Quality Control Flashcards
6 cards from real CCHT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Quality Control flashcards as text
What does a dialysis facility's QAPI (Quality Assessment and Performance Improvement) program primarily aim to achieve?
Answer: Systematically identify quality deficiencies, implement improvements, and measure outcomes to improve patient safety and care quality
QAPI is a data-driven continuous improvement process that identifies gaps in care quality, implements changes, and measures outcomes to systematically improve patient safety.
How frequently must dialysis water bacteria and endotoxin testing be performed according to AAMI standards?
Answer: Monthly at minimum; more frequently for high-risk or after system changes
AAMI RD52 requires monthly microbiological testing of dialysis water and dialysate, with more frequent testing after system maintenance or when results approach action limits.
What is the significance of tracking vascular access types in a dialysis facility's quality program?
Answer: AVF use rates reflect best practice adherence; facilities track AV fistula placement to reduce infection-prone catheters
Higher AVF rates are associated with lower infection rates and mortality; the CMS QIP tracks AVF and catheter rates as quality performance measures.
What is the role of the CCHT in preventing wrong patient, wrong treatment errors in the dialysis unit?
Answer: Verify patient identity with two identifiers before every treatment and confirm treatment prescription matches the patient
The CCHT must verify patient identity using two identifiers (name + DOB or ID number) before every treatment to prevent wrong-patient errors.
When a hemodialysis patient's Kt/V consistently falls below 1.2 despite no apparent changes, what is the first step in the quality improvement process?
Answer: Conduct a systematic review of treatment delivery factors: access, blood pump speed, treatment time, and sampling technique
Before changing the prescription, systematically evaluate all factors that could reduce measured Kt/V to identify the correctable cause.
What documentation is required following an adverse event during hemodialysis, and within what timeframe should initial reporting occur?
Answer: Complete incident report immediately after ensuring patient safety, document in the medical record, and report serious events to relevant authorities as required
All adverse events require contemporaneous documentation in the medical record, completion of an incident report, and reporting of serious events to appropriate authorities (ESRD Network, state health department) within required timeframes.