LEADERSHIP NUR 4590 EVALUATION QUESTIONS
AND ANSWERS SET A+
✔✔Mercy Hospital compares its surgical site infection rate to General Heart Hospital,
which is known as a best-in-class hospital for its surgical site infection rates. Mercy
Hospital studies General Heart Hospital's methods for reducing surgical site infection
rates and uses that information to improve its own performance. This quality
performance method is called:
a. benchmarking.
b. evidence-based practice.
c. enterprise risk management.
d. continuous quality improvement - ✔✔a. benchmarking.
✔✔A clearly recognizable process of providing care that has an evidence base
demonstrating that it reduces the likelihood of harm is:
a. risk adjustment.
b. a sentinel event.
c. a patient safety practice.
d. a performance measure. - ✔✔c. a patient safety practice.
✔✔The industry-based model for quality management and measurement whose
premise is that operational waste needs to be eliminated is:
a. Six Sigma.
b. ISO 9000.
c. Lean Enterprise.
d. Baldrige National Quality Award Program. - ✔✔c. Lean Enterprise.
✔✔Which of the following is an example of a nurse-sensitive indicator?
a. Cardiac patient mortality
,b. Hospital-acquired pressure ulcers
c. Pulmonary embolus after knee surgery
d. Iatrogenic pneumothorax after central line placement - ✔✔b. Hospital-acquired
pressure ulcers
✔✔The purpose of a root cause analysis (RCA) is to:
a. discipline the staff involved in the patient safety event.
b. disclose the medical error to the patient/patient s family.
c. identify the person(s) responsible for committing the error.
d. identify the systems issues that led to a sentinel event. - ✔✔d. identify the systems
issues that led to a sentinel event.
✔✔The risk manager wants to illustrate the causes that have been leading to an
increase in patient misidentification. The most appropriate tool to use is a:
a. pareto chart.
b. control chart.
c. fishbone diagram.
d. detailed flowchart. - ✔✔c. fishbone diagram.
✔✔Which of the following are never events? (Select all that apply.)
a. A minor medication error
b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
f. Pressure ulcer acquired in the home
g. Catheter-associated urinary tract infection
h. Surgical site infection - ✔✔b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
g. Catheter-associated urinary tract infection
h. Surgical site infection
✔✔A successful enterprise risk management (ERM) program will: (Select all that apply)
a. identify risks.
b. improve quality.
c. prevent damage.
d. control occurrences.
e. control legal liability. - ✔✔a. identify risks.
c. prevent damage.
, d. control occurrences.
e. control legal liability.
✔✔Tenets embraced by health care professionals and promoted by health care leaders
and organizations such as TJC and the IOM include which of the following? (Select all
that apply.)
a. People and systems are the problems, not processes.
b. Quality measurement and monitoring is everyone's job.
c. Quality cannot be enhanced by non-punitive work cultures.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for accreditation or regulatory
compliance. - ✔✔b. Quality measurement and monitoring is everyone's job.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for accreditation or regulatory
compliance.
✔✔A framework for understanding health care improvement has been proposed by the
IOM Committee on Quality of Health Care in America. The aims for health care quality
improvement propose that health care systems ensure that care is: (Select all that
apply.)
a. safe.
b. timely.
c. efficient.
d. cost-controlled.
e. patient-centered. - ✔✔a. safe.
b. timely.
c. efficient.
e. patient-centered.
✔✔The Baldrige National Quality Award (BNQA) establishes a set of performance
standards that define a total quality organization. The standards in areas of excellence
include: (Select all that apply.)
a. leadership.
b. strategic planning.
c. environment of care.
d. human resource focus.
e. medication management. - ✔✔a. leadership.
b. strategic planning.
d. human resource focus.
✔✔Attributes of a total quality organization according to BNQA include: (Select all that
apply.)
AND ANSWERS SET A+
✔✔Mercy Hospital compares its surgical site infection rate to General Heart Hospital,
which is known as a best-in-class hospital for its surgical site infection rates. Mercy
Hospital studies General Heart Hospital's methods for reducing surgical site infection
rates and uses that information to improve its own performance. This quality
performance method is called:
a. benchmarking.
b. evidence-based practice.
c. enterprise risk management.
d. continuous quality improvement - ✔✔a. benchmarking.
✔✔A clearly recognizable process of providing care that has an evidence base
demonstrating that it reduces the likelihood of harm is:
a. risk adjustment.
b. a sentinel event.
c. a patient safety practice.
d. a performance measure. - ✔✔c. a patient safety practice.
✔✔The industry-based model for quality management and measurement whose
premise is that operational waste needs to be eliminated is:
a. Six Sigma.
b. ISO 9000.
c. Lean Enterprise.
d. Baldrige National Quality Award Program. - ✔✔c. Lean Enterprise.
✔✔Which of the following is an example of a nurse-sensitive indicator?
a. Cardiac patient mortality
,b. Hospital-acquired pressure ulcers
c. Pulmonary embolus after knee surgery
d. Iatrogenic pneumothorax after central line placement - ✔✔b. Hospital-acquired
pressure ulcers
✔✔The purpose of a root cause analysis (RCA) is to:
a. discipline the staff involved in the patient safety event.
b. disclose the medical error to the patient/patient s family.
c. identify the person(s) responsible for committing the error.
d. identify the systems issues that led to a sentinel event. - ✔✔d. identify the systems
issues that led to a sentinel event.
✔✔The risk manager wants to illustrate the causes that have been leading to an
increase in patient misidentification. The most appropriate tool to use is a:
a. pareto chart.
b. control chart.
c. fishbone diagram.
d. detailed flowchart. - ✔✔c. fishbone diagram.
✔✔Which of the following are never events? (Select all that apply.)
a. A minor medication error
b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
f. Pressure ulcer acquired in the home
g. Catheter-associated urinary tract infection
h. Surgical site infection - ✔✔b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
g. Catheter-associated urinary tract infection
h. Surgical site infection
✔✔A successful enterprise risk management (ERM) program will: (Select all that apply)
a. identify risks.
b. improve quality.
c. prevent damage.
d. control occurrences.
e. control legal liability. - ✔✔a. identify risks.
c. prevent damage.
, d. control occurrences.
e. control legal liability.
✔✔Tenets embraced by health care professionals and promoted by health care leaders
and organizations such as TJC and the IOM include which of the following? (Select all
that apply.)
a. People and systems are the problems, not processes.
b. Quality measurement and monitoring is everyone's job.
c. Quality cannot be enhanced by non-punitive work cultures.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for accreditation or regulatory
compliance. - ✔✔b. Quality measurement and monitoring is everyone's job.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for accreditation or regulatory
compliance.
✔✔A framework for understanding health care improvement has been proposed by the
IOM Committee on Quality of Health Care in America. The aims for health care quality
improvement propose that health care systems ensure that care is: (Select all that
apply.)
a. safe.
b. timely.
c. efficient.
d. cost-controlled.
e. patient-centered. - ✔✔a. safe.
b. timely.
c. efficient.
e. patient-centered.
✔✔The Baldrige National Quality Award (BNQA) establishes a set of performance
standards that define a total quality organization. The standards in areas of excellence
include: (Select all that apply.)
a. leadership.
b. strategic planning.
c. environment of care.
d. human resource focus.
e. medication management. - ✔✔a. leadership.
b. strategic planning.
d. human resource focus.
✔✔Attributes of a total quality organization according to BNQA include: (Select all that
apply.)
