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Unit 2
Chapter 22-24
109
Science
Not Applicable
02/02/2013

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Term
______ ______ is internal controls of a profession based on human values or moral principles.
Definition
Professional ethics
Term
__________ is ethical controversaries brought about by advances in biology and medicine.
Definition
Bioethics
Term
_________ is systematic study of _______ and __________ of human conduct and character as known by natural reason.
Definition
Ethics, rightness and wrongness
Term
________ are regulations established by a government applicable to a certain group of people.
Definition
Laws
Term
______________ is a profession's statement of _________ and __________ behavior.
Definition
Code of Ethics, acceptable and unacceptable
Term
_______________ is practice behaviors defined by members of a profession and provides the technologist with a detailed explicit, operational blueprint of norms/expectations of professional conduct.
Definition
Standards of Professional Conduct
Term
Science asks, ________?
Law asks, ________?
Morality asks, _________
Definition
Science asks, Can We
Law asks, May we
Morality asks, Should We
Term
Practice Standard, Standard One: Assessment - ___________________ about the patient and procedure.
Definition
Collects pertinent data
Term
Practice Standard, Standard Two: Analysis/Determination - __________ obtained information, __________ action plan.
Definition
Analyze, Develop
Term
Practice Standard, Standard Three: Patient Education - Technologist _____________ about procedure to patient, significant others, and health care providers.
Definition
Provides education
Term
Practice Standard, Standard Four: Implementation - implements ___________.
Definition
action plan
Term
Practice Standard, Standard Five: Evaluation - Have the ______ of the action plan been achieved?
Definition
goals
Term
Practice Standard, Standard Six: Implementation - Deploys _________ action plan
Definition
revised
Term
Practice Standard, Standard Seven: Outcome measurement - _____________ the outcome of the procedure.
Definition
review and evaluate
Term
Practice Standard, Standard Eight: Documentation - document quality assurance _______________.
Definition
activities and results
Term
_____________________: manners and attitudes toward patients, generally accepted by practitioners
Definition
Professional Etiquette
Term
In a dilemma there are four components to proceed, what are they?
Definition
Identify the problem, develop alternative solutions, selecting the best solution, defending your selection.
Term
A set of principals that tell us what actions are right or wrong is what?
Definition
Ethical Theories
Term
What evaluates rightness or wrongness of an ethical decision by assessing the consequences of these decisions on the patient?
Definition
Consequentialism
Term
What goes beyond consequences that exist to determine if a behavior is right or wrong?
Definition
Nonconsequentialism
Term
Lying to a patient if you believe it might benefit the patient but caution against it because it generally is considered morally wrong?
Definition
Nonconsequentialism
Term
Rights are a _________________ that an individual can make on others or on a society
Definition
justified claim
Term
Rights carry with them a corresponding duty that is placed on someone. What are the two types of rights?
Definition
Legal and Moral
Term
_________ are claims that have a foundation in legal principals and rules.
Definition
Legal rights
Term
____________ are claims that are justified by moral principals and rules.
Definition
Moral rights
Term
These are a universal guide to actions from basic moral truths that should be respected unless a morally compelling reason exists not to do so.
Definition
Moral/Ethical Principles
Term
Beneficence is what?
Definition
Actions that benefit others
Term
Nonmaleficence is what?
Definition
Above all, do no harm
Term
Justice is what?
Definition
equitable or fair conduct in dealing with others
Term
Autonomy is what?
Definition
Acting with personal self reliance (respecting independence of other persons)
Term
Veracity is what?
Definition
telling the truth.
Term
Telling the truth is _______. Being truthful is _______.
Definition
expected, right
Term
___________: trait of character that is socially valued, such as a courage.
Definition
Virtue
Term
Virtue Based Ethics - ethical theory that emphasizes the agents who perform actions and make choices; ___________________ form the framework of this ethical theory.
Definition
character and virtue
Term
Purpose of the health records is for _______________ among all health care providers involved.
Definition
effective communication
Term
Health Information are stored in three forms. What are they?
Definition
hard copy, microfilm, or computerized
Term
Coding of _________ and ______________ is of upmost importance
Definition
diagnosis and procedures
Term
What is a radiology report?
Definition
result of a procedure
Term
Payment system of diagnosis, universal statistical classification system for coding and reporting diagnosis and procedure based off DRG.
