Quality Assurance & Compliance Flashcards
7 cards from real CBN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Assurance & Compliance flashcards as text
Which accreditation program jointly administered by the American College of Surgeons and the ASMBS sets national standards for bariatric surgery centers?
Answer: MBSAQIP
MBSAQIP (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program) is the joint ACS/ASMBS accreditation program for bariatric centers.
A bariatric program's 30-day readmission rate rises above the national benchmark for two consecutive quarters. What is the most appropriate first step in the quality improvement process?
Answer: Perform a root cause analysis of the readmission cases
A root cause analysis identifies the underlying contributing factors before corrective actions are chosen.
Under MBSAQIP standards, which staff role is specifically required to coordinate data collection and quality reporting for an accredited bariatric center?
Answer: Metabolic and Bariatric Surgery Clinical Reviewer (MBSCR)
The MBSCR is the designated role responsible for abstracting and submitting data to the MBSAQIP registry.
Which federal law most directly governs how a bariatric nurse may share a patient's protected health information with a weight-loss support group facilitator?
Answer: HIPAA
HIPAA regulates the use and disclosure of protected health information, requiring patient authorization for non-treatment disclosures.
A bariatric nurse discovers that informed consent for a sleeve gastrectomy was signed but the patient cannot describe the procedure's major risks. What is the nurse's best action?
Answer: Notify the surgeon so the consent discussion can be repeated before surgery
Informed consent requires patient understanding, and the provider who performs the procedure must address knowledge gaps before proceeding.
Which metric is considered an outcome measure rather than a process measure in a bariatric quality program?
Answer: 30-day postoperative mortality rate
Mortality reflects the end result of care (an outcome), while the other options measure whether care processes were performed.
During a Joint Commission survey, a surveyor uses the tracer methodology on a bariatric patient. What does this methodology involve?
Answer: Following an actual patient's course of care through the organization to evaluate compliance
Tracer methodology follows a real patient's experience across departments to assess how standards are met in practice.