0 of 100 Questions completed
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
0 of 100 Questions answered correctly
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
The risk manager should review agreements for contracted professional services to ensure the contractor is responsible for all of the following EXCEPT
A medical records custodian receives a subpoena duces tecum to appear at a deposition with a medical record. Attached to the subpoena is a letter from the requesting plaintiff attorney advising that if a copy of the record is mailed, then appearance at the deposition is not required. A risk manager should advise the custodian to
When evaluating the effectiveness of the risk management program, it is important to
Which of the following grants hospitals limited immunity for physician staff credentialing meetings if the hospital meets certain procedural standards?
Which of the following are examples of loss prevention techniques?
Which of the following alternative dispute resolution mechanisms is a voluntary,informal process not involving a third party facilitator?
Which of the following are primary elements of a risk management program?
A patient undergoes a laparotomy and does not do well postoperatively. The patient is taken back to surgery and a retained towel is extracted. The physician refuses to inform the patient and instructs staff to advise the patient a previously undiagnosed condition is the cause. The risk manager should FIRST
During the contract review process, the risk manager is responsible for
Which of the following are recommended actions for a risk manager who has heard a rumor that an inpatient with a healthcare-associated infection has died?
A defibrillator failed during resuscitation and a patient died. It is unclear what role, if any, the defibrillator failure played in the patient’s death. The risk manager sequesters the defibrillator. Which of the following should the risk manager do NEXT?
Risk management strategies must be in place to evaluate and reduce liability exposures related to the use and maintenance of biomedical technology and equipment in health care. The risk manager’s role is to ensure
A nursing assistant finds a patient on the floor. The patient explains he was attempting to go to the bathroom when he slipped and fell. The incident is reported to the patient’s physician and head nurse. Who is responsible for completing the incident report?
A physician, concerned about the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, asks the risk manager whether she can talk to a patient about his condition in front of the patient’s friend. The risk manager should advise protected health information can only be disclosed if the
When reserving for professional liability claims, the risk manager should set
The Patient Self-Determination Act (PSDA) provides for which of the following?
An emergency response plan for infant or child abduction should be developed with collaboration of an interdisciplinary team that includes nursing and
The Safe Medical Devices Act (SMDA) applies to
Which of the following are examples of disruptive behavior by a clinician?
Which of the following elements should a risk manager consider when evaluating the severity (damages) of a potential legal claim against an organization?
A 72-year-old male presents to an emergency department with a history of severe abdominal pain and deteriorating mental status. The consulting surgeon identifies that the patient needs surgery for a ruptured appendix and resulting sepsis. The patient has an advance directive and staff is unable to locate the patient’s only surviving son. Which of the following is the BEST principle to guide the surgeon’s decision regarding whether to proceed with surgery?
Which of the following represents operations consistent with a risk manager’s role?
Which of the following events must be reported by a risk manager to the facility’s insurance company in a timely manner?
The Occupational Safety and Health Administration’s (OSHA’s) Hazard Communication standard requires employers to inform employees of
Education and training of staff members regarding incident reporting should include which of the following instructions?
A risk manager asks the Director of Engineering to assess the hospital’s environmental risks as it relates to state and federal laws pertaining to the hospital’s regulated underground storage tanks. Which of the following should the director provide to the risk manager as part of the assessment?
A hospital with a self-insured/self-administered professional liability insurance program settles a litigated claim for $25,000 on behalf of the hospital and its employed physician. Under the Health Care Quality Improvement Act (HCQIA), the risk manager’s recommendation is to
Receipt of a media inquiry immediately followed the initial notice of an adverse patient event. Obtaining the cooperation of the media while the investigation proceeds will be facilitated by
After changing professional liability policy carriers, a risk manager discovers several potential claims were never reported to the prior carrier. Which of the following information should the risk manager consider?
The purpose of conducting a failure mode and effect analysis (FMEA) is to
In a failure mode and effects analysis (FMEA), the severity score is an estimate of the
An organization has had a sentinel event in which a procedure intended for patient X was performed on patient Y. Which of the following is the MOST likely root cause of this event?
Which of the following is LEAST likely to be protected by the attorney-client privilege?
A patient dies as a result of a transfusion error. Investigation reveals nurses have developed a “workaround” that involves cutting off patients’ barcoded wristlets and carrying them to centrally located barcode scanners, rather than bringing the barcoder to the patient bedside for scanning. Which of the following action plans will be MOST successful?
The risk manager for an organization insured approves a claim settlement for an amount exceeding the current indemnity reserve. The risk manager must produce an updated loss run for the monthly claims management committee meeting. Which of the following BEST describes the action the risk manager should take when preparing the updated loss run?
An alternative dispute mechanism that results in a decision by a neutral third party is
The risk manager should evaluate which of the following when selecting defense counsel?
The Patient Self-Determination Act (PSDA) requires facilities to
Which of the following provide guidance or regulation on an aspect of telemedicine?
