Quality Assurance & Compliance Flashcards
7 cards from real CBN practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Quality Assurance & Compliance flashcards as text
A bariatric center wants to compare its leak rate after sleeve gastrectomy with risk-adjusted national data. Which resource provides this benchmarking?
Answer: MBSAQIP semiannual report
MBSAQIP provides participating centers with risk-adjusted semiannual reports for benchmarking outcomes against national data.
Which quality improvement model uses the sequence Plan-Do-Study-Act to test changes on a small scale?
Answer: PDSA cycle
The PDSA cycle is an iterative rapid-cycle improvement method for testing changes before broad implementation.
A patient develops a wrong-site surgical error during a bariatric procedure. How is this event classified for reporting purposes?
Answer: Sentinel event
Wrong-site surgery is a sentinel event, a serious occurrence requiring immediate investigation and response.
Which proactive tool should a bariatric team use to identify potential failure points in a new enhanced recovery (ERAS) protocol before implementing it?
Answer: Failure Mode and Effects Analysis (FMEA)
FMEA prospectively identifies where a process could fail and prioritizes risks before harm occurs.
A bariatric nurse notices a colleague documenting vital signs that were never taken. What is the nurse's primary obligation?
Answer: Report the falsification through the facility's chain of command or incident reporting system
Falsification of records is fraud and a patient safety risk that must be reported through official channels.
Which requirement must a hospital meet under CMS Conditions of Participation regarding quality for bariatric and all inpatient programs?
Answer: Maintain an ongoing, data-driven Quality Assessment and Performance Improvement (QAPI) program
CMS Conditions of Participation require hospitals to operate an effective, ongoing, hospital-wide QAPI program.
In evaluating compliance with VTE prophylaxis orders on the bariatric unit, the nurse audits 30 charts and finds 24 compliant. What is the compliance rate?
Answer: 80%
24 compliant charts divided by 30 audited charts equals 80%.