Quality Assurance & Compliance Flashcards
7 cards from real APHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Assurance & Compliance flashcards as text
A patient presents a vaccination record showing an MMR dose given 25 years ago with no lot number documented. How should this be treated for compliance purposes?
Answer: Accept the record if the date and provider are documented; lot number absence does not invalidate the dose
Historical records may lack lot numbers; ACIP allows acceptance of written records with a date from a credible source even if the lot is missing.
Which best describes a 'near-miss' in the context of pharmacy quality assurance for immunizations?
Answer: An error that was caught before reaching the patient
A near-miss is an error intercepted before administration, providing a quality improvement opportunity without patient harm.
Which statement about lot number tracking is CORRECT in a pharmacy immunization program?
Answer: Lot numbers must be recorded for each vaccine dose administered for traceability in case of a recall
Associating the lot number with each patient's record is essential for identifying affected patients if a vaccine recall occurs.
A pharmacist discovers a patient was given varicella vaccine when the order read zoster vaccine. What should happen FIRST?
Answer: Assess the patient clinically and notify the prescriber
The first step in a vaccine error is clinical assessment of the patient and communication with the prescriber to determine next steps.
Under the Affordable Care Act, immunizations recommended by ACIP with an 'A' or 'B' rating must be covered without cost-sharing. This applies to which insurance plans?
Answer: Non-grandfathered private health plans and Medicaid expansion plans
The ACA requires non-grandfathered private plans and Medicaid expansion to cover ACIP A/B-rated vaccines without cost-sharing.
What does 'cold chain' refer to in vaccine quality assurance?
Answer: The unbroken temperature-controlled supply chain from manufacturer to patient administration
The cold chain encompasses all temperature-controlled steps from vaccine production through final administration to the patient.
A pharmacist is reviewing the immunization quality improvement (QI) plan. Which metric is MOST relevant for evaluating compliance with proper documentation standards?
Answer: Percentage of administered doses with complete required records
Tracking the completeness of required documentation fields directly measures compliance with record-keeping standards.