ABQUARP EXAM ACTUAL 2025 Questions and Answers
() (Verified Answers)
how is quality defined? - ANSWER-no errors, degree of excellence, do the right thing and do it well.
Meeting customers expectations, exceed expectations.
What is quality mgmt.? - ANSWER-examine the process to delivery of care, the outcomes measured
plan-do-check-act - ANSWER-Walter Shewhart
Edward Deming - ANSWER-introduced statistical process to improve quality
He recognized importance of having accurate and meaningful infor to improve quality
Demings 7 deadly diseases - ANSWER-lack of consistency, emphasis on short term profits, eval of
performanmce,job hopping, excessive medical cost, excessive liability
Joseph Juran - ANSWER-introduced Total Quality Control
Philip Crosby - ANSWER-He added financial consequences to quality performance
Savings are generated by "doing things right the first time"
Quality Mangt. QM - ANSWER-approaches to imporving quality
emphasis on preventing errors, empowerment of employees, improve performance, focus on supplier
relationships
Quality Assurance - ANSWER-addresses negative outcomes ( sentinel events). Hx punishment of peers
Quality Improvement - ANSWER-improving on outcomes that are consider satisfactory, get better.
Typically focus on process and systems, no individuals
Continuous Quality Improvement - ANSWER-uses a systematic process, enhance performance. Looks
at processes, not individual. ( ex laparoscopy, less hospt stay)
Total quality management - ANSWER-uses QA, QI, CQM and focuses on customer desire
Sentinel Event - ANSWER-unexpected death, unrelated loss of function, IP suicide, infant abduction,
transfusion rxn, wrong site surgery
Root Cause Analysis - ANSWER-Analyzing a sentinel event, must assess the culture.
Credentialing - ANSWER-Key part of QM.Make sure the right person , right knowledge in the right
position
Risk Mgt. - ANSWER-Focus on monetary loss by eliminating negative outcomes. Includes insurance, pt
satisfaction and legal issues.. Improve documentation. Medical records analysis is very helpful
Ultimate responsibility is the governing body of the hospital.
UR - ANSWER-formal review of the consumption of all resources in the delivery of care., Can be
prospective, concurrent or retrospective .Reduce resources to achieve the same result.
Infection Control - ANSWER-Focus on Outcomes, looks at transmission of illness to providers, staff
and visitors. Reduce risk of future infection
, Outcome studies - ANSWER-important to analyze effectiveness. Computer generated outcomes best.
self report survey are vulnerable to inaccuracy, single review least reliable.
Peer review - ANSWER-An individual c similar training and the one being reviewed.
1-chart rev
2-patterns
3- peer intervention
PRO- peer review organization - ANSWER-1972-82 was physician controlled, nonprofit org that looked
at Medicare IP, Utilization and quality. Changed to PSRO in 1982 via the Tax Equity and Fiscal
Responsibility act
QARI- quality assurance reform initiative - ANSWER-1993- to assist states develop QI systems, focus
on clinical studies
QISMC- quality improvement for system of Managed Care - ANSWER-1996-Federal govt formed as a
guide for quality mgt, esp for Medicare and Medicaid
-Designed to strengthen the efforts to protect and improve health and satisfaction to Medicare and
Medicaid enrollees
-clarifies responsibility in promoting quality
-promotes partnership
-develop coordinated quality oversight
-looks for new developments
BBA-balanced budget Act - ANSWER-1997-comprehensive revision of federal statutes governing
Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
QIO-quality improvement Org - ANSWER-2002-defined how quality measurement and performance
improvement should be applied to M/M
-improve quality of care to beneficiary
-protect integrity of Medicare Trust Fund
Medicare contracts c 1 QIO in each state
not-for profit, staffed by professional
PQRI-physician quality reporting Initiative - ANSWER-2006-The Tax Relief and health Care Act 2006
authorized implementation of a physician reporting system, Financial incentive.
APSF- anesthesia patient safety foundation - ANSWER-First org to develop just to improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
IHI- institute for Healthcare improvement - ANSWER-1988- founded by Berwick and Batalden
-focus on all aspects of quality, esp safety
Adverse Events- stats: - ANSWER-1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
Dr, Lucian Leape - ANSWER-"Error in Medicine"
Promoter of pt safety
Culture change that to error is inevitable.
