Ethics And Law In Dental Hygiene 3rd Edition By Phyllis L.beemsterboer – Test Bank
Chapter 10: Risk Management
Beemsterboer: Ethics and Law in Dental Hygiene, 3rd Edition
MULTIPLE CHOICE
1. Which of the following is a term used to describe a philosophy of risk identification and system of injury prevention?
a. Risk management
b. Fiduciary relationship
c. Virtue
d. Deontology
ANS: A
The term risk management also is applied to other areas of private and public business but is most frequently used in health care. Management, as part of the term, means that once risk is identified, it is measured for the seriousness of the potential outcome and the likelihood of its occurrence. A strategy is then created to handle the risk in such a way as to minimize it or, in some cases, to eliminate it altogether. A fiduciary relationship is part of contract law. Character or virtue and the goodness of a person in living a good life are acquired by a person through learning and reflection and repetition. Deontology is nonconsequentialist ethics.
DIF: Recall REF: p. 101 OBJ: 1
TOP: 7.0 Professional Responsibility | 7.4 General
2. A general dental practice may not provide complex oral surgery procedures for patients, because the clinicians have determined that extensive risk factors are associated with those procedures.
a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.
ANS: A
The liability associated with complex oral surgery procedures may be too significant, thus making the risk greater than the benefit to the dental practice. In these cases the risk management strategy is the removal of such a procedure from the scope of care delivery.
DIF: Recall REF: p. 102 OBJ: 1
TOP: 7.0 Professional Responsibility | 7.4 General
3. Eliminating a high-risk procedure from the scope of practice is not always possible or desirable. In such cases a risk management strategy should be implemented to control the risk.
a. Both statements are true.
b. Both statements are false.
c. The first statement is true, the second statement is false.
d. The first statement is false, the second statement is true.
ANS: A
The development of well-targeted procedures for minimizing adverse outcomes requires an awareness of the most frequently occurring negative incidents. Strategies for identifying risk include incident reporting and a quality improvement program.
DIF: Recall REF: p. 102 OBJ: 1
TOP: 7.0 Professional Responsibility | 7.4 General
4. Each of the following is true for a system of incident reporting EXCEPT one. Which one is the EXCEPTION?
a. Complete a report for all accidents or unusual incidents.
b. Reporting should include patient care problems, patient management issues, and patient complaints.
c. The report should focus on facts rather than subjective assessments and provide details of the event.
d. The reports should be retained in the patient record.
ANS: D
These reports should not be retained in the patient record but rather filed in a risk management portfolio. An incident reporting system permits the systemic tracking of adverse events. A clear understanding of the risk exposure of a practice provides an opportunity for targeted problem solving.
DIF: Recall REF: p. 102 OBJ: 2
TOP: 7.0 Professional Responsibility | 7.4 General
5. Which of the following is a characteristic of a quality improvement program rather than incident reporting system?
a. A systemic tracking of adverse events
b. An ongoing evaluation system that focuses on patterns of behavior
c. A system that requires members of the dental team to complete a report for all accidents or unusual incidents
d. A report that focuses on facts rather than subjective assessments
ANS: B
The purpose of a quality improvement program is to assess the patient care delivery system systematically and continuously through the collection and analysis of reliable information. It focuses on patterns of behavior rather than on isolated instances of behavior. It is a mechanism for assessing the quality of care and implementing and evaluating changes in the patient care delivery system to maintain or improve the quality of care.
DIF: Recall REF: p. 102 OBJ: 2
TOP: 7.0 Professional Responsibility | 7.4 General
6. A quality improvement program should include three dimensions of health care delivery, which are
a. background, delivery, and outcome.
b. skills, application, and evaluation.
c. structure, process, and outcome.
d. methodology, process, and recapitulation.
e. structure, application, and evaluation.
ANS: C
The structure dimension considers physical plant factors, such as facilities and equipment. The process dimension considers patient care issues, such as diagnosis, sequence of care, and technical skill. The outcomes dimension considers the result of care, such as improvements in oral health or overall health.
DIF: Recall REF: p. 103 OBJ: 2
TOP: 7.0 Professional Responsibility | 7.4 General
7. Which of the following is a component of the process dimension of quality improvement?
a. Facilities
b. Technical skill
c. Oral health improvement
d. Organization
e. General health improvement
ANS: B
The structure dimension of quality improvement includes: facilities, equipment, organization, administration, personnel, and dental records. The process dimension of quality improvement includes: diagnoses, sequence of care, appropriateness of care, technical skill, and timeliness of care. The outcomes dimension of quality improvement includes: oral health improvement and general health improvement.
DIF: Recall REF: p. 102 OBJ: 2
TOP: 7.0 Professional Responsibility | 7.4 General
8. Which of the following is the correct sequence for the assessment of quality in a quality improvement process?
a. Design a study, collect data, report results, respond to results, and analyze data.
b. Design a study, collect data, report results, analyze data, and respond to results.
c. Design a study, collect data, analyze data, report results, and respond to results.
d. Design a study, collect data, analyze data, respond to results, and report results.
e. None of the above is the correct sequence.
ANS: C
The first step in a quality improvement process is the assessment of quality in one or more of the dimensions of health care delivery. Quality assessment must be performed systematically and include designing a study, collecting data, analyzing data, reporting results, and responding to results.
DIF: Recall REF: p. 102 OBJ: 2
TOP: 7.0 Professional Responsibility | 7.4 General
9. Which of the following correctly represents the sequence of continuous quality improvement?
a. Assessment, implementation, evaluation, and planning
b. Assessment, planning, implementation, and evaluation
c. Planning, assessment, evaluation, and implementation
d. Planning, evaluation, implementation, and assessment
ANS: B
The correct sequence for quality improvement is assessment, planning, implementation, and evaluation.
DIF: Recall REF: p. 102 OBJ: 2
TOP: 7.0 Professional Responsibility | 7.4 General
10. Which of the following is an analysis of the process dimension of quality improvement?
a. A study to evaluate the quality of dental hygiene scaling and root planing instruments
b. A study to ensure compliance with the practice’s health history policy
c. A study to evaluate the posttreatment effects of dental hygiene care
d. A study to evaluate compliance with OSHA requirements
e. A study to ensure compliance of personnel with required vaccinations
ANS: B
A protocol designed to ensure compliance with the practice’s health history policy is an example of a quality improvement program that focuses on the process dimension of care. A random sample of the records of patients who received periodontal maintenance therapy in a given period could be audited for compliance. An audit form should be designed to include the criteria that represent policy compliance. The results of the assessment can be used to acknowledge and reinforce policy compliance or to design in-service education that will support future compliance. Evaluation of the quality of dental hygiene instruments, evaluation of compliance with OSHA requirements, and compliance with required vaccinations are examples of an analysis of the structure dimension of quality improvement. Evaluation of the posttreatment effects of dental hygiene care is an example of the outcome dimension of quality improvement.
DIF: Recall REF: p. 103 OBJ: 2
TOP: 7.0 Professional Responsibility | 7.4 General
Reviews
There are no reviews yet.