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adverse event

An injury caused by medical management rather than the underlying condition of the patient


Proved; with regard to medical records, it applies to a signature, initials, or computer keystroke by the maker of the record to verify that the record is correct


Items or factors that serve as standards against which other items or factors can be measured or judged


To manage to get around, especially by ingenuity or strategy


Factors, such as symptoms or conditions, that make a particular treatment or procedure inadvisable


Fundamentally different and often incongruous elements; elements that are markedly distinct in quality or character


Encoded; converted from one system of communication to another


Containing or characterized by error or assumption


Changes in response with distance from a stimulus

near miss

A situation in which an error is caught or corrected before it affects the patient


Originating or taking place in a hospital

potentially compensable event (PCE)

An adverse occurrence, usually involving a patient, that could result in a financial obligation for a business or organization

quality assurance (QA)

Activities designed to increase the quality of a product or service through process or system changes that increase efficiently or effectiveness

sentinel events

Unexpected occurrences involving death or serious physical or psychological injury, or the risk thereof


Models or examples established by authority, custom, or general consent; something set up and established by authority as a rule for the measure of quantity, weight, extent, value, or quality


Altered in sequence; interchanged


Dr. Charles received a memo from Smith-Park Hospital that reminded him to _____________ several of the medical records

sentinel event

Janie records any _____________ that happens to a patient while he or she is in the hospital


Chris asked if there was a way to ___________ outgoing e-mail messages so that they could not be altered before reaching their destination


Anne knows that medical facilities must meet certain ___________ to maintain accreditation


After reviewing several hundred files, Alex was concerned about the ____________ information in several patients records


Betty reminded Joanne to be careful not to ___________ numbers or letters when entering information into the computer

quality assurance

The _________________ office in a healthcare facility is concerned with providing the best and most efficient care possible to the patients.


Dr. Hughes knew that penicillin was a __________________ for Kathleen Schultz, so he ordered a different antibiotic


The new user manual has several ___________ and they must be corrected


The medical assistant should never attempt to __________ the regulations that apply to medical records


An injury caused by medical management rather than the underlying condition of the patient is called an ________ event

near miss

A _______________ is a medical error that is corrected before it affects the patient

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