Diploma in Hospital Documentation & Records Management /60 4 Your Examination is Complete!Kindly Email your 10th Marksheet and Aadhaar card Copy on iisdtindia@gmail.comYou will get your result on email id within 10 days. Diploma in Hospital Documentation & Records Management NameEmailPhone Number 1 / 60What sampling technique involves selecting the medical record of every fifth patient undergoing Percutaneous Coronary Intervention (PCI)? Convenience Stratified Simple Systematic 2 / 60The following are essential functions of an infection control program risk management and surveillance prevention and education surveillance and prevention patient safety and risk management 3 / 60Regarding Meta-analysis, all the following statements are It is a statistical procedure that integrates the results of several independent studies that considered to be combinable It doesn't allow a more objective appraisal of the evidence than traditional narrative reviews It provides a more precise estimate of a treatment effect It may be biased due to exclusion of relevant studies or inclusion of inadequate studies 4 / 60Which one piece of information is the most usefull to describe the age of population that is served in a vaccination clinic? Pie chart Radar chart Gantt chart Scatter plot 5 / 60The following represents an essential element to an effective quality council consultation of the legal advisor direction from the organization's quality department participation of the strategic planning committee involvement of leadership 6 / 60Clinical pathways and guidelines in hospitals are primarily used to Reduce lentgth of stay Improve patient satisfaction Identify errors in patient care Minimize variation in patient care 7 / 60The patient has a right to get ________ of medical records Copy Original E-mail Scanning 8 / 60Failure Mode and Effects Analysis (FMEA) is performed as a preventative measure before an incident occurs to immediately investigate an incident that occurred if the severity of an incident led to a patient death when there is a chance of an incident reoccurring 9 / 60The audit done by other than the treating team of doctors is known as _____________ Internal medical records audit External medical records audit All medical records audit Infection control audit 10 / 60As per CDC definition, an infection that occurs within _______________ days after the operation in skin and sub-cutaneous tissue, can be classified as superficial incisional surgical site infection 1 year 30 days 7 days 60 days 11 / 60For a patient who will be undergoing a surgery, marking of the surgical/invasive site should be done by whom? Attending nurse of the patient Person who will be performing the surgery In-charge of operation theatre Person who will be administering anaesthesia 12 / 60The following is the approach when implementing a National patient Safety Goal related to minimizing potential errors in a patient's care, treatment, and services? allowing the patient and family opportunities to ask questions having the patient provide return demonstration of the knowledge provided showing a video to a patient and their family giving both written and verbal instructions to a patient and family 13 / 60As per WHO guidelines on hand hygiene, entire process of non-surgical hand washing should take how much time? 40-60 sec 2-3 minutes 20-25 seconds Less than 15 seconds 14 / 60As per NACO guideline, who can receive HIV test report of a patient, from the lab Patient him/herself A person authorized by the patient and having a valid authorization letter Clinician who requested for the test, in a sealed envelope Any of the above 15 / 60When evaluating the components of an existing medication utilization system, priority attention should be given to those steps that occur within the pharmacy department are the least prone to variation cannot be easily observed "down stream" have highly functional checks and balances 16 / 60Meaningful quality process measures must be feasible and explainable relevant and explainable valid and identifiable relevant and valid 17 / 60Blood cells are manufactures in the _______ Bone Liver Bone marrow Gall blader 18 / 60The primary goal of risk management is to minimize financial loss associated with legal actions perform Failure Mode and Effects Analyses (FMEA) maintain an effective and timely incident reporting system identify the high-risk areas of the organization 19 / 60Patient's personal, demographic and insurance information should occur during Account follow up Discharge Preadmission Admission 20 / 60A factor critical to the capital decision-making process is Credit worthiness for an organization Medical staff requests Strategic planning activities Tax considerations 21 / 60Medical Audit is to assess the ______________ of medical records Quantity Quality Efficiency Quantity & Quality 22 / 60The best way to facilitate change within a healthcare organization is to communicate through group meetings arrange presentations by senior leaders communicate through group e-mail involve the individuals directly affected by the change 23 / 60The following is non-modifiable risk factors for coronary heart disease Obesity Smoking Hypertension Age 24 / 60The relationship between patient satisfaction and hours per patient day on a GOB unit was found to be (r=0.70,p < 0.05). What is the correlation between these two values? 0.05 0.7 14 0.49 25 / 60In accordance with FDA Categorization for Medications Safety in Pregnancy, which statement is true? Category A drugs; no evidence of risk reported in humans so far Category B drugs; evidence of risk is only in later trimesters in humans Category C drugs; no risk to the fetus in the first trimester in humans Category X drugs; risk is documented in animals but not in humans 26 / 60In evaluating "long waiting times," a healthcare quality professional best demonstrates components related to staffing, methods, measures, materials, and equipment utilizing a run chart histogram pie chart Ishikawa diagram 27 / 60________ are chemical substances produced in one part of the body that regulate the activities of certain organs or group of cells in other part of the body Enzymes Anti bodies Estrogen Hormones 28 / 60Which one piece of information is the most usefull to describe the age of population that is served in an anticoagulation monitoring service clinic? t-test mean standard error of the mean (SEM) chi square test 29 / 60For a community hospital, patient satisfaction scores demonstrate multiple areas needed for improvement including a need to improve attractiveness of the facility, responsiveness to patient needs, and physician and nursing communication. Based on these results, which of the following would the healthcare quality professional also will be expected to find? departments are operating independently with little communication between units