An organization’s development of a nonpunitive approach to reporting of adverse events may result in an increase in the
A patient’s right for advance directives is based on the ethical principle of
The risk manager of a hospital has a $250,000 indemnity-only deductible for its professional liability insurance program, with limits of $5 million per claim, no aggregate. The hospital resolves a claim for $5 million in indemnity, and closes the file with $125,000 in defense costs. Which of the following amounts represents what the hospital will pay on this claim?
Which of the following should be included in expense reserves?
Which of the following should be included in expense reserves?
|Plaintiff attorney fees||Claim administrator fees||Experts fees||mediation fees|
A hospital’s insurance policy provides for replacement cost of its building. Replacement cost is the
How should a risk manager respond to a subpoena for medical records, properly served on the facility, which seeks a patient’s history of mental health and substance abuse diagnosis and treatment?
The biggest competitor of a premier academic community hospital recently bought a da Vinci robot and is extensively advertising its advantages. To remain competitive, the community hospital considers purchasing a da Vinci robot as well, believing that this will help maintain market share. When considering the purchase of this technology, the risk manager should use an enterprise risk management approach and include which of the following types of risk domains?
Which of the following statements regarding the Occupational Safety and Health Administration (OSHA) is correct?
A risk manager can BEST manage potential employment practice risks by working with the organization’s human resources department to
The following policy information is available:
What is the total cost of closed claims for policy year 2012?
Ideally, a physician on an interdisciplinary patient safety care team would
For most general business decisions, which of the following types of insurance affords hospital board members the best protection from liability claims?
52. In building an effective risk management program, which of the following areas should be considered?
1. preventing patient injury
2. minimizing financial losses
3. the ratio of risk managers to occupied beds
4. the scope and cost of insurance coverage
53. The following three events occurred in a hospital:
1. A patient received a unit of blood of the incorrect ABO type, resulting in a hemolytic
2. An infant was discharged to the incorrect family.
3. An assault on an on-duty staff member led to permanent harm. Based on The Joint
Commission’s (TJC’s) sentinel event policy, the risk manager
54. The risk manager receives a letter from a local Plaintiff’s firm in which litigation is
threatened against the hospital and surgeon related to a delay in diagnosis of lung cancer.
The patient chest x-ray for surgical work up showed a potential nodule with
recommendation from the radiologist for a follow up CAT scan. The Plaintiff attorney
alleges that those results and recommendations were not shared with the patient and that
no follow up CAT scan was performed. The risk manager should FIRST
55. Which of the following BEST describes the implications of a reservation of
rights letter from an insurance carrier?
Which of the following elements should be included in a policy on disclosure of unanticipated outcomes?
1. who is responsible for the disclosure
2. documentation of the disclosure
3. how to disclose deliberations from the peer review process
4. follow-up discussions with patient and family
57. What is the MOST effective strategy on the Hierarchy of Intervention Effectiveness?
Based on historical root cause analysis data compiled by The Joint Commission, most sentinel events could be prevented if
To determine what constitutes a claim to a commercial carrier, the risk manager should FIRST
A hospital’s adverse event program revealed the following data:
Measure 2011 2012 2013
Surgery performed on the wrong body part 5 10 15
Number of patients who had surgery 800 1,600 2,400
Number of admissions 5,000 4,800 4,900
A risk manager’s review of claims from the past five years is an example of risk
The Emergency Medical Treatment and Active Labor Act (EMTALA) permits a registered nurse (RN) to perform a medical screening if the RN is designated by the medical staff as qualified and is working under an approved standardized procedure when
A risk manager has received a contract for consulting services to review. Which of the following components should the risk manager ensure is included when reviewing the contract?
1. performance expectations for both parties
2. consultant’s current health status
3. evidence of professional liability/errors and omission coverage
4. consultant’s client references
The chair of the Institutional Review Board notifies a risk manager that a data file of
research subjects was released to a third party. Subsequent review of the file revealed that
the patients’ state of residence and fax number are included in the file. The risk manager’s
BEST course of action is to
When dealing with patients for whom English is not the primary language, clinical staff
should be encouraged to
A risk manager leads a team performing a failure mode and effects analysis (FMEA) on patient falls. The team recommends implementation of bed alarms as a control measure. After several months, the team reconvenes and recalculates the risk priority number as a means of evaluating the effectiveness of the intervention. Which of the following changes in the severity, occurrence, and detection scores will the team MOST likely observe?
severity occurrence detection
The risk manager is notified by a patient that he has retained an attorney and intends to sue the facility. The risk manager should immediately
1. retain counsel.
2. prepare witnesses for potential deposition.
3. contact the malpractice carrier.
4. begin an investigation of the allegation.
The daughter of an elderly patient has been noted to take pictures of the staff while they
are providing care to her father. She became verbally abusive to the staff when informed of
the facility’s ban on picture taking during the provision of care. Which of the following is
the risk manager’s BEST course of action at this time?
Which of the following is true about failure mode and effects analysis (FMEA)?
