Risk Assessment & Mitigation 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 Risk Assessment & Mitigation flashcards as text
A nursing home Medical Director receives notification of a resident-to-resident altercation resulting in injury. Under federal reporting requirements, to whom must this event be reported within 24 hours?
Answer: The state survey agency and the Long-Term Care Ombudsman
Federal regulations (42 CFR 483.12) require facilities to report allegations of abuse, neglect, or exploitation to the state survey agency and the Long-Term Care Ombudsman within 24 hours.
In risk stratification for pressure injury prevention, which combination of factors places a resident at HIGHEST risk?
Answer: Bedbound status, malnutrition, incontinence, and sensory impairment
The combination of immobility, malnutrition, incontinence, and sensory impairment creates compounding risk factors that dramatically increase pressure injury likelihood.
Which element of a facility's QAPI program specifically requires staff to analyze aggregate data trends rather than only individual events?
Answer: Feedback, Data Systems, and Monitoring element
The Feedback, Data Systems, and Monitoring element of QAPI requires facilities to collect and analyze aggregate data to identify trends and systemic patterns.
A Medical Director wants to reduce polypharmacy-related adverse drug events in high-risk residents. Which systematic approach is MOST evidence-based?
Answer: Conducting comprehensive medication reviews using criteria such as the Beers Criteria
The American Geriatrics Society Beers Criteria provides evidence-based guidance for identifying potentially inappropriate medications in older adults, enabling systematic deprescribing.
During a mock survey, surveyors identify that the facility lacks documented evidence of immediate corrective actions following a sentinel event. What risk does this primarily represent?
Answer: Regulatory non-compliance and potential for recurrent harm
Failure to document and implement immediate corrective actions following a sentinel event represents regulatory non-compliance and leaves systemic vulnerabilities unaddressed, risking recurrence.
A Medical Director is tasked with reducing elopement risk in a memory care unit. Which environmental modification provides the MOST effective first-line mitigation?
Answer: Installing secured exit alarms and door delay systems
Secured exit alarms and door delay systems are the most direct environmental controls to detect and prevent elopement attempts in memory care units.
A risk manager presents data showing that 70% of adverse events at a facility occur on night shifts. Using a systems-thinking approach, which contributing factor should the Medical Director investigate FIRST?
Answer: Staffing ratios, supervision availability, and clinical support resources during night hours
A systems-thinking approach prioritizes examining structural and organizational factors—such as staffing, supervision, and resource availability—over individual blame as root causes of shift-specific adverse event clustering.