departments are operating independently with little communication between units departments managers are openly discuss patient satisfaction scores employee satisfaction scores in the 90th percentile compared to other peer organizations 30 / 60Tho most effective way for a healthcare quality professional to communicate quality improvement activities to the medical staff is by inviting medical staff to an isdervice on quality tools developing professional relationships providing outcome data at medical staff meetings evaluating physician participation on quality teams 31 / 60Research, Quality Assessment and Quality Improvement use scientific methods to test hypothesis and statistical methods to analyza data are considered protocols rather than projects do not share the aspect of systematic investigation do not require documentation of IRB approval before publication 32 / 60Which of the following is the most practical and mandatory element of the process of developing quality measures for use in the healthcare setting? Clinical trials Evidence-based guidelines Hospital/physician quality measures Pay for performance 33 / 60As per Bio-Medical waste management rules, waste generated from disposable items such as tubing, bottles, catheters, urine bags etc. should be disposed off by Autoclaving/microwaving followed by shredding Deep burials Incineration Should be disposed with general waste 34 / 60 Healthcare quality professionals can best communicate organizational values through disseminating monthly newletters leading by examples establishing a multidisciplinary task force creating a mission statement 35 / 60All of the following are key aspects of quality EXCEPT It depends upon customer perceptions It does not change with time It considers customers needs It promotes high levels of precision 36 / 60Dental department's monthly case review revealed 240 records meeting criteria and 150 records did not meet the criteria. In calculating the incidence rate, the denominator is 90 390 240 150 37 / 60A 67 years old diabetic patient being taught how to self-administer insulin. Which of the following is the best method to assess this patient's understanding of the teaching? patient satisfaction survey return demonstration family's ability to verbalize instructions written pre- and post-test 38 / 60Which of the following is a quantitative variable? Blood pressure Blood group Religion Place of birth 39 / 60As per WHO surgical safety checklist, antibiotic prophylactic should be given within what time frame, when applicable? Within 24 hours before surgery Within 12 hours before surgery Within 4 hours before surgery Within 1 hour before surgery 40 / 60A critically ill patient is admitted and requires a specialized procedure; however, the surgeon does not have privileges at the facility. Which of the following documents will be MOST helpful in identifying the course of action the hospital should take? patient safety manual risk management plan medical staff by laws surgical policies and procedures 41 / 60The majority of medication errors in the hospital setting originate in which phase of the medication-use process? Prescribing Transcribing Dispensing Administration 42 / 60Medical records are the property of Hospital Patient Relative Physicians 43 / 60Which of the following test is not mandatory to be carried out on donated blood, as per Drugs and Cosmetics Act Syphilis Hepatitis A Malaria Hepatitis C 44 / 60Computerized X-ray of layers of tissue is known as _________ PET scan MRI CT scan None of the above 45 / 60Spores of which bacteria is used in conducting biological indicator spore test in sterilization equipment in CSSD? Bacillus Anthracis Bacillus Stearothermophilus Bacillus Subtilis Bacillus Megaterium 46 / 60Of a quality improvement perspective, the most desirable state is when Best practices have been identified Consensus has been achieved and articulated Clinical studies identify effective therapies Multiple treatment options are being studied 47 / 60The following are reasonable description of variation in process capability Extent to which process conforms to the norm Distance from perfection Degree of distribution about the mean Antithesis of quality 48 / 60Which of the given tool can be best used for ‘Risk Analysis’ in patient care functions? FMEA RCA Lean RACI matrix 49 / 60What do you mean by good medical records? Standard size of medical records forms Good quality of paper, printing, style, convenient file etc Sufficient data written in sequence of events to justify the diagnosis, treatment and end result Record contain all basic record forms 50 / 60Joint Comission surveyors review organization's medical records income taxes credit worthiness physycians PDAs 51 / 60The leader of a quality improvement team needs to deal effectively with a conflict between two units, it is best to appoint which of the following to its membership? a human resources representative a facilitator a risk manager a senior safety officer 52 / 60Hospital mission statement represents extended future goals reflects only the main objectives of medical departments determines the role of the community should include a commitment to serve the community 53 / 60The process of obtaining, verification, and assessment of the qualifications of a healthcare practitioner to provide patient care or services in a healthcare organization is known as Credentialing Profiling Accreditation Appointment 54 / 60When a case manager wants to demonstrate length of stay data that depicts both common cause and special cause variation, which of the following should be used? Pareto chart Scatter plot Shewhart chart Frequency plot 55 / 60Quality improvement team outcomes are best evaluated by which of the following? PDCA process team leader senior leadership nominal group technique 56 / 60Health care practitioners can effeciently apply time management techniques through tasks delegating and outsourcing working longer hours generating to-do lists overcoming procrastination 57 / 60What is the characteristics of a “closed ICU” The physician responsible for patient admits the patient in ICU and takes the formal responsibility of patient and his/her treatment in ICU The admission and care of patient in ICU is the responsibility of intensivist The ICU in which only the patient from same hospital can be admitted The ICU in which patient from any hospital can be admitted 58 / 60External environmental analysis typically includes Operating margins and debt capacity Demographic and socioeconomic characteristics of the service area Efficiency and staffing ratios Qulaity indicators 59 / 60What is "iatrogenic illness"? Illness of the eye Illness caused by iatro-genetic factors Illness caused by not enough iron in the blood supply Illness caused by doctors 60 / 60Normal blood pressure is 100/70 mm Hg 120/80 mm Hg 80/120 mm Hg 110/70 mm Hg Exit