Definition
ICD-9-CM (Diagnosis)
Term
When you make a mistake writing the patient history what do you do?
Definition
Draw a SINGLE LINE through the error and write error, date, record the correct info, and initial.
Term
_____________ confidentiality of health record by turning monitors, using screen savers, and hide patient info during exam.
Definition
safeguard
Term
Should patient records be shared, even though the patient should have access?
Definition
no
Term
in the majority of cases, the radiologist never sees your patient but yet he/she is responsible for a diagnosis based off of the information he/she receives from you. This includes what?
Definition
Radiographs/patient history.
Term
What should you ask when getting patient information/history?
Definition
What their cheif complaint is, how long have they been experiencing symptoms, previous surgeries to the area of interest.
Term
When asking if females are pregnant and they say no, what should you write?
Definition
Patient stated not pregnant
Term
Person's Self reliance, independence, rights, privacy, individual choice, freedom of the will, and the self contained ability to decide
Definition
Autonomy
Term
articulated statement of role morality as seen by the members of a profession
Definition
code of ethics
Term
beliief that the worth of actions is determined by their ends or consequences' actions are right or wrong according to the balance of their good and bad consequences
Definition
consequentialism
Term
situations requiring moral judgment between two or more equally problem fraught alternatives; two or more competing moral norms are present, creating a challenge about what to do
Definition
ethical dilemmas
Term
gross violation of commonly held standards of decency or human rights
Definition
ethical outrage
Term
bodies of systematically related moral principles used to resolve ethical dilemmas
Definition
ethical theories
Term
systematic study of rightness and wrongness of human conduct and character as known by natural reason
Definition
ethics
Term
ethical reflections that emphasize an intimate personal relationship value system that includes such virtues as sympathy, compassion, fidelity, discernment, and love
Definition
ethics of care
Term
strict observance of promises or duties, loyalty and faithfulness
Definition
fidelity
Term
equitable fair or just conduct in dealing with others
Definition
justice
Term
The process of ethical analysis generally contains the following four components:
Definition
identify the problem
develop alternative solutions
selecting the best solution
defend the solution
Term
above all, do no harm
Definition
nonmaleficence
Term
duty to tell the truth
Definition
veracity
Term
What is the classification system of patients current procedural terminology evaluation and management codes, and procedure codes, age, sex, and visit disposition, used for reimbursement for health care provided in the hospital outpatient setting
Definition
APC (Ambulatory Patient Classifications
Term
What is DRGs?
Definition
Diagnosis Related Groups, system that categorizes into payment groups patients who are medically related with respect to diagnosis and treatment and statistically similar with regard to length of stay
Term
What does HFAP stand for?
Definition
Healthcare Facilities Accreditation Program
Term
What is ICD-9-CM
Definition
universal statistical classification system for coding and reporting diagnoses and procedures
Term
What is PPS?
Definition
Prospective Payment System, system for medicare patients by which a predetermined level of reimbursement is established before the services are provided
Term
What does RHIAs stand for?
Definition
Registered Health Information Admministrators
Term
any willful attempt or threat to inflict injury on the person of another, when coupled with the apparents present ability to do so, and any intentional display of force such as would give the victim reason to fear or expect immediate bodily harm
Definition
assault
Term
any unlawful touching of another that is without justification or excuse
Definition
battery
Term
failure to do something that a reasonable person guided by the oridnary considerations that ordinarily regulate human affairs would do or the doing of something that a reasonable and prudent person would not do
Definition
negligence
Term
Res Ipsa Loquitur
Definition
meaning "the thing speaks for itself"
Term
What is the respondant superior
Definition
the supervisor or employer may be liable in certain vases for the wrongful acts of employees or subordinates
Term
private or civil wrong or injury, other than breach of contract, for which the court provides a remedy in the form of an action for damages
Definition
tort
Term
Standards set by individuals or groups of individulas
Definition
norm
Term
internal controls of a profession based on human value or moral principles
Definition
professional ethics
Term
Justified claim that an individual can make on individuals, groups or society
Definition
rights
Term
its duties include: coding of diagnoses and operative procedures, quality managment and performance improvement, appropriate release of medical information
Definition
Health Information Management Department (Medical Records)
Term
A comprehensive list of medicacl terms and codes of diagnostic and therapeutic procedures used for physician reimbursement
Definition
CPT (Current Procedural Terminology)
Term
The prospective payment system is based on this
Definition
DRG (Diagnosis Related Group)
Term
Standard one of the practice standards which entails collective pertinent data about the patient and procedure
Definition
assessment
Term
This is necessary for an invasive procedure and must be done by a physician or RPA
Definition
informed consent
Term
What is a civil violation?
