Patient Safety & Infection Control Flashcards

Under OSHA, how often must an employer review and update its Exposure Control Plan for bloodborne pathogens?

Answer: At least annually

The Exposure Control Plan must be reviewed and updated at least once a year and whenever tasks or procedures change.

Which patient safety tool proactively identifies possible process failures before they cause harm, unlike a root cause analysis?

Answer: Failure Mode and Effects Analysis (FMEA)

FMEA is a proactive risk assessment that looks for failure points before an adverse event happens.

Per ACIP, which documentation is acceptable presumptive evidence of measles immunity for healthcare personnel?

Answer: Two documented doses of live measles-containing vaccine

ACIP accepts written documentation of two doses of live measles-containing vaccine, laboratory evidence of immunity or lab-confirmed disease.

Under OSHA's Respiratory Protection Standard, how often must employees who wear tight-fitting N95 respirators be fit-tested?

Answer: At least annually

OSHA 29 CFR 1910.134 requires fit testing before first use and at least once a year after that.

When granting or renewing privileges, what must the organization confirm about the practitioner's health status?

Answer: That the practitioner can perform the privileges requested

Accreditation standards require confirmation that the practitioner can perform the requested privileges, not disclosure of every condition.

What is the most common way MRSA is transmitted between patients in hospitals?

Answer: Contaminated hands of healthcare personnel

MRSA spreads mainly by direct and indirect contact, most often on healthcare workers' hands.

Under the CMS Hospital-Acquired Condition Reduction Program, what penalty applies to the worst-performing quartile of hospitals?

Answer: A 1% reduction in Medicare payments

Hospitals in the worst-performing 25% on HAC measures get a 1% reduction in Medicare inpatient payments.