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PMI Chapter 2
Phlebotomy Essentials Ch 2
Question | Answer |
---|---|
CQI Stands for? | Continuous Quality Improvement |
Define Continuous Quality Improvement | Program designed to nationally standardize measurements of performance |
TJC Stands for? | The Joint Commission |
Define The Joint Commission | Establishes standards for the operation of hospitals and other health related facilities and services |
Sentinel Event | any unfavorable event that is unexpected and results in death or serious physical or psychological injury |
NPSG Stands for? | National Patient Safety Goal. part of the joint commission overall CQI requirements for accreditation. |
Define National Patient Safety Goal | Safety practices for protecting patients and advancing quality care |
CAP Stands for? | College of American Pathology |
DefineCollege of American Pathology | Agency that influences quality care through standards for the laboratory and phlebotomy. Offers proficiency testing and a continuous form of laboratory inspection |
CLIA stands for? | Clinical Laboratory Improvement Amendment |
Define Clinical Laboratory Improvement Amendment (1988) | the aim of the standard is to ensure the accuracy, consistency, and reliability of patient tests results regardless of the location, type of size of the lab. |
CLIAC stands for? | Clinical Laboratory Improvement Advisory Committee |
Define Clinical Laboratory Improvement Advisory Committee | Provides technical and scientific advice and guidance to the appropriate people in the CMS who are administering the regs |
CLSI stands for? | Clinical Laboratory Standards Institute |
Define Clinical Laboratory Standards Institute | A global, nonprofit, standards-developing organization comprising of representatives from the profession, industry, and government. Its mission is to develop clinical and lab practices and promote their use worldwide |
NAACLS stands for? | National Accrediting Agency for Clinical Laboratory Sciences |
Define National Accrediting Agency for Clinical Laboratory Sciences | It approval process for phlebotomy programs requires that the programs meet educational stands called competencies designed to improve student outcomes and maintain quality education. |
Quality Assurance | Established policies and procedures |
Quality Control | Activities and techniques that are performed to fulfill the requirements for a quality service or product |
Quality Indicators | Guidelines used to monitor all areas of patient care |
Threshold Values | Level of acceptable practice beyond which quality patient care cannot be assured |
Delta Check | Compares current results of a laboratory test with previous results for the same patient |
Procedure Manual | States the policies and procedures that apply to each test or practice performed in the laboratory |
Safety Manual | Policies and procedures related to various hazards; disaster plans, and handling of hazardous chemicals |
Infection Prevention and Control Manual | Outlines policies and procedures for all employees in all areas of healthcare |
Incident Report | Report completed when an occupational injury or expose occurs |
Near Miss/Occurrence Report Form | Report filed for any errors made in patient care such as miss-identification, specimen handling, or results |
Performance Improvement Plan | Used when counseling or suspension of an individual is necessary |
Risk Management | Internal process focused on identifying and minimizing situations that pose risk to patients and employees |
EP23 | Guide for ensuring quality in each individual laboratory |
Sexual Harassment | Persistent or offensive conduct related to a person's sex that negatively affects a reasonable person's job |
Hostile Work Environment | Hostile form of harassment involving the discrimination against a protected right (age, sex, religion, etc..) |
Criminal Action | Felonies and misdemeanors |
Felony | A crime punishable by death or imprisonment |
Misdemeanor | Lesser offense resulting in 1 yr/less jail time and monetary fines |
Civil Action | A dispute between 2 private parties (individuals or organizations) for monetary damages |
Tort Law | A wrongful act against someone's person, property, or reputation |
Assault | An act or threat causing another to be in fear of immediate battery |
Battery | Intentional offensive touching or use of force without legal justification or consent |
Fraud | Deceitful practice or false portrayal of facts |
Invasion of Privacy | Violation of one's right to be left alone |
Breach of Confidentiality | Failure to keep privileged information private |
Malpractice | A type of negligence committed by a professional |
Negligence | Failure to exercise due care |
Due Care | A level of care that a person of ordinary intelligence and good sense would exercise |
Res ipsa loquitor | "The thing speaks for itself"; Rule of evidence in a case of neglect |
Respondeat Superior | "Let the master respond"; Employer is responsible for the actions of an employee |
Standard of Care | Normal level of skill and care that a healthcare worker is expected to adhere to |
Statute of Limitations | A law setting the length of time after an alleged injury occurs to where the injured party can file a lawsuit |
Vicarious Liability | Liability imposed by law on one person for acts committed by another |
Informed Consent | Implies voluntary and competent permission |
Expressed Consent | Written or verbal consent that is required before surgery or high-risk procedures |
Implied Consent | Consent implied by actions |
HIV Consent | State laws specify what type of information must be given |
Consent for Minors | Parent or guardian consent is required for the administration of medical procedures |
Refusal of Consent | A constitutional right to refuse medical treatment |
Plaintiff | Injured party in a lawsuit |
Defendant | Person(s) against whom the lawsuit is filed |
Discovery | Formal process in litigation that involves taking depositions and interrogating parties involved |
Deposition | When one party questions another under oath with a court reporter present |
CoW stands for? | Certificate of waiver |
GLPs stands for? | Good laboratory practices |
IHI | Institute for Healthcare Improvement a non-profit organization whos goal is to work with countries, regions, organizations and individuals to build safety into every system of care to ensure that patients receive the safest, most reliable care |
IQPC stands for? | Individualized Quality Control Plan |
ISO stands for? | International Organization for Standardization |
QA stands for? | Quality assurance: refers to processes used to create standardization for quality service or product and prevention of problems |
QC stands for? | Quality control: specific activities and techniques that are performed to fulfill the requirements for a quality service or product |
Quality | The degree of excellence for something |
Quality Indicators | guides used as monitors of all areas of patient care |
SAFER | Survey Analysis for Evaluation Risk: a Joint Commission method used to identify and communicate risk levels connected to deficiencies found during site surveys |
Competencies | Educational standards for Phlebotomy programs |
JCAHO | A voluntary, nongovernmental agency, presently referred to as The Joint Commission. Charged with establishing standards for the operations of healthcare faclilities and services. |
PSC stands for? | Patient Service Center |
What are the stated goals of the NPSGs? | Identify patients correctly Improve staff communication Prevent infection |
What are the 3 categories of testing required by CLIA? | Waived, moderate, and high The complexity is based upon the difficulty involved in performing the test, and the degree of rise of harm to patient of the tests is performed incorrectly. |
What is the difference between QA and QC? | QA is the process based upon evaluations and QC is the specific activities that are performed to fulfill the QA requirement. |
Phlebotomist must use how many person specific identifiers ? | 2 |
What are acceptable person specific identifiers | The persons name An assigned ID number telephone number DOB SSN Address Photograph |
When do the Statute of limitations typically begin? | The day the act was committed, When the injury was discovered the day the doc/patient relationship ended in the case of minors, often not until the age of majority. |