Definition
A tort
Term
restraining by force or threat of force
Definition
false imprisonment
Term
defamation by the use of spoken word
Definition
Slander
Term
When a patient's body has been improperly or unnecessarily exposed or touched
Definition
invasion of privacy
Term
may be stored in computerized, hard copy or microfilm formats
Definition
patient health record
Term
written or published comments or pictures that defile a patient
Definition
libel
Term
conduct by the plaintiff which is below the standard to which the person is legally required to conform for his/her own protection
Definition
contributory negligence
Term
failure to meet the standard of care by a professional that results in the harm to another
Definition
malpractice
Term
employer is responsible for the legal consequences of the acts of the employee while he/she acts within the scope of his/her employment
Definition
respondent superior
Term
an employee is temporarily under the control of another
Definition
borrowed servant
Term
the physician or the facility is responsible for the negligent acts of its employees (substitute)
Definition
vicarious liability
Term
T/F Radiology Reports become part of the patient’s permanent health record
Definition
True
Term
T/F The standard of care is the degree of proficiency, knowledge and care that is ordinarily possessed and used by members in good standing within the profession.
Definition
True
Term
T/F Outpatients requiring a copy of their x-rays must sign a release form.
Definition
True
Term
T/F Radiologic Technologists should not write in the patient chart.
Definition
False
Term
T/F A tort is a criminal violation
Definition
False
Term
T/F An unlawful touch is considered battery.
Definition
True
Term
right to know and participate in his own healthcare
Definition
Informed Consent
Term
"Let the master answer!" the employer is vicariously liable for the employer
Definition
respondent superior
Term
Statistically similar patient group
Definition
DRG
Term
tort allegation arising from comments made by the technologist before or during the exam where the patient fears for expects bodily harm is
Definition
assault.
Term
All of the following are true regarding a patient’s record except:
a. the hospital has the right to prohibit patient access (the patient does not have this right if it’s not in the best interest of the patient, IE mental health issues)
b. inpatients may examine their health record at any time (information should not be shared without the physician because of possible misinterpretation)
c. the healthcare facility may charge for a copy of the medical record
d. health information should be restricted to the extent necessary to carry out legitimate purpose.
Definition
A,B
Term
Which one of the following was not a function of the Schloendorf vs. Society of New York Hospital Law?
a. encourages health care providers to consider decisions carefully
b. protects the patient’s status as a human being
c. protect physician’s autonomy (it’s meant to protect the PATIENT’S autonomy)
d. fosters rational decision making by the patient
Definition
C
Term
A radiology report must include all of the following except:
a. results of the procedure
b. name of the study
c. evaluation or treatment of the patient
d. physician’s order (it may include the order, but it is not required)
e. description of services received
Definition
D
Term
What are the 4 elements that must be proven for the plaintiff to recover damages for alleged negligence?
Definition
1. Duty expected by the radiographer (standard of care)
2. Breach of duty by acting or failing to act (deviation from the standard of care)
3. Cause of injury due to the radiographer’s negligence
4. Causal relationship between injury and breach of duty (there was an implied contract)
Term
Standard set by individuals or groups of individuals
Definition
Norm
Term
Use of moral principles as a basis for defending a chosen path of action in resolving an ethical dilemma
Definition
Principle based ethics
Term
A systematic study of rightness and wrongness of human conduct and character as known by natural reason.
Definition
Ethics
Term
Internal controls of any profession based on human values or moral principles
Definition
Professional Ethics
Term
Generally accepted customs, principles, or habits of right living and conduct in a society and the individual’s practice in relation to these.
Definition
Morals
Term
Joint Commision’s Required Review Functions:
Definition
a. Efficacy
b. Appropriateness
c. Availability
d. Timeliness
e. Effectiveness
f. Continuity
g. Safety
h. Efficiency
i. Respect and caring
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