CPHRM日本語版復習指南 & CPHRM参考資料

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ASHRM CPHRM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Legal and Regulatory20%- Interpret healthcare laws and regulations
- Analyze legal trends and precedents
- Manage legal risks and liabilities
- Ensure compliance with regulatory requirements
- Develop policies for legal compliance
Topic 2: Risk Financing15%- Develop risk financing strategies
- Evaluate insurance programs and coverage
- Identify and analyze risk financing options
- Analyze risk transfer mechanisms
- Manage self-insurance and captive programs
Topic 3: Claims and Litigation20%- Coordinate litigation support and defense
- Analyze claims data for risk patterns
- Manage claims processes and documentation
- Implement claims prevention strategies
- Evaluate litigation outcomes and lessons learned
Topic 4: Healthcare Operations20%- Identify operational risks in healthcare settings
- Implement risk management in clinical operations
- Address workplace violence and safety
- Manage emergency preparedness and response
- Evaluate operational risk controls
Topic 5: Clinical/Patient Safety25%- Implement patient safety programs and interventions
- Evaluate effectiveness of patient safety initiatives
- Collaborate on proactive safety initiatives (FMEA, RCA, Safety Culture/Just Culture)
- Assess patient safety state and staff awareness
- Analyze clinical data to identify risks and trends

>> CPHRM日本語版復習指南 <<

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ASHRM Certified Professional in Health Care Risk Management (CPHRM) 認定 CPHRM 試験問題 (Q89-Q94):

質問 # 89
Protecting outdoor air intakes can mitigate the risk of terrorists introducing airborne agents. Steps include:

正解:D

解説:
Air intake protection is a facility security and safety engineering control to reduce vulnerability to intentional contamination. Elevating intakes reduces easy access; security zones create stand-off distance; lighting and surveillance deter and improve detection. Risk management objectives emphasize layered physical security:
access control, environmental design, monitoring, and emergency response planning. In healthcare operations, these measures support resilience and continuity of care, reducing risk of mass exposure events that can overwhelm clinical capacity and cause severe harm.


質問 # 90
A 78-year-old patient in the ICU is unable to speak or swallow. The physician states that she is terminally ill and believes she lacks decision-making capacity. As such, he has deferred to her properly executed advance directive that clearly outlines her wishes for no life-prolonging treatment. The patient's three sons know of the directive, but insist that a PEG tube be placed to assist with feeding. The physician is opposed to placing the tube. The nurse calls the risk manager for advice. Which of the following should the risk manager advise?

正解:D

解説:
Under Health Care Risk Management principles recognized by ASHRM and the American Hospital Association Certification Center, a properly executed advance directive carries legal authority when a patient lacks decision-making capacity. The physician has assessed that the patient is terminally ill and lacks capacity, triggering activation of the advance directive. If the directive clearly states refusal of life-prolonging treatment, including artificial nutrition and hydration, those wishes must be honored in accordance with state law and the Patient Self-Determination Act framework.
Patient autonomy is a foundational ethical and legal principle in health care. Once capacity is lost, previously expressed wishes through a valid advance directive govern care decisions. Family members do not have authority to override a valid directive unless legal defects or ambiguity exist. Their disagreement does not negate the patient's documented preferences.
Although ethics consultation can be helpful in managing conflict, the directive here is described as properly executed and clear. Additional determination of capacity is unnecessary because the physician has already made that assessment.
Risk management objectives emphasize compliance with advance directive statutes, respect for patient autonomy, and reduction of liability through adherence to documented patient wishes. Therefore, the appropriate advice is to support the physician in honoring the advance directive.


質問 # 91
For a liability claim to succeed, the claimant must establish duty owed, duty breached, proximate cause, and

正解:B

解説:
Under Health Care Risk Management principles outlined by ASHRM and the American Hospital Association Certification Center, a successful negligence claim requires proof of four essential legal elements: duty, breach of duty, causation, and damages. Duty refers to the legal obligation owed by the healthcare provider to the patient. Breach occurs when the provider fails to meet the applicable standard of care. Proximate cause establishes the direct link between the breach and the harm suffered.
The final required element is actual injury or damages sustained by the claimant. Without demonstrable harm, a negligence claim cannot succeed, even if duty and breach are proven. The injury may include physical harm, emotional distress, or financial loss, but it must be measurable and attributable to the breach.
Contributory negligence is a defense that may reduce or bar recovery but is not an element the claimant must prove. Punitive damages are awarded in exceptional cases involving egregious misconduct and are not required to establish liability. Gross negligence represents a higher degree of negligence but is not a required element in standard malpractice claims.
Therefore, proof of injury sustained is essential for a liability claim to succeed.


質問 # 92
A sentinel event is a patient safety event that reaches the patient and results in which of the following?

正解:D

解説:
According to Health Care Risk Management standards supported by ASHRM and The Joint Commission's sentinel event policy, a sentinel event is defined as a patient safety event that results in death, permanent harm, or severe temporary harm. Severe temporary harm is harm that is critical, life-threatening, or requires major intervention to sustain life, even if the patient ultimately recovers.
Sentinel events signal the need for immediate investigation and response because of the seriousness of the outcome. The Joint Commission requires completion of a root cause analysis and development of an action plan within specified timeframes following awareness of such an event. The focus is on identifying system vulnerabilities and preventing recurrence.
Temporary or moderate harm alone does not meet the sentinel event threshold unless it rises to the level of severe temporary harm. Increased length of stay, without death or significant harm, does not qualify as a sentinel event under the formal definition.
Clinical and patient safety objectives emphasize accurate event classification, structured investigation, and corrective action. Therefore, a sentinel event is one that results in death, permanent harm, or severe temporary harm.


質問 # 93
Which type of information was associated with the former HIPDB (now within NPDB) but not the original NPDB focus?

正解:C

解説:
The HIPDB was established to help combathealthcare fraud and abuse, while the NPDB historically focused on practitioner competence and professional conduct (including items like malpractice payments and certain adverse actions). HRSA explains that HIPDB is no longer separate and that its information is now collected and disclosed through the NPDB following the 2013 merger. For risk managers, the objective is to ensure credentialing, contracting, and compliance teams understand the expanded scope and proper use:
querying supports safer hiring/privileging decisions and reduces negligent credentialing risk, while reporting supports system integrity. Organizations must also ensure due process and correct categorization of reportable events to avoid wrongful reporting exposure.


質問 # 94
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