Quality Assurance & Compliance Flashcards
7 cards from real CBN 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 bariatric nurse is asked to abstract registry data on a neighbor who had surgery at the facility. What is the appropriate action?
Answer: Request reassignment of the case to avoid accessing PHI without a legitimate need beyond her role conflict
Accessing a personal acquaintance's record creates a privacy conflict, so reassigning the case protects the patient and the nurse.
Which scenario best demonstrates a 'just culture' response after a bariatric medication error?
Answer: Analyzing the system factors behind the error while holding individuals accountable for reckless behavior only
Just culture distinguishes human error and system flaws from reckless conduct, focusing on system fixes rather than blanket blame.
A patient calls the bariatric clinic reporting fever and wound drainage 10 days after surgery, but the triage call is never documented or escalated, and the patient is later admitted septic. From a compliance standpoint, this represents a failure of which process?
Answer: Post-discharge follow-up and escalation protocols required by the program's continuity-of-care standards
Accredited bariatric programs must have reliable follow-up and escalation pathways, and the undocumented, unescalated call breached that continuity-of-care requirement.
Which action supports data integrity when a bariatric clinical reviewer finds conflicting BMI values in the chart during registry abstraction?
Answer: Follow the registry's defined data definitions and source hierarchy to select the correct value
Registries provide standardized data definitions and source hierarchies that reviewers must follow to keep data valid and comparable.
A bariatric unit's audit shows hand hygiene compliance of 68% against a target of 90%. Which intervention aligns best with sustained quality improvement principles?
Answer: Implement real-time observation with feedback and re-measure compliance on a set cycle
Effective improvement pairs an active intervention like audit-and-feedback with scheduled re-measurement to confirm sustained change.
Under mandatory reporting expectations, which postoperative bariatric event would most likely require reporting to the facility's risk management and potentially external agencies?
Answer: An unexpected death within 30 days of surgery
Unexpected perioperative death is a serious reportable event that triggers internal review and may require external reporting depending on jurisdiction.
What is the primary purpose of a morbidity and mortality (M&M) conference in a bariatric surgery program?
Answer: Peer review of complications and deaths to identify learning and system improvement opportunities
M&M conferences are protected peer-review forums for analyzing complications to improve future care, not for assigning blame or liability.