Prevention Of Medical Errors

1.

In 2013, the fourth most common cause of death according to the CDC was:
- A.
  
  Cancer
- B.
  
  Sentinel events
- C.
  
  Chronic respiratory disease
- D.
  
  Heart disease
Correct Answer
C. Chronic respiratory disease

Explanation
In 2013, chronic respiratory disease was the fourth most common cause of death according to the CDC. This suggests that a significant number of individuals died from respiratory conditions such as chronic obstructive pulmonary disease (COPD), asthma, and other respiratory illnesses. These diseases can lead to long-term damage to the lungs and impair the individual's ability to breathe properly. The high mortality rate associated with chronic respiratory disease highlights the importance of early detection, proper management, and prevention strategies to reduce the burden of these conditions on public health.

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2.

The following documentation corrections are acceptable EXCEPT:
- A.
  
  Date of treatment, SOAP notes, and therapist initials.
- B.
  
  Initialized, dated, line drawn through an entry as a client corrects description of medication taken that day.
- C.
  
  Absence of blank lines between daily SOAP notes entries.
- D.
  
  White out ribbon on an incorrect date of treatment with the correct date recorded.
Correct Answer
D. White out ribbon on an incorrect date of treatment with the correct date recorded.

Explanation
The correct answer is "White out ribbon on an incorrect date of treatment with the correct date recorded." This is because using white out to correct a date on a medical documentation is not acceptable. It is important to maintain the integrity of the original record and avoid any alterations. Instead, the correct approach would be to draw a line through the incorrect date and write the correct date next to it.

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3.

The Joint Commission on Accreditation on Healthcare recommends once a sentinel event is identified, a root cause analysis should be completed within:
- A.
  
  30 days
- B.
  
  45 days
- C.
  
  60 days
- D.
  
  72 days
Correct Answer
B. 45 days

Explanation
The Joint Commission on Accreditation on Healthcare recommends completing a root cause analysis within 45 days once a sentinel event is identified. This timeframe allows for a timely investigation and analysis of the event, ensuring that any underlying causes or contributing factors can be identified and addressed promptly. A prompt analysis is crucial for preventing similar events in the future and improving patient safety.

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4.

Which professional organization requires adherence to safety laws and regulations of the workplace?
- A.
  
  OSHA
- B.
  
  JCAHO
- C.
  
  OIG
- D.
  
  CDC
Correct Answer
A. OSHA

Explanation
OSHA stands for the Occupational Safety and Health Administration. It is a professional organization that requires adherence to safety laws and regulations of the workplace. OSHA's main goal is to ensure safe and healthy working conditions for employees by enforcing standards and providing training, outreach, education, and assistance. This organization plays a crucial role in promoting workplace safety and preventing occupational hazards.

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5.

1-2 minutes of leg contraction is an effective action for clients on which type of medication?
- A.
  
  Diuretics
- B.
  
  Anti-inflammatories
- C.
  
  Anti-anxiety medication
- D.
  
  Corticosteroids
Correct Answer
A. Diuretics

Explanation
Leg contraction exercises can help to improve blood circulation and prevent fluid retention in the legs. Diuretics are medications that help to increase urine production and reduce fluid buildup in the body. Therefore, clients on diuretics may benefit from leg contraction exercises as it can further aid in reducing fluid retention and promoting better circulation.

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6.

A 62-year old female presents to your office for a massage. She has a history of hypothyroidism and admits to feeling unenergetic which results in her sitting most of the day. She has edema of the lower extremities and heard that massage can help her swelling. You decide to provide her with a full body massage to include her legs. She feels better after her treatment but the next day she feels significantly worse and now has pain and tissue congestion. What is the appropriate next step of action?
- A.
  
  Fully document your action that explains your error and the results of your mistake.
- B.
  
  Sit down with your client to discuss the medical error and answer any questions she might have. Recommend they contact their primary care physician. Document your consultation.
- C.
  
  Contact the client's medical doctor to find out what should be done.
- D.
  
  Tell her you will change your technique.
Correct Answer
B. Sit down with your client to discuss the medical error and answer any questions she might have. Recommend they contact their primary care physician. Document your consultation.

