Risk Management Test

Risk Management 2
1. Analysis of PIAA closed claims data indicates that missed or delayed diagnosis of Acute Myocardial Infarction is a frequent allegation in malpractice litigation. (True / False - 10 Points)
2. Even if the complaint could represent cardiac ischemia; a routine ECG is unnecessary for the chest pain patient if the symptoms seem more musculoskeletal in nature. (True / False - 10 Points)
3. EMTALA provisions allow patients in active labor to be transferred to another facility if the patient is stable; in early labor and unlikely to deliver during transfer. (True / False - 10 Points)
4. Although important in medical record entries for in-house patients; dating; timing and signing entries is not needed because the date of the patients entry to the ED is clearly stamped on the record and your name is affixed to the chart. (True / False - 10 Points)
5. When consulting with a specialist; primary care physician or making a referral; its NOT important to document the time; date; and content of the call. (True / False - 10 Points)
6. If an emergency medicine physician violates EMTALA; the hospital may be subject to civil penalties, but the physician cannot be fined. (True / False - 10 Points)
7. When treating chest pain patients; risk exposure may be increased in the presence of an adverse outcome when abnormal vital signs are not rechecked prior to patient discharge from the ED. (True / False - 10 Points)
8. If a thorough medication and allergy history has been obtained; patient observation is not necessary for medication administered in the ED. (True / False - 10 Points)
9. Even though emergency medicine is often unpredictable and fast-paced; the risk of medication error or adverse drug event is no higher than any other area of medicine. (True / False - 10 Points)
10. To minimize risk exposure from adverse drug events; ED physicians should review old medical records; if available. (True / False - 10 Points)
11. According to the Institute for Safe Medication Practices (ISMP); sodium chloride solutions above 0.9 percent are considered high-alert medications that bear a heightened risk of causing significant patient harm when they are used in error. (True / False - 10 Points)
12. Because the emergency environment is unpredictable there is a DECREASED risk exposure. (True / False - 10 Points)
13. A good way to lower your risk in emergency medicine is to communicate effectively with your patients by establishing a relationship as well as excellent documentation of events. (True / False - 10 Points)
14. Risk management considerations to reduce malpractice exposure for patients with abdominal pain and potential appendicitis does not include timely documentation. (True / False - 10 Points)
15. In closed claims against emergency physician; appendicitis is the most expensive and second most frequently seen condition in the Emergency Room. (True / False - 10 Points)
16. To Minimize risk exposure for the chest pain patient the physician should thoroughly review the ECG for ischemic changes and compare with previous ECGs avoiding reliance on computer analysis of ECG results. (True / False - 10 Points)
17. Recommendations for effective communication and establishing physician-patient rapport include (Multiple Choice - 10 Points)
18. To decrease risk exposure from adverse drug events the physician does not have to educate the patient about prescribed medications. (True / False - 10 Points)
19. Emergency department encounters; where the physician and the patient are typically meeting for the first time; contribute to the challenge of establishing rapport. (True / False - 10 Points)
20. Exceptions to informed consent MAY be applied if the process of obtaining informed consent may be unfavorable to the patient or cause a serious interruption of care. (True / False - 10 Points)
21. Content of this activity was free of commercial bias? (Answer not graded- Survey Question)
22. Presentation level and content was appropriate? (Answer not graded- Survey Question)
23. Your educational needs were satisfied, and you will apply what you have learned in your practice? (Answer not graded- Survey Question)
24. Educational design and format was clear and easy to understand? (Answer not graded- Survey Question)
25. Stated objectives were clearly presented and met? (Answer not graded- Survey Question)