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 reviewing a memory care unit's antipsychotic use finds that 60% of residents receive quetiapine for sleep despite no psychiatric diagnosis. What is the primary regulatory concern?
Answer: This pattern represents unnecessary drug use and may constitute an F-tag deficiency under CMS regulations
CMS F-tags cite unnecessary drug use when medications are used without adequate indication, which includes off-label antipsychotic use for sleep in dementia patients without documented clinical justification.
Which of the following is the MOST effective strategy to prevent wrong-patient medication administration errors in a long-term care setting?
Answer: Using barcode medication administration (BCMA) technology linked to resident wristbands
BCMA with barcode-linked wristbands is the most effective technology-based control to prevent wrong-patient errors at the point of administration.
According to ISMP guidelines, which of the following is classified as a 'high-alert medication' in long-term care?
Answer: Warfarin
Warfarin is on ISMP's high-alert medication list for long-term care because errors with anticoagulants are more likely to cause serious harm than errors with other drug classes.
A facility's QA committee wants to track medication error trends over time to detect shifts or unusual patterns. Which statistical quality control tool is BEST suited for this purpose?
Answer: Statistical process control (SPC) chart
SPC charts (control charts) display data over time with control limits, enabling detection of special-cause variation and trends in error rates.
A resident's family member brings in a bag of over-the-counter supplements and requests they be administered by nursing. What is the consultant pharmacist's role?
Answer: Review the supplements for drug-herb interactions, obtain a physician order, and document in the MAR before administration
All medications and supplements administered in a facility require physician authorization, pharmacist review for interactions, and documentation in the MAR per CMS guidelines.
Failure mode and effects analysis (FMEA) differs from root cause analysis (RCA) in that FMEA is:
Answer: Proactive: conducted to identify and mitigate potential failures before they cause harm
FMEA is a prospective risk assessment tool used to identify potential failure modes and their effects before harm occurs, in contrast to the retrospective nature of RCA.
Which of the following represents the correct interpretation of a medication safety near-miss event in a long-term care pharmacy quality program?
Answer: Near-misses are valuable learning opportunities that should be captured in the safety reporting system to prevent future errors
Near-miss events reveal latent system vulnerabilities; capturing and analyzing them proactively prevents future errors that could reach patients.