Explanation
The appropriate next step of action is to sit down with the client to discuss the medical error and answer any questions she might have. This is important because the client's worsening symptoms after the massage indicate that there may have been a mistake or an adverse reaction to the treatment. It is crucial to address the situation openly and honestly with the client, provide support, and recommend that she contacts her primary care physician for further evaluation and guidance. Documenting the consultation is necessary for accurate record-keeping and to ensure that all steps taken are properly documented for future reference.

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7.

Due to globalization, which of the following problems can contribute to medical errors?
- A.
  
  Improper patient care
- B.
  
  Documentation errors
- C.
  
  Detatchment
- D.
  
  Diagnostic problems
Correct Answer
C. Detatchment

Explanation
Due to globalization, detachment can contribute to medical errors. Globalization has led to an increase in the mobility of healthcare professionals, resulting in a diverse workforce with different cultural backgrounds and language barriers. This can lead to detachment, where healthcare providers may not fully understand or empathize with their patients, leading to miscommunication, misunderstandings, and ultimately medical errors. Detachment can hinder effective patient care and compromise patient safety. Therefore, it is important for healthcare professionals to be aware of this potential problem and take steps to bridge the gap and ensure proper patient care.

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8.

What is the potential risk in massage of the anterior triangle of the neck?
- A.
  
  Radial nerve pain referral
- B.
  
  Carotid artery occlusion
- C.
  
  Irritation of the mandibular branch of the Trigeminal nerve
- D.
  
  Lymph node compression
Correct Answer
B. Carotid artery occlusion

Explanation
Massage of the anterior triangle of the neck carries the potential risk of carotid artery occlusion. The carotid arteries are major blood vessels that supply oxygenated blood to the brain. If these arteries are occluded or blocked during a massage, it can lead to a decrease in blood flow to the brain, potentially causing serious complications such as stroke or transient ischemic attack (TIA). Therefore, it is important to be cautious and avoid excessive pressure or manipulation in this area to prevent any harm to the carotid arteries.

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9.

After a massage, potential infectious organisms can best be prevented by
- A.
  
  Using a germicidal gel
- B.
  
  Washing hands for 15 seconds with antiseptic soap and a nail brush
- C.
  
  Germicidal hand wipes
- D.
  
  Using hand soap and a washcloth
Correct Answer
B. Washing hands for 15 seconds with antiseptic soap and a nail brush

Explanation
Washing hands for 15 seconds with antiseptic soap and a nail brush is the best way to prevent potential infectious organisms after a massage. This method ensures thorough cleaning of the hands and nails, removing any dirt, bacteria, or viruses that may have been picked up during the massage. Antiseptic soap helps to kill any remaining germs, while the nail brush helps to clean under the nails where bacteria can easily accumulate. This combination of thorough handwashing and the use of antiseptic soap and a nail brush is an effective way to prevent the spread of infectious organisms.

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10.

Sleep deprivation can be improved according to Harvard Medical School's professor of neurology, Patrick M. Fuller, by following recommendations not including:
- A.
  
  Neurotransmitter aromatherapy
- B.
  
  Seven hours of sleep
- C.
  
  Mindfulness and meditation
- D.
  
  Room temperature of 65-75 degrees Fahrenheit
Correct Answer
D. Room temperature of 65-75 degrees Fahrenheit

Explanation
According to the given information, sleep deprivation can be improved by following recommendations that do not include "Room temperature of 65-75 degrees Fahrenheit". This means that maintaining a room temperature within the range of 65-75 degrees Fahrenheit is not necessary for improving sleep deprivation, based on the advice of Harvard Medical School's professor of neurology, Patrick M. Fuller.

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Prevention Of Medical Errors

In 2013, the fourth most common cause of death according to the CDC was:

The following documentation corrections are acceptable EXCEPT:

The Joint Commission on Accreditation on Healthcare recommends once a sentinel event is identified, a root cause analysis should be completed within:

Which professional organization requires adherence to safety laws and regulations of the workplace?

1-2 minutes of leg contraction is an effective action for clients on which type of medication?

Due to globalization, which of the following problems can contribute to medical errors?

What is the potential risk in massage of the anterior triangle of the neck?

After a massage, potential infectious organisms can best be prevented by

Sleep deprivation can be improved according to Harvard Medical School's professor of neurology, Patrick M. Fuller, by following recommendations not including: