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NAHQ Test question with answers

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NAHQ Test question with answers

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NAHQ Test question with answers
For a continuous quality improvement team to be successful, who must be included
on the team? - -person preforming the process

-When examining the relationship between staff and patient outcomes, which of
the following is the most appropriate to assess? - -patient safety data and overtime
data

-Which of the following adverse events is NOT considered a sentinel event? - -
suicide threat by a patient in a confined 24-hour care setting

-Which of the following is always true regarding a sentinel event? - -The occurrence
requires an immediate investigative response

-A valid data collection tool should incorporate - -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? - -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? - -gap analysis

-Which of the following is the best example of use of human factors engineering? - -
designing products to prevent tubing misconnections

-The success of a performance improvement program will be most influenced by
the - -culture of the organization

-The best reason to evaluate team meetings is to - -assess progress

-A facility is becoming part of a healthcare network. Which of the following
employee education programs is most important? - -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 - -
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 - -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 - -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? - -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 - -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? - -scatter diagram

-The clinical competency of a physician is determined by - -a committee of peers.

-When conducting a sentinel event review, a root cause analysis - -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 - -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? - -staff fear
of negative consequences of reporting

-Which of the following should be included in an annual performance improvement
report to a governing body? - -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? - -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 - -practitioners

-Human factors engineering is defined as the study of humans and their interaction
with - -the tools they use and the environment

-The following data has been provided to a healthcare quality professional: Which
of the following is the best choice for beginning clinical-pathways implementation in
an organization? - -Heart failure

-An outpatient clinic is attempting to measure the quality of a newly developed
diabetes disease management program. To accomplish this, laboratory results will
be measured over time. The best way to display the data is to use a - -Control chart

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