NAHQ Test 2023 with Complete Solutions

For a continuous quality improvement team to be successful, who must be included on the team? - ANSWER-person preforming the process When examining the relationship between staff and patient outcomes, which of the following is the most appropriate to assess? - ANSWER-patient safety data and overtime data Which of the following adverse events is NOT considered a sentinel event? - ANSWER-suicide threat by a patient in a confined 24-hour care setting Which of the following is always true regarding a sentinel event? - ANSWER-The occurrence requires an immediate investigative response A valid data collection tool should incorporate - ANSWER-the definition of data elements A review was conducted following a postoperative surgical infection rate increase. The following information was obtained about four physicians: Which of the following should be done next? - ANSWER-Initiate peer review with physician C A healthcare quality professional is attempting to refine the differences between an organization's objectives and the stakeholder needs. Which of the following tools is most appropriate? - ANSWER-gap analysis Which of the following is the best example of use of human factors engineering? - ANSWER-designing products to prevent tubing misconnections The success of a performance improvement program will be most influenced by the - ANSWER-culture of the organization The best reason to evaluate team meetings is to - ANSWER-assess progress A facility is becoming part of a healthcare network. Which of the following employee education programs is most important? - ANSWER-organizational change A hospice agency conducted a satisfaction survey of all 200 patients currently receiving pain management services. When asked if they were satisfied with their pain management, 170 patients said yes, and 30 said no. A target satisfaction rate of 90% has been set. In this situation, a healthcare quality professional should - ANSWER-review all dissatisfied responses for similarities. The evolution of quality improvement in healthcare has shifted the primary focus from performance of individuals to the performance of the - ANSWER-organization's systems A hospital has recently moved to a paperless system. It is noted that some data is missing from the obstetrics delivery record. A healthcare quality professional should recommend - ANSWER-evaluating the computerized data entry process A staff member reports that a colon perforation occurred during a colonoscopy. Which of the following is a healthcare quality professional's next step? - ANSWER-Refer the case for peer review A 69-year-old female admitted for hip replacement is taken to surgery. The patient is identified, the surgical site is marked incorrectly, and equipment/x-rays are present. A near miss was most likely identified as a result of - ANSWER-a surgical team 'time-out.' A quality improvement manager must decide how to present data that demonstrates the relationship between two process characteristics. Which of the following data display techniques is most appropriate? - ANSWER-scatter diagram The clinical competency of a physician is determined by - ANSWER-a committee of peers. When conducting a sentinel event review, a root cause analysis - ANSWER-identifies gaps in patient care processes. The perception of how an organization operates, including how employees relate to internal and external customers, is the organizational - ANSWER-culture Staff has been trained and oriented on a new electronic incident reporting system. In the past, staff could report anonymously. The new system requires staff to sign in with an individualized username and password. Three months after implementation, there is a sharp reduction in the number of reported incidents. Which of the following reasons for underreporting of incidents is of greatest concern? - ANSWER-staff fear of negative consequences of reporting Which of the following should be included in an annual performance improvement report to a governing body? - ANSWER-Team achievements A monitoring system is being designed in which data will be collected and compared to criteria. Which of the following will best enhance the validity and reliability of the data? - ANSWER-providing a practice-based definition and specific instructions for each element Results of physician practice pattern studies are most likely to promote behavior changes when disseminated to the - ANSWER-practitioners