70. Which of the following are required elements for a liability loss?
1. a duty owed to another
2. a breach of that duty
3. questionable harm to another
4. a close causal connection between the breach and the harm
Upon removal, an epidural catheter is noted to be broken, with approximately 6 inches
remaining in the patient. Risk management actions should include preserving the broken
catheter and notifying the
1. Food and Drug Administration (FDA).
3. Occupational Safety and Health Administration (OSHA).
4. professional liability insurer.
To identify appropriate process changes, the risk manager should conduct
The patient’s injury will result in permanent nerve damage and the patient has
threatened to sue. What elements of this case categorize this incident as a reviewable
An organization’s top management will fly together to the annual captive management
meeting. The risk manager should suggest the group alter travel plans based on which of
the following risk management principles?
When preparing the risk management department budget, which of the following costs
are likely to be provided by the organization for inclusion without the risk manager’ ability
Important considerations in evaluating the legality of an informed consent include
1. legibility of the patient’s signature.
2. patient’s ability to understand.
3. physician’s ability to explain the procedure.
4. medical terminology used in the consent process.
In the Just Culture model, which of the following types of behavior should result in the
coaching of an employee?
The contract a hospital has with a floor cleaning company states the company will pay
liability losses related to floor cleaning on behalf of the hospital. This is an example of
Through media coverage, a risk manager hears of a recent patient safety event at a
neighboring hospital. A medication was administered to three infants on two occasions
resulting in one infant death and two infants requiring additional healthcare services. This
medication is widely used in the risk manager’s organization. Which of the following is the
risk manager’s BEST course of action?
Which of the following should be FIRST in a series of presentations to the Board,
medical staff, and employees regarding a risk management program?
Which of the following obligations applies to an off-campus outpatient facility one mile
away from a hospital?
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?
Which of the following should be reported to the National Practitioner Data Bank
An organization has decided to develop an obstetrics service. Which of the following is a
potential risk exposure?
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?
Which of the following describes the difference between a cross-claim and a counterclaim?
87. An organization changed from an occurrence to a claims-made policy form for
professional liability coverage with an effective and retroactive date of 1/1/99. The claimsmade
policy has been renewed each year and remains in effect. On 2/13/02, the risk
manager receives a summons and complaint alleging medical malpractice in the care and
treatment of a newborn delivered on 12/15/97. The risk manager discovers an incident
report in the file, but no evidence of claim submission. The risk manager submits the
claim to the current carrier. How is the carrier likely to respond?
The Americans with Disabilities Act (ADA) prohibits an employer from asking about
the existence, nature, or severity of a disability until
Which of the following are MOST important for the risk manager to consider
when establishing annual goals for the risk management department?
1. organizational strategic plan
2. loss/claim experience
3. demographic shift in the market area
4. regulatory environment and changes
An off-duty hospital employee comes to the facility to visit a relative. When leaving, the
employee falls over debris on the parking garage floor and is injured. The MOST likely
insurance coverage is
A. employee benefit liability.
B. workers’ compensation.
D. general liability.
The Emergency Medical Treatment and Active Labor Act (EMTALA) requires a
Medicare/Medicaid hospital with emergency services to
1. conduct a medical screening for emergency medical conditions.
2. stabilize a patient to the extent of its capability prior to transfer to another facility.
3. provide medical treatment for all patients who come to the emergency department.
4. avoid billing patients without insurance.
The attorney for a patient presents a claim related to an injury received by the patient
while in the facility. After investigation, the risk manager believes the claim has some merit
and the plaintiff appears open to consideration of settlement. For a variety of reasons, the
risk manager believes this claim should be settled prior to trial, if possible. Which of the
following alternative dispute resolution methods is the BEST to bring this to closure?
Which of the following takes place FIRST in a root cause analysis (RCA)?
The following events occurred over the past month:
The risk manager established a work group to review these data and determine where the process failures occur. Based on the data, the group should FIRST focus on
How could a risk manager promote cost reduction associated with runaway litigation?
Which of the following statements regarding monetary damages for a breach of contract
Ongoing evaluation of outside defense counsel should include which of the following?
The risk manager is developing a written plan for reporting actual and potential
compensable events to the facility’s insurance carrier. The plan should include reporting
which of the following types of events?
1. a complaint filed by a family alleging wrongful death of their father from post-operation
2. a medical record request from an attorney of a patient who developed a decubitus ulcer.
3. a report made by a physician regarding a difficult delivery and an infantwith low apgar
scores and seizures within 24 hours of birth.
4. an event reported by a nurse regarding an incorrect medication that was dispensed by
pharmacy and almost administered to the patient.
Which of the following may be defined as the ongoing activity of comparing one’s own
process, product, or service with the similar process, product, or service that is known to be
100. A risk manager is working with the performance improvement director to formulate a
strategy for compliance with The Joint Commission’s National Patient Safety Goals
requiring accredited organizations to implement measures to ensure clinical alarms are
always enabled and audible. One of the proposed measures is to modify alarms on
ventilators so that the volume control cannot be turned lower than a predetermined level.
This measure is an example of which of the following design principles?