Deck 24: Utilization Management

Question 1

Blood utilization management programs are designed to do all but which of the following?

A) Increase safety
B) Decrease component availability
C) Reduce expenditure
D) Manage limited blood resources

Answer 1

B

Question 2

A physician has ordered a 2-unit transfusion on an outpatient. When the outpatient arrives, the patient's hemoglobin is 12. What is the most appropriate action?

A) Cancel the transfusion and send the patient home.
B) Call the physician's office and inform them of their mistake.
C) Inform the pathologist or medical director and allow him to contact the physician.
D) Transfuse. A physicians order should not be questioned.

Answer 2

C

Question 3

Targeted and discontinuous are subtypes of what review system?

A) Retrospective
B) Concurrent
C) Interpreted
D) Prospective

Answer 3

D

Question 4

Upon review at the end of the quarter, you note that one physician's C/T ratio was high. You discuss this with the medical director, and he has you draft a letter to this physician. This is an example of what kind of review?

A) Retrospective
B) Concurrent
C) Interpreted
D) Prospective

Question 5

The focus of most blood utilization programs is:

A) the underutilization of blood products of a facility.
B) the overutilization of blood products by a facility.
C) to reduce cost.
D) to evaluate the need for ordering more product.

Question 6

Which statement is false?

A) There is zero inherent risk of transfusing blood if all protocols are followed.
B) Following quality assurance guidelines for transfusion increases the safety to the patient.
C) You must follow a physician's order no matter what.
D) All of the above statements are true.

Question 7

Which of the following is not part of a blood utilization review?

A) Retrospective review
B) Concurrent review
C) Interpreted review
D) Prospective review

Question 8

An example of direct behavior influence when implementing intervention strategies would be:

A) discussion with a physician about his ordering practice.
B) an e-mail to the nursing staff about their roles in transfusing.
C) a communication tree to all med techs about new protocols of issuing a product.
D) All of the above