspects a colleague is impaired by substance use during clinical duties. The most appropriate first action is to:
Answer: Address patient safety and follow institutional protocol for reporting impaired physicians
When a colleague may be impaired, immediate patient safety must be addressed first, followed by reporting through proper institutional and state physician health program channels.
Which type of informed consent is generally sufficient for routine physical examinations in outpatient family medicine?
Answer: Implied consent from the patient's actions
Implied consent is generally accepted for routine examinations; patients indicate consent through their actions of scheduling and attending the appointment.