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Case Managers Optimize Patient Safety by Facilitating Effective Care Transitions

doi: 10.1097/01.PCAMA.0000265341.80440.f6
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Back to Top | Article Outline


GENERAL PURPOSE: To familiarize the registered professional nurse and case manager with ways case managers can facilitate safe and effective healthcare as patients move through the healthcare continuum.

LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:

  1. Identify patient safety issues as patients transfer through the healthcare continuum.
  2. Describe how case managers act as patient advocates and care facilitators.

1. One of five patient safety areas where case managers concentrate effort is

a. care planning.

b. medication reconciliation.

c. insurance resolution.

d. standard setting.

2. The risk of medical errors increases when

a. patients are acutely ill.

b. families are not involved.

c. nurses are disenchanted.

d. patients transition through the hospital.

3. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards emphasize that the exchange of information during transitions is the responsibility of

a. the care manager.

b. the sending institution.

c. the receiving institution.

d. both the receiving and sending institutions.

4. According to the HMO Workgroup on Care Management, which responsibility belongs to the receiving healthcare team?

a. Ensure the patient is stable enough for transfer.

b. Ensure all forms and documents are complete and accurate.

c. Ensure the patient and family understand their insurance benefits and coverage prior to transfer.

d. Ensure all forms, summaries, and orders are received prior to or upon arrival.

5. This article identifies one key function of the case manager in the early stages of admission as

a. patient advocate.

b. care coordinator.

c. compliance monitor.

d. family liaison.

6. In the case study presented, all of the following helped minimize the patient's risk of medical errorsexcept

a. processing significant patient data upon entrance to the hospital setting.

b. obtaining the healthcare proxy information.

c. obtaining correct insurance information.

d. resolving patient and family social issues.

7. According to the author, problems arise during transitions because

a. case management in non–acute care facilities is deficient.

b. healthcare settings have little understanding of other settings.

c. discharge planning does not start early enough in care delivery.

d. practitioners view transitions as transfers, not as discharges.

8. Critical errors can occur when patients transfer between institutions because of

a. incomplete information.

b. changes in level of care.

c. change of medical providers.

d. insurance problems.

9. The Social Domain in the HMO Workgroup on Care Management's Core Elements includes each of the followingexcept

a. baseline activities of daily living.

b. identification of primary caregiver.

c. community-level support.

d. caregiver's willingness to provide care.

10. As identified in this article, the Case Management Society of America has set one goal of case management interventions as

a. providing quality medical care.

b. setting standards of care.

c. reducing healthcare costs.

d. enhancing patient safety.

11. Case managers are positioned to best facilitate the transition of care since they do all of the followingexcept

a. perform key functions from the beginning to the end of the healthcare process.

b. help reduce fragmentation of care.

c. execute physician orders.

d. help ensure complete and effective communication.

12. Examples of communication failure during a patient transfer may include all of the followingexcept

a. error in treatment.

b. a delay in obtaining needed testing.

c. inadequate follow-up treatment upon discharge.

d. a relapsing condition that causes patient readmission.

13. Smooth transitions are more likely to occur when

a. unfamiliar healthcare sites are used.

b. the receiving facility determines the patient's needs upon arrival.

c. practitioners recognize their role in transition planning.

d. practitioners refer questions to the family, rather than to the sending facility, to answer.

14. One tool for sharing critical information discussed in this article is a

a. list of desirable transfer sites.

b. case management hotline.

c. family advocate team.

d. communication flow sheet.

15. The main concept of this article is that case managers play a unique and vital role in

a. providing safety for patients through smooth transitions throughout the healthcare continuum.

b. enforcing JCAHO recommendations for patient care and safety.

c. developing performance improvement monitoring tools and evaluating the results.

d. establishing policies and procedures for patient transfers.



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