ABOG Quality Assurance & Compliance 3 — Questions and Answers
Question 1: Which document outlines standardized approaches to managing obstetric hemorrhage as a quality bundle?
- ACOG/SMFM Obstetric Care Consensus and AIM bundles (Correct answer)
- Joint Commission Sentinel Event Alert
- CMS Conditions of Participation
- HIPAA Privacy Rule
Correct answer: ACOG/SMFM Obstetric Care Consensus and AIM bundles
The Alliance for Innovation on Maternal Health (AIM) and ACOG/SMFM publish evidence-based care bundles specifically targeting obstetric hemorrhage management.
Question 2: A sentinel event occurs on the labor unit. According to The Joint Commission standards, within what timeframe must a root cause analysis be completed?
- 45 days (Correct answer)
- 24 hours
- 7 days
- 90 days
Correct answer: 45 days
The Joint Commission requires that a thorough root cause analysis and action plan be completed and submitted within 45 calendar days of the sentinel event.
Question 3: What is 'crew resource management' (CRM) as applied to obstetric teams?
- Training to optimize communication and teamwork among all members of the care team (Correct answer)
- Scheduling software for nursing staff
- A system for tracking medical supply inventory
- Protocol for managing operating room equipment
Correct answer: Training to optimize communication and teamwork among all members of the care team
CRM training, adapted from aviation, teaches obstetric teams to use effective communication, situational awareness, and mutual support to reduce errors.
Question 4: Which measure is included in the Leapfrog Hospital Survey specific to maternity care quality?
- NTSV cesarean rate and episiotomy rate (Correct answer)
- Number of OB-GYN physicians on staff
- Total births per year
- Average length of stay for vaginal delivery
Correct answer: NTSV cesarean rate and episiotomy rate
Leapfrog's maternity care measures include the NTSV cesarean rate and episiotomy rate as key quality indicators for obstetric units.
Question 5: Under Title IX and the Pregnant Workers Fairness Act (PWFA), what is a key employer compliance obligation?
- Provide reasonable accommodations to pregnant employees (Correct answer)
- Offer paid maternity leave of at least 12 weeks
- Assign pregnant employees to light duty automatically
- Prohibit pregnant employees from night shift work
Correct answer: Provide reasonable accommodations to pregnant employees
The PWFA, effective 2023, requires covered employers to provide reasonable accommodations for known limitations related to pregnancy, childbirth, or related conditions.
Question 6: What is the primary purpose of a perinatal quality collaborative (PQC)?
- Facilitate statewide learning networks to improve maternal and neonatal outcomes (Correct answer)
- Credential obstetric providers at member hospitals
- Adjudicate malpractice claims involving obstetric care
- Set reimbursement rates for obstetric procedures
Correct answer: Facilitate statewide learning networks to improve maternal and neonatal outcomes
Perinatal quality collaboratives are state or regional networks that use data sharing and collaborative learning to spread evidence-based practices and improve outcomes.
Question 7: Which checklist tool, adapted from aviation, is used in operating rooms during cesarean delivery to improve team communication?
- Surgical Safety Checklist (WHO) (Correct answer)
- SBAR communication tool
- FMEA worksheet
- Triggers tool
Correct answer: Surgical Safety Checklist (WHO)
The WHO Surgical Safety Checklist, widely adopted for cesarean deliveries, includes sign-in, time-out, and sign-out phases to prevent surgical errors.
ABOG Quality Assurance & Compliance 3
Which document outlines standardized approaches to managing obstetric hemorrhage as a quality bundle?