Clinical Leadership & Patient Care Flashcards
7 cards from real CMD practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Leadership & Patient Care flashcards as text
A medical director reviews data showing a facility's pressure injury rate is in the 90th percentile compared to peers. What is the most appropriate initial action?
Answer: Convene a multidisciplinary team to perform a root cause analysis of contributing factors
A root cause analysis with a multidisciplinary team is the evidence-based approach to understanding and addressing elevated pressure injury rates.
Under OBRA '87 regulations, unnecessary drug use in nursing facilities is defined as medication used in excessive dose for what duration?
Answer: Excessive duration — longer than clinically indicated
OBRA '87 defines unnecessary drugs as those used in excessive doses, for excessive duration, without adequate monitoring, or without adequate indications.
Which leadership style is most effective when managing a clinical crisis requiring immediate action?
Answer: Directive/authoritative leadership
Directive leadership is most effective in acute crises where clear commands and rapid decision-making are essential to patient safety.
A medical director wants to improve hand hygiene compliance. Which strategy has the strongest evidence base?
Answer: Multimodal programs combining education, feedback, system change, and leadership engagement
WHO and CDC evidence supports multimodal hand hygiene programs as the most effective strategy for sustained improvement.
Which condition is classified as a 'never event' by the National Quality Forum in post-acute care?
Answer: Stage III or IV pressure injury acquired after admission
Stage III and IV pressure injuries acquired after admission are classified as NQF Never Events, indicating they are preventable serious adverse events.
The INTERACT (Interventions to Reduce Acute Care Transfers) program is designed to achieve which primary goal?
Answer: Reduce potentially avoidable hospitalizations from post-acute care settings
INTERACT provides tools and protocols to identify and manage acute changes in condition early, reducing potentially avoidable hospital transfers.
In ethical decision-making, the principle of 'non-maleficence' requires a physician to:
Answer: Avoid causing harm or imposing burdens that outweigh benefits
Non-maleficence obligates clinicians to avoid interventions where potential harms outweigh expected benefits.