CPHRM quiz 1

 Which of the following steps in the risk management process refers to all of the options available to a risk manager in handling a given risk? 

•  Identify and analyze loss exposures. 

•  Examine risk management techniques. 

•  Select the best risk management techniques. 

•  Implement the selected technique. 

 A risk manager is reviewing the results of a root cause analysis (RCA) performed following a heparin administration error on an adult inpatient unit. One of the contributing factors was staff confusion about which one of several heparin administration protocols was to be followed. In addition, "floating" nurses were providing patient care at the time of the error. Which of the following measures is most likely to prevent recurrence of this error? 

•  Confining each physician's admissions to a small group of units so staff can become familiar with the physician's practice patterns 

•  Limiting "floating" so nursing staff are sent to units where they have been trained.

•  Limiting and standardizing the number of heparin administration protocols available on adult inpatient units 

•  Implementing a color-coded labeling system so different heparin solutions and concentrations can be easily identified at a glance 

Which of the following is an advantage of occurrence screening compared to incident reporting? 

• The denominator is defined. 

• The numerator is defined. 

• Occurrence screening randomly identifies specific deviations from policy. 

• Occurrence screening is less resource intensive than incident reporting. 

It is important to protect the discoverability of incident reports. Which of the following have significant impact on whether the reports are discoverable? 

1. Joint commission/TJC standards. 

2. State statutes. 

3. Federal statutes. 

4. Case law. 

• A. 2 and 3 only. 

• 2 and 4 only. 

• 2, 3 and 4 only. 

• All of the above. 

Which of the following are risk treatment strategies? 

1.Risk anticipation. 

2.Risk avoidance. 

3.Risk retention. 

4.Risk transfer. 

• 2 and 3 only. 

• 1 and 4 only. 

• 1, 3 and 4 only. 

• 2, 3 and 4 only. 

Which of the following is the risk control technique that a risk professional uses to eliminate the possibility for a loss to occur 

• risk avoidance 

• loss prevention 

• loss reduction 

• risk exposure 

Which of the following are examples of loss prevention techniques?  

1. Incident investigation 

2. New employee education 

3. Policy and procedure review and revision 

4. Relocation of a business to a safer area 

• 1, 2, and 3 only 

• 1, 2, and 4 only 

• 1, 3, and 4 only 

• 2, 3, and 4 only 

Which of the following categories of events most qualifies as a proper subject for risk identification and risk assessment within an enterprise-wide risk management program? 

• Acquisition of a neighboring community hospital formerly owned and operated by a publicly traded, for-profit hospital management group, headquartered in another state. 

• A proposal to join and participate in a regional association of hospitals and healthcare providers, for purposes of cooperation and joint collaboration in regional quality improvement initiatives. 

• Dissemination of unfavorable comparative data from a nationwide organization established to monitor, compare, and rank healthcare delivery facilities in specific geographic locations 

• Creation of a study group, including medical staff representatives, to prepare a report for the board, explaining "pros and cons" of only hiring nurses with baccalaureate or masters level degrees to staff intensive care units. 

Which of the following is an example of risk avoidance? 

• Buying insurance so that the insurance company pays for losses 

• Including an Indemnification and hold harmless clause in a contract with anesthesiologists 

• Closing a hospital's emergency department 

• Providing in-service education to improve the OB nursing staff’s abilities to interpret fetal heart monitoring 

In the risk management process, the fourth step is: 

• Monitor and improve the risk management process 

• Identify and analyze the loss exposure 

• Implement the selected technique 

• Consider the alternative risk management techniques