CCP Quality and Safety Practices 2

Question 1

A consultant pharmacist performing a medication use evaluation (MUE) finds that 40% of residents on warfarin lack documented INR monitoring within the past 30 days.
What is the MOST appropriate immediate action?

Accepted Answer

Present findings to the quality assurance committee and develop a corrective action plan

Answer

Discontinue warfarin for all affected residents

Answer

Notify the state board of pharmacy immediately

Answer

Switch all residents to a direct oral anticoagulant

Question 2

Which of the following best describes the purpose of a root cause analysis (RCA) in a long-term care pharmacy setting?

Accepted Answer

To identify systemic factors contributing to an adverse event and prevent recurrence

Answer

To assign blame for a medication error to the responsible staff member

Answer

To document incidents for malpractice litigation purposes

Answer

To calculate the financial cost of a medication error

Question 3

Under USP <797>, which beyond-use dating (BUD) category applies to a sterile compounded preparation made from non-sterile components under Category 1 conditions?

Accepted Answer

12 hours at controlled room temperature

Answer

1 hour at controlled room temperature

Answer

24 hours refrigerated

Answer

72 hours at controlled room temperature

Question 4

A facility's fall-with-injury rate has risen 25% after adding a new CNS medication to the formulary. Which quality tool is MOST appropriate to identify contributing factors?

Accepted Answer

Fishbone (Ishikawa) diagram

Answer

Pareto chart

Answer

Control chart

Answer

Scatter diagram

Question 5

When conducting a prospective drug regimen review in a skilled nursing facility, the consultant pharmacist identifies a resident taking both a benzodiazepine and an opioid. According to CMS guidelines, what is required?

Accepted Answer

Documentation of the clinical rationale and a gradual dose reduction plan unless contraindicated

Answer

Immediate discontinuation of the benzodiazepine

Answer

Automatic denial of the prescription

Answer

Referral to a psychiatrist before any action

Question 6

A high-alert medication error involving concentrated electrolytes reaches a patient in a long-term care facility. After immediate patient care, which action BEST supports a culture of safety?

Accepted Answer

Report the event anonymously to a voluntary reporting system and review storage protocols

Answer

Terminate the nurse who administered the medication

Answer

Conceal the error to protect the facility's accreditation status

Answer

Remove all concentrated electrolytes from the facility immediately

Question 7

Which ISMP strategy is the highest-level intervention to prevent look-alike/sound-alike (LASA) medication errors?

Accepted Answer

Removing one of the LASA drugs from the formulary when clinically feasible

Answer

Affixing auxiliary warning labels to LASA drug containers

Answer

Requiring verbal order read-back for all LASA drugs

Answer

Storing LASA drugs in alphabetical order