CMD Risk Assessment & Mitigation 2

Question 1

A long-term care facility identifies a pattern of catheter-associated urinary tract infections (CAUTIs) in one wing. What is the MOST appropriate first step in risk mitigation?

Accepted Answer

Conduct a root cause analysis to identify contributing factors

Answer

Root cause analysis (RCA) systematically identifies underlying causes of an adverse event, enabling targeted and effective corrective actions.

Question 2

Under the CMS Quality Assurance and Performance Improvement (QAPI) framework, which type of committee is responsible for ongoing monitoring of clinical quality indicators?

Accepted Answer

Quality assurance committee

Answer

The quality assurance committee under QAPI is charged with systematically monitoring clinical quality indicators and driving performance improvement.

Question 3

A Medical Director reviews incident reports and notices a cluster of medication errors during shift changes. Which risk mitigation strategy BEST addresses handoff-related errors?

Accepted Answer

Implement a structured communication tool such as SBAR at handoffs

Answer

Structured handoff communication tools like SBAR (Situation, Background, Assessment, Recommendation) significantly reduce information gaps that lead to medication errors during transitions.

Question 4

When performing a Failure Mode and Effects Analysis (FMEA) in a nursing facility, what does the 'detectability' score specifically measure?

Accepted Answer

The likelihood that a failure will be caught before reaching the patient

Answer

In FMEA, detectability scores the ability of existing controls to identify a failure mode before it causes harm to the patient.

Question 5

A facility's fall rate has increased over the past quarter. Under a systematic risk assessment approach, which data source provides the MOST actionable information?

Accepted Answer

Post-fall huddle records and individual fall risk assessments

Answer

Post-fall huddle records and individual risk assessments provide specific, timely data about contributing factors and individual resident vulnerabilities.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD Risk Assessment & Mitigation 2