Deck 5: Clinical Facility Data

Question 1

-Refer to above figure :Saint Mar's Hospital evaluated their after-surgery complication data for the previous 6 months. Of the 88 patients who had surgery, the following complications were found. What is the complication rate for infections?

A) 16.5%
B) 22.4%
C) 29.6%
D) 37.1%

Answer 1

29.6%

Question 2

In January of 2015, nine patients developed pneumonia while on a ventilator. In total, 46 patients who were on a mechanical ventilator were discharged in January. Five of the 46 died. Calculate the ventilator-assisted pneumonia in discharge patients for January of 2015.

A) 10.9%
B) 19.6%
C) 26.5%
D) 55.6%

Answer 2

19.6%

Question 3

Calculate the ventilator usage for the month of March if 34 patients were on ventilators and 186 patients were discharged during March.

A) 18.3%
B) 21.6%
C) 29.5%
D) 16.7%

Answer 3

18.3%

Question 4

Calculate the postoperative infection rate if there were 24 infections and 204 clean surgical procedures.

A) 1.18%
B) 11.6%
C) 11.8%
D) 24%

Question 5

If approximately six elderly residents die each week at Fair Haven Nursing Facility, what will be the mortality rate at the end of week 2? (Assume that Fair Haven begins with 120 residents and does not replace resident's rooms with new patients during this time.)

A) 5% resident mortality rate
B) 5.56% resident mortality rate
C) 6.22% resident mortality rate
D) 10% resident mortality rate

Question 6

A measure of the opportunity for an infection to take place with a greater exposure to the use of the device is referred to as what?

A) Infection rates
B) Morbidity rates
C) Device days
D) Exposure days

Question 7

If a patient is discharged with a/an _____ diagnosis that is a hospital-acquired condition, the hospital will ________ reimbursed for the treatment of that condition.

A) old; be
B) old; not be
C) new; be
D) new; not be

Question 8

-Refer to above figure :Saint Mar's Hospital evaluated their after-surgery complication data for the previous 6 months. Of the 88 patients who had surgery, the following complications were found. What is the complication rate for fevers?

A) 36.5%
B) 47.7%
C) 52.4%
D) 60.0%

Question 9

At Happy Valley Hospital, 592 patients developed one or more health care-associated infections. The most common type was pneumonia, accounting for 24.15%. How many pneumonia infections were there?

A) 94 patients
B) 118 patients
C) 127 patients
D) 143 patients

Question 10

Which of the following is an example of a complication?

A) Patient medication nonadherence
B) Detrimental patient behaviors
C) Incorrectly administering a medication that causes harm
D) Patient failure to complete follow-up appointments

Question 11

A complication is any adverse event that happens to a patient after admission to the hospital which causes an increase in the length of stay by at least 1 day, in what percent of the patients?

A) 75%
B) 80%
C) 85%
D) 90%

Question 12

What type of occurrence happens after a patient has been admitted to the hospital?

A) Hospital-acquired conditions
B) Community-acquired infection
C) Autoimmune disorders
D) Present on admission

Question 13

Your health care facility wants to measure the number of health care-associated infections present during a month of discharged patients (gross retrospective infection rate). There were 12 infections during the month of October and a total of 131 discharges during October.

A) 9.2%
B) 9.6%
C) 6.5%
D) 5.3%

Question 14

Calculate the infection rate compared to days on a ventilator if seven patients acquired ventilator-associated pneumonia and had 31 ventilator days during October.

A) 14.2%
B) 22.6%
C) 34.6%
D) 49.7%

Question 15

-Refer to above figure :Saint Mar's Hospital evaluated their after-surgery complication data for the previous 6 months. Of the 88 patients who had surgery, the following complications were found. What is the complication rate for sponges or surgical tools left in the cavity?

A) 2.9%
B) 4.5%
C) 6.7%
D) 8.2%

Question 16

Which of the following is not an example of a hospital-acquired condition?

A) Bed sores
B) Patient medication nonadherence
C) Fever caused by a device inserted during surgery
D) MRSA infection from nurses not changing out bandages

Question 17

Which of the following is not a category for health care-associated infections (HAIs)?

A) Surgical site infections (SSIs)
B) Central line-associated bloodstream infections (CLABSIs)
C) MRSA infections
D) Medication nonadherence

Question 18

What is the retrospective HAI rate if a hospital noticed 29 infections within 48 hours after hospitalization if there were 64 discharges within those same 48 hours?

A) 16.8%
B) 19.6%
C) 26.5%
D) 45.3%

Question 19

What is the most common type of hospital infection?

A) Surgical site infections (SSIs)
B) Central line-associated bloodstream infections (CLABSIs)
C) MRSA infections
D) C. difficile infections

Question 20

Fair Haven Nursing Facility, which houses 115 residents, discovered that seven elderly residents died last week. What was last week's mortality rate?

A) 2.8% resident mortality rate
B) 4.3% resident mortality rate
C) 6.1% resident mortality rate
D) 8.5% resident mortality rate

Question 21

Which type of autopsy is performed to investigate the cause of death?

A) Hospital
B) Post-mortem
C) Medicolegal
D) Clinical

Question 22

-Refer to above figure :Calculate the neonatal mortality rate:

A) 1.3%
B) 1.7%
C) 2.5%
D) 3.2%

Question 23

-Refer to above figure :Calculate the percentage of patients with VAP using ventilator days in 2015:

A) 3.1%
B) 7.3%
C) 16.4%
D) 22.4%

Question 24

In the month of August, two deaths were due to anesthetics out of the 1,245 anesthetics administered occurred. What is the anesthesia death rate?

