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CIR Quality Improvement & Patient Safety Flashcards

6 cards from real CIR practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 CIR Quality Improvement & Patient Safety flashcards as text

  1. Contrast-induced acute kidney injury (CI-AKI) is defined by a rise in serum creatinine of:

    Answer: ≥ 0.3 mg/dL or ≥ 50% increase within 48–72 hours of contrast exposure

    CI-AKI is defined as a serum creatinine rise of ≥ 0.3 mg/dL absolute or ≥ 50% relative increase within 48–72 hours after intravascular contrast administration.

  2. Which intervention is most evidence-supported for reducing CI-AKI in high-risk cath lab patients?

    Answer: Intravenous isotonic saline hydration before and after the procedure

    Adequate intravenous hydration with isotonic saline before and after contrast exposure remains the most consistently evidence-supported strategy for reducing CI-AKI risk.

  3. A cath lab program seeking ACC accreditation must demonstrate compliance with quality metrics tracked in which national registry?

    Answer: The ACC NCDR CathPCI Registry

    The ACC NCDR CathPCI Registry collects standardized procedural, outcome, and quality data from participating cath labs and is the foundation for ACC Cath Lab Accreditation benchmarking.

  4. Which practice best prevents wrong-patient contrast injections in a busy cath lab setting?

    Answer: Two-identifier patient verification at every major step of care

    The Joint Commission requires two independent patient identifiers (name plus date of birth or MRN) to be verified at each critical care transition to prevent patient misidentification errors.

  5. Skin peak dose (Pk) during fluoroscopically-guided cardiac procedures is important to monitor because:

    Answer: Doses exceeding 2 Gy may cause deterministic radiation skin injuries

    Deterministic skin effects (erythema, moist desquamation, necrosis) can occur at peak skin doses exceeding ~2 Gy, making intra-procedural monitoring essential for complex or prolonged fluoroscopic procedures.

  6. Which approach to quality improvement uses small, iterative cycles of Plan-Do-Study-Act (PDSA) to test changes?

    Answer: The Model for Improvement (Institute for Healthcare Improvement framework)

    The IHI Model for Improvement employs rapid PDSA cycles to test, learn from, and refine process changes before implementing them at scale.