JC-joint commision - ANSWER-1990- only accrediting body for hosp and other health care org in US
() (Verified Answers)
how is quality defined? - ANSWER-no errors, degree of excellence, do the right thing and do it well.
Meeting customers expectations, exceed expectations.
What is quality mgmt.? - ANSWER-examine the process to delivery of care, the outcomes measured
plan-do-check-act - ANSWER-Walter Shewhart
Edward Deming - ANSWER-introduced statistical process to improve quality
He recognized importance of having accurate and meaningful infor to improve quality
Demings 7 deadly diseases - ANSWER-lack of consistency, emphasis on short term profits, eval of
performanmce,job hopping, excessive medical cost, excessive liability
Joseph Juran - ANSWER-introduced Total Quality Control
Philip Crosby - ANSWER-He added financial consequences to quality performance
Savings are generated by "doing things right the first time"
Quality Mangt. QM - ANSWER-approaches to imporving quality
emphasis on preventing errors, empowerment of employees, improve performance, focus on supplier
relationships
Quality Assurance - ANSWER-addresses negative outcomes ( sentinel events). Hx punishment of peers
Quality Improvement - ANSWER-improving on outcomes that are consider satisfactory, get better.
Typically focus on process and systems, no individuals
Continuous Quality Improvement - ANSWER-uses a systematic process, enhance performance. Looks
at processes, not individual. ( ex laparoscopy, less hospt stay)
Total quality management - ANSWER-uses QA, QI, CQM and focuses on customer desire
Sentinel Event - ANSWER-unexpected death, unrelated loss of function, IP suicide, infant abduction,
transfusion rxn, wrong site surgery
Root Cause Analysis - ANSWER-Analyzing a sentinel event, must assess the culture.
Credentialing - ANSWER-Key part of QM.Make sure the right person , right knowledge in the right
position
Risk Mgt. - ANSWER-Focus on monetary loss by eliminating negative outcomes. Includes insurance, pt
satisfaction and legal issues.. Improve documentation. Medical records analysis is very helpful
Ultimate responsibility is the governing body of the hospital.
UR - ANSWER-formal review of the consumption of all resources in the delivery of care., Can be
prospective, concurrent or retrospective .Reduce resources to achieve the same result.
Infection Control - ANSWER-Focus on Outcomes, looks at transmission of illness to providers, staff
and visitors. Reduce risk of future infection
, Outcome studies - ANSWER-important to analyze effectiveness. Computer generated outcomes best.
self report survey are vulnerable to inaccuracy, single review least reliable.
Peer review - ANSWER-An individual c similar training and the one being reviewed.
1-chart rev
2-patterns
3- peer intervention
PRO- peer review organization - ANSWER-1972-82 was physician controlled, nonprofit org that looked
at Medicare IP, Utilization and quality. Changed to PSRO in 1982 via the Tax Equity and Fiscal
Responsibility act
QARI- quality assurance reform initiative - ANSWER-1993- to assist states develop QI systems, focus
on clinical studies
QISMC- quality improvement for system of Managed Care - ANSWER-1996-Federal govt formed as a
guide for quality mgt, esp for Medicare and Medicaid
-Designed to strengthen the efforts to protect and improve health and satisfaction to Medicare and
Medicaid enrollees
-clarifies responsibility in promoting quality
-promotes partnership
-develop coordinated quality oversight
-looks for new developments
BBA-balanced budget Act - ANSWER-1997-comprehensive revision of federal statutes governing
Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
QIO-quality improvement Org - ANSWER-2002-defined how quality measurement and performance
improvement should be applied to M/M
-improve quality of care to beneficiary
-protect integrity of Medicare Trust Fund
Medicare contracts c 1 QIO in each state
not-for profit, staffed by professional
PQRI-physician quality reporting Initiative - ANSWER-2006-The Tax Relief and health Care Act 2006
authorized implementation of a physician reporting system, Financial incentive.
APSF- anesthesia patient safety foundation - ANSWER-First org to develop just to improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
IHI- institute for Healthcare improvement - ANSWER-1988- founded by Berwick and Batalden
-focus on all aspects of quality, esp safety
Adverse Events- stats: - ANSWER-1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
Dr, Lucian Leape - ANSWER-"Error in Medicine"
Promoter of pt safety
Culture change that to error is inevitable.
JC-joint commision - ANSWER-1990- only accrediting body for hosp and other health care org in US