A) 160.6 out of 100,000 patients
B) 184.3 out of 100,000 patients
C) 204.8 out of 100,000 patients
D) 216.4 out of 100,000 patients

Question 25

If 26 patients were seen by a consultant, and 40 patients were discharged (six of these patients died), what was the consultation rate?

A) 57%
B) 65%
C) 67%
D) 76%

Question 26

In the month of September, there were 11 deaths reported that were within 10 days of surgery with 96 surgical patients. What was the postop death rate?

A) 5.37%
B) 7.82%
C) 9.51%
D) 11.46%

Question 27

Winter Valley Hospital reports 36 inpatient deaths in the month of March. Of those deaths, seven are autopsied in the hospital, two are removed by the medical examiner, and three bodies of former patients (two home health care patients and one outpatient) are returned to the hospital for autopsy. What is the gross autopsy rate?

A) 12.68%
B) 19.44%
C) 26.59%
D) 33.51%

Question 28

Last year, your facility had 149 total deaths. 21 of the 149 total deaths occurred less than 48 hours after admission, and there were 6,471 total discharges. Calculate the gross mortality rate.

A) 0.32%
B) 2.3%
C) 2.4%
D) 1.26%

Question 29

Given 11 late fetal deaths and 796 live births, what is the fetal death rate?

A) 1.4%
B) 3.5%
C) 5.7%
D) 9.6%

Question 30

-Refer to above figure :Calculate the percentage of patients on ventilators that develop VAP:

A) 3.1%
B) 7.3%
C) 16.4%
D) 22.4%

Question 31

-Refer to above figure :Calculate the fetal autopsy rate:

A) 4.26%
B) 9.42%
C) 14.29%
D) 18.97%

Question 32

-Refer to above figure :Calculate the C-section rate:

A) 13.4%
B) 26.5%
C) 38.3%
D) 49.7%

Question 33

Out of 81 knee surgeries and 51 rotator cuff surgeries performed this year, 12 patients experienced complications. What is the complication rate?

A) 14.8%
B) 7.6%
C) 9.1%
D) 23.5%

Question 34

In 1 week, there were 19 consultations and 47 discharges. What was the consultation rate?

A) 24.6%
B) 38.1%
C) 40.4%
D) 57.3%

Question 35

Winter Valley Hospital reports 36 inpatient deaths in the month of March. Of those deaths, seven are autopsied in the hospital, two are removed by the medical examiner, and three bodies of former patients (two home health care patients and one outpatient) are returned to the hospital for autopsy. What is the adjusted autopsy rate?

A) 12.68%
B) 19.44%
C) 24.97%
D) 27.03%

Question 36

-Refer to above figure :Calculate the newborn mortality rate:

A) 1.3%
B) 1.7%
C) 2.5%
D) 3.2%

Question 37

Last year, your facility had 149 total deaths. 41 of the 149 total deaths occurred less than 48 hours after admission, and there were 6,471 total discharges. Calculate the net mortality rate.

A) 1.68%
B) 1.98%
C) 0.63%
D) 1.26%

Question 38

Winter Valley Hospital reports 36 inpatient deaths in the month of March. Of those deaths, seven are autopsied in the hospital, two are removed by the medical examiner, and three bodies of former patients (two home health care patients and one outpatient) are returned to the hospital for autopsy. What is the net autopsy rate?

A) 20.59%
B) 26.60%
C) 33.51%
D) 40.26%

Question 39

-Refer to above figure :Calculate the VBAC rate:

A) 24%
B) 10.5%
C) 18.75%
D) 16.7%

Question 40

-Refer to above figure :Calculate the percentage of patients with HAI in 2015:

A) 3.1%
B) 7.3%
C) 16.4%
D) 22.4%

Question 41

-Refer to above figure :Calculate the emergency room autopsy rate:

A) 11.26%
B) 22.48%
C) 33.33%
D) 44.76%

Question 42

Hospital-acquired conditions are not preventable.

Question 43

_______ autopsies require the consent of the next of kin, while ______ autopsies do not.

A) Medicolegal; hospital
B) Clinical; hospital
C) Hospital; clinical
D) Hospital; medicolegal

Question 44

Which of the following professionals does not perform autopsies in the United States?

A) Coroner
B) Embalmer
C) Medical examiner
D) Forensic pathologist

Question 45

The postoperative death rate has a provision that limits deaths to within how many days of the surgery?

A) 6
B) 10
C) 14
D) 18

Question 46

Because maternal mortalities are so rare, which size constant is oftentimes used to express meaningful results?

A) Small (100)
B) Medium (1,000)
C) Large (100,000)
D) Very large (1,000,000)

Question 47

-Refer to above figure :Calculate the surgical autopsy rate:

A) 11.26%
B) 18.18%
C) 22.48%
D) 33.33%

Question 48

At Happy Valley Hospital, 25 appendectomies were performed in the first quarter (January, February, and March). Two patients developed a postop infection within 48 hours, and another two patients died after surgery. What is Happy Valley Hospital's appendectomy postop infection rate for the first quarter?

A) 2%
B) 4%
C) 8%
D) 16%

Question 49

-Refer to above figure :Calculate the pediatric autopsy rate:

A) 14.29%
B) 16.67%
C) 18.97%
D) 20.43%

Question 50

-Refer to above figure :Calculate the cancer autopsy rate:

A) 18.18%
B) 8.26%
C) 14.58%
D) 20.45%