IHI QI 101 & 102 Exam with correct
Answers
The Transcendental Nursing Home is working on decreasing its rates of catheter-
associated urinary tract infections (UTIs) among its patients. The improvement team
predicts that if they begin providing intensive training to staff on how to place the
catheters, the infection rates will improve. They devise a plan to test this idea. After
three months of testing its improvement idea, the Transcendental team notices that
infection rates on one unit are much higher than any other unit. Frustrated, leadership
decides to replace all the providers on that unit except the three with the highest
seniority.
What is the likely outcome, and why?
(A) Infection rates will not change because the leaders have not changed the system of
care.
(B) Infection rates will not change because the three caregivers with seniority are
probably negligent, like their peers who were fired.
(C) Infection rates will get better because the leaders ha - Answers -(A) Infection rates
will not change because the leaders have not changed the system of care.
Which of the following is a basic principle of improvement?
(A) Improvement must come from the bottom up — not the top down.
(B) Every system is perfectly designed to get the results it gets.
(C) Data should always drive improvement.
(D) When examining a complex system, consider all the parts separately. - Answers -
(B) Every system is perfectly designed to get the results it gets.
Which of these questions is most strongly related to the "appreciation of a system"
component of Deming's System of Profound Knowledge?
(A) What motivates people to act as they do?
(B) What is the variation in results trying to tell you about the system?
(C) What are your predictions about the system's performance?
(D) What is the whole system that you're trying to manage? - Answers -(D) What is the
whole system that you're trying to manage?
When trying to improve a process, one reason to use PDSA cycles rather than a more
traditional version of the scientific method (such as a randomized, controlled trial) is
that:
a. PDSA cycles are easier to run with a large team of people.
b. The results of PDSA cycles are more generalizable than other methods.
, c. PDSA cycles provide a mechanism to adjust improvement ideas as the project
progresses.
d. all of the above - Answers -c. PDSA cycles provide a mechanism to adjust
improvement ideas as the project progresses
Using Deming's System of Profound Knowledge is helpful in quality improvement
because: - Answers -It can help break down complex quality issues into smaller, more
understandable parts.
Which of the following is an essential component of systems thinking included in
Deming's System of Profound Knowledge?
(A) Biology
(B) Physics
(C) Psychology
(D) All of the above - Answers -(C) Psychology
Which of the following improvement efforts is the best example of increasing the
efficiency of care?
(A) Decreasing unnecessary surgical procedures by helping patients reduce their pain
through physical activity
(B) Improving patient experiences by providing reading materials in the waiting room
(C) Improving the percent of clinic patients achieving their targeted blood pressure by
instituting a series of reminders for providers about evidence-based processes
(D) Through staff development and weekly feedback, equalizing the likelihood that a
patient will receive pain medication regardless race, ethnicity, or education - Answers -
(A) Decreasing unnecessary surgical procedures by helping patients reduce their pain
through physical activity
Which of the following improvement efforts is the best example of increasing the equity
of care?
a. Decreasing adverse drug events by having a pharmacist on rounds in the intensive
care unit
b. Shortening wait times at a clinic by allowing patients to self-register on a computer in
the waiting room
c. Through staff development and weekly feedback, equalizing the likelihood that a
patient will receive the appropriate amount of pain medication regardless of their race
d. instituting quarterly focus groups of patients seen in the emergency department to
better identify patient concerns - Answers -c. Through staff development and weekly
feedback, equalizing the likelihood that a patient will receive the appropriate amount of
pain medication regardless of their race
Which of the following improvement efforts is the best example of increasing the
effectiveness of care?
a. Instituting quarterly focus groups of patients seen in the emergency department to
better identify patient concerns
Answers
The Transcendental Nursing Home is working on decreasing its rates of catheter-
associated urinary tract infections (UTIs) among its patients. The improvement team
predicts that if they begin providing intensive training to staff on how to place the
catheters, the infection rates will improve. They devise a plan to test this idea. After
three months of testing its improvement idea, the Transcendental team notices that
infection rates on one unit are much higher than any other unit. Frustrated, leadership
decides to replace all the providers on that unit except the three with the highest
seniority.
What is the likely outcome, and why?
(A) Infection rates will not change because the leaders have not changed the system of
care.
(B) Infection rates will not change because the three caregivers with seniority are
probably negligent, like their peers who were fired.
(C) Infection rates will get better because the leaders ha - Answers -(A) Infection rates
will not change because the leaders have not changed the system of care.
Which of the following is a basic principle of improvement?
(A) Improvement must come from the bottom up — not the top down.
(B) Every system is perfectly designed to get the results it gets.
(C) Data should always drive improvement.
(D) When examining a complex system, consider all the parts separately. - Answers -
(B) Every system is perfectly designed to get the results it gets.
Which of these questions is most strongly related to the "appreciation of a system"
component of Deming's System of Profound Knowledge?
(A) What motivates people to act as they do?
(B) What is the variation in results trying to tell you about the system?
(C) What are your predictions about the system's performance?
(D) What is the whole system that you're trying to manage? - Answers -(D) What is the
whole system that you're trying to manage?
When trying to improve a process, one reason to use PDSA cycles rather than a more
traditional version of the scientific method (such as a randomized, controlled trial) is
that:
a. PDSA cycles are easier to run with a large team of people.
b. The results of PDSA cycles are more generalizable than other methods.
, c. PDSA cycles provide a mechanism to adjust improvement ideas as the project
progresses.
d. all of the above - Answers -c. PDSA cycles provide a mechanism to adjust
improvement ideas as the project progresses
Using Deming's System of Profound Knowledge is helpful in quality improvement
because: - Answers -It can help break down complex quality issues into smaller, more
understandable parts.
Which of the following is an essential component of systems thinking included in
Deming's System of Profound Knowledge?
(A) Biology
(B) Physics
(C) Psychology
(D) All of the above - Answers -(C) Psychology
Which of the following improvement efforts is the best example of increasing the
efficiency of care?
(A) Decreasing unnecessary surgical procedures by helping patients reduce their pain
through physical activity
(B) Improving patient experiences by providing reading materials in the waiting room
(C) Improving the percent of clinic patients achieving their targeted blood pressure by
instituting a series of reminders for providers about evidence-based processes
(D) Through staff development and weekly feedback, equalizing the likelihood that a
patient will receive pain medication regardless race, ethnicity, or education - Answers -
(A) Decreasing unnecessary surgical procedures by helping patients reduce their pain
through physical activity
Which of the following improvement efforts is the best example of increasing the equity
of care?
a. Decreasing adverse drug events by having a pharmacist on rounds in the intensive
care unit
b. Shortening wait times at a clinic by allowing patients to self-register on a computer in
the waiting room
c. Through staff development and weekly feedback, equalizing the likelihood that a
patient will receive the appropriate amount of pain medication regardless of their race
d. instituting quarterly focus groups of patients seen in the emergency department to
better identify patient concerns - Answers -c. Through staff development and weekly
feedback, equalizing the likelihood that a patient will receive the appropriate amount of
pain medication regardless of their race
Which of the following improvement efforts is the best example of increasing the
effectiveness of care?
a. Instituting quarterly focus groups of patients seen in the emergency department to
better identify patient concerns
