Quiz on Hospital Management Standards

In a type B hospital, it was found that some surveillance data on infections and patient safety incidents were not recorded in the information management system, making reporting to management incomplete. Based on MRMIK standard 1, what is the most appropriate action for the hospital in this situation?

• Add more medical record officers

• Postpone reporting until data is complete

• Conduct an analysis of information needs and revise the system

• Delegate full responsibility to the quality unit

• Remove quality indicators that are difficult to achieve

The hospital has an electronic information system, but most staff do not understand data security strategies during downtime. Based on MRMIK standard 13.1, what is the most appropriate initial action for the hospital?

• Replace the entire system with a new vendor

• Remove downtime procedures because they are confusing

• Train staff on downtime handling procedures

• Delegate the entire process to the IT department

• Postpone the implementation of the electronic system

An internal auditor found that the medical record forms had not been updated in the last 5 years, even though hospital service standards had changed. What is the main violation committed by the hospital in this case based on MRMIK 6?

• Lack of policy on data confidentiality

• Failure to conduct periodic evaluations of RM forms

• Failure to conduct quality audits

• Lack of SOP for archiving

• Failure to store data backups

The hospital has implemented SIMRS but does not have a monitoring mechanism for the effectiveness of the system. Based on MRMIK standard 13, what follow-up steps must the hospital take?

• Close SIMRS access for evaluation

• Report SIMRS results to the Ministry of Health

• Conduct monitoring and evaluation of SIMRS effectiveness

• Deactivate non-clinical modules

• Replace all old computers

A hospital manages internal documents including policies and SOPs but cannot show evidence of regulations explaining control over obsolete documents. Based on MRMIK 3, which component has the hospital neglected?

• Document review by PPA

• Frequency of indicator reporting

• Identification and control of obsolete documents

• Training staff

• Monitoring and internal audits

Patient medical records do not contain diagnosis and procedure codes based on ICD-10 and ICD-9-CM, and use different abbreviations between units. Based on MRMIK 9, the hospital failed in the aspect of:

• Encryption of medical record data

• Uniformity of form formats

• Standardization of codes, symbols, and abbreviations

• Destruction of expired medical records

• Annual SIMRS audit

A patient requests a copy of their medical record, but the staff refuses without regulatory basis. What is the main violation of the hospital in this case according to MRMIK 10?

• Lack of encryption system

• Failure to establish access rights in information release

• Lack of SIMRS work unit

• Failure to use consent forms

• Failure to sign documents

Based on MRMIK 12, the main deficiency in this case is:

• No assessment form available

• Lack of regulation for form revision

• No follow-up on evaluation results

• Quality indicator not achieved

• Data cannot be entered into RS Online

Based on MRMIK 11, what should the hospital do?

• Keep documents indefinitely

• Send data to the national archive center

• Destroy safely with documentation

• Submit documents to the Health Office

• Destroy secretly for security

Based on MRMIK 2 EP 2, the main weakness in this case is:

• No online reporting system

• Lack of documentation for data utilization in decision making

• Encryption system not implemented

• No training for hospital staff

• Separation of SIMRS and quality functions