Quality and Safety Practices Flashcards
7 cards from real CCP 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 and Safety Practices flashcards as text
A consultant pharmacist performing a medication use evaluation (MUE) finds that 40% of residents on warfarin lack documented INR monitoring within the past 30 days. What is the MOST appropriate immediate action?
Answer: Present findings to the quality assurance committee and develop a corrective action plan
MUE findings must be reported to the QA committee, which then implements corrective action plans to address the monitoring gap.
Which of the following best describes the purpose of a root cause analysis (RCA) in a long-term care pharmacy setting?
Answer: To identify systemic factors contributing to an adverse event and prevent recurrence
RCA is a non-punitive, systems-based process that identifies contributing factors to prevent future similar events.
Under USP , which beyond-use dating (BUD) category applies to a sterile compounded preparation made from non-sterile components under Category 1 conditions?
Answer: 12 hours at controlled room temperature
USP Category 1 CSPs made from non-sterile components have a BUD of 12 hours at room temperature or 24 hours refrigerated.
A facility's fall-with-injury rate has risen 25% after adding a new CNS medication to the formulary. Which quality tool is MOST appropriate to identify contributing factors?
Answer: Fishbone (Ishikawa) diagram
A fishbone diagram systematically maps potential cause categories (medication, environment, staff, process) contributing to an adverse outcome.
When conducting a prospective drug regimen review in a skilled nursing facility, the consultant pharmacist identifies a resident taking both a benzodiazepine and an opioid. According to CMS guidelines, what is required?
Answer: Documentation of the clinical rationale and a gradual dose reduction plan unless contraindicated
CMS F-tag guidance requires documented clinical justification and a gradual dose reduction plan for concurrent benzodiazepine-opioid use unless clinically contraindicated.
A high-alert medication error involving concentrated electrolytes reaches a patient in a long-term care facility. After immediate patient care, which action BEST supports a culture of safety?
Answer: Report the event anonymously to a voluntary reporting system and review storage protocols
Reporting to voluntary safety systems and reviewing storage practices addresses systemic vulnerabilities while supporting a non-punitive safety culture.
Which ISMP strategy is the highest-level intervention to prevent look-alike/sound-alike (LASA) medication errors?
Answer: Removing one of the LASA drugs from the formulary when clinically feasible
Formulary removal eliminates the hazard entirely, representing the highest-level (most effective) error-prevention strategy on the hierarchy of controls.