Chapter 20 understanding legal implications of PI

The key to a healthcare organization's success is the coordination and cooperation of three groups that must work together to identify community needs and pursue organizational goals. These three groups include the governance, management, and employed staff. Governance of a healthcare organization is comprised of:

organized medical staff

board of directors

A SWOT analysis is an assessment of an organization's:

strengths,

weaknesses

opportunities

threats

An organization's leaders have a central role in initiating and maintaining the organization's PI priorities.

true

The senior leadership and board of directors are meeting to determine the key priorities for Community Hospital for the year ahead. During this time, they also use a SWOT analysis to validate the mission. The document created during this session is called a(n):

strategic

The data the organization collects about its own performance should be analyzed and considered when setting improvement priorities only if a sentinel event has occurred.

false

Findings from _____ are aggregated and reported to the executive committee of the medical staff as well as placed in clinician's professional files for consideration in the recredentialing process.

peer review

The regular presentation of concise, appropriately displayed monitoring data for hospital board of directors that provides minute to minute data in an organized, comparative format that maximizes the use of the board's time and assists its members in accomplishing oversight activities is called a:

dashboard

In which of the following are outcomes of clinical and nonclinical services examined for continued focus and relevance, results of PI team work reported in regard to goals that were met, and problems that remain unresolved from prior evaluation periods are assessed?

PI program review

The four basic elements of negligence that must be proven in a malpractice case are: duty to use due care, breach of duty, damages, and causation.

true

The term used to describe when information is not shielded and can be introduced at a trial to support a patient's malpractice action against a hospital or physician is:

discoverable

Which of the following may be considered an adverse event with negative clinical outcomes, although not necessarily the result of clinical error?

Postoperative wound infection

In a malpractice action, evidence that failure to exercise due care is responsible for actual patient harm is called:

causation

The improper or negligent treatment of a patient, as by a physician, resulting in injury, damage, or loss is called:

malpractice

In a malpractice action, one issue is whether a physician exercised a standard of care that a reasonably prudent physician would have exercised under those circumstances. Failure to exercise due care demonstrates:

Breach of duty

John presented to the emergency department with rectal bleeding. Earlier in the day, John had a colonoscopy that revealed a polyp. John's physician used hot forceps to remove the polyp. After examination in the emergency department, John is taken back to the GI suite, where it is revealed that during the polyp removal procedure John's physician inadvertently perforated his colon. The perforated colon represents which of the following?

Damages

In the context of research, generalizable knowledge means the results of the activity may be applied to populations other than the population being studied.

True

Healthcare organizations require that prior to conducting research on human subjects, all researchers must submit an application to the:

IRB