Quality and Safety Practices Flashcards
7 cards from real CCP 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 and Safety Practices flashcards as text
A consultant pharmacist reviews an assisted living facility's medication storage and finds insulin vials stored at 25°C in a medication cart. Which error does this represent?
Answer: An improper storage condition that may compromise insulin potency and patient safety
Insulin in-use vials should be stored per manufacturer specifications; most require refrigeration until opened, and extended exposure above recommended temperatures degrades potency.
Under the OBRA '87 regulations, how often must a consultant pharmacist perform drug regimen reviews in a Medicare/Medicaid-certified nursing facility?
Answer: Monthly
OBRA '87 mandates monthly drug regimen reviews for all residents in Medicare/Medicaid-certified nursing facilities.
Which of the following is an example of a 'forcing function' in medication safety design?
Answer: Configuring IV pumps so concentrated potassium cannot be programmed without an override alert
A forcing function physically or electronically prevents an action unless a safety step is completed, making the unsafe action impossible or very difficult.
A long-term care facility asks the consultant pharmacist to evaluate its antibiotic stewardship program. Which metric BEST reflects appropriate antibiotic use?
Answer: Days of therapy (DOT) per 1,000 resident-days
DOT per 1,000 resident-days is the standardized, facility-size-adjusted metric recommended by CDC for benchmarking antibiotic use in long-term care.
When a pharmacist discovers a prescribing error during a prospective DRR, which action reflects the proper consultative approach per CMS expectations?
Answer: Contact the prescriber directly, document the recommendation, and follow up to confirm resolution
CMS expects pharmacists to communicate recommendations to prescribers, document the interaction, and track resolution to close the loop.
Which of the following quality indicators from the Minimum Data Set (MDS) is MOST directly linked to pharmacist medication review quality?
Answer: Percentage of residents receiving antipsychotic medications without a diagnosis of psychosis
Antipsychotic use without a psychosis diagnosis is a CMS quality measure directly targeted by pharmacist DRR under OBRA '87 and the National Partnership to Improve Dementia Care.
A consultant pharmacist recommends discontinuing a potentially inappropriate medication per Beers Criteria. The physician disagrees. What should the pharmacist do next?
Answer: Document the recommendation and physician response, then escalate to the QA committee if the safety concern persists
The pharmacist must document both the recommendation and the prescriber's response; if the safety risk remains significant, escalation through quality channels is appropriate.