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 family medicine physician wants to implement a quality improvement project using the PDSA cycle. What does PDSA stand for?
Answer: Plan, Do, Study, Act
PDSA (Plan, Do, Study, Act) is a cyclical quality improvement framework used to test and implement changes in healthcare settings.
A patient refuses a blood transfusion on religious grounds despite life-threatening anemia. The physician should:
Answer: Respect the refusal if the patient has decision-making capacity and is informed of consequences
Competent adult patients with decision-making capacity have the right to refuse any medical treatment, including life-saving transfusions, based on personal or religious beliefs.
Which of the following represents a 'sentinel event' as defined by The Joint Commission?
Answer: Wrong-site surgery resulting in patient harm
A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury; wrong-site surgery is a classic example.
Under the Stark Law, which of the following is prohibited?
Answer: Physicians referring Medicare patients to entities in which they have a financial interest
The Stark Law prohibits physicians from referring Medicare/Medicaid patients to entities where they or an immediate family member have a financial relationship, unless an exception applies.
A physician is asked to complete a disability form for a patient. Which is the most appropriate approach?
Answer: Document objective findings and functional limitations based on clinical assessment
Disability determinations must be based on objective clinical findings and documented functional limitations, not solely on patient self-report.
A breach of unsecured PHI affecting 500 or more individuals must be reported to HHS within how many days of discovery?
Answer: 60 days
Under the HIPAA Breach Notification Rule, covered entities must notify HHS of large breaches affecting 500 or more individuals within 60 days of discovery.
Which strategy is most effective in reducing catheter-associated urinary tract infections (CAUTIs) in hospitalized patients?
Answer: Daily reassessment of catheter necessity and prompt removal when no longer needed
Daily review of catheter necessity and prompt removal is the most evidence-based strategy for reducing CAUTIs by limiting the duration of catheterization.