ALL REAL EXAM QUESTIONS AND CORRECT ANSWERS
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What role does performance improvement data play in the
appointment/privilege delineation process?
a. Performance improvement and appointment/privilege
delineation are unrelated.
b. Performance improvement should be required for
appointment/privilege eligibility.
c. Performance improvement should take place after
appointment/privilege delineation.
d. Performance improvement oversight should be the job of a
newly-advanced employee.. - ANSWER- B: Performance
improvement, as demonstrated over time with an
organization,
should be a required element for appointment/privilege
delineation because it gives an idea of a providerʼs
commitment to an organization and to quality.
,Using Donabedianʼs model, which of the following areas
most needs to be addressed in a clinic with elevated levels of
post-treatment infection? a. Structure measures
b. Process measures
c. Outcome measures
d. None of the above - ANSWER- C: Outcome measures deal
with the effects of treatment
after the fact, so they are the most applicable portion of
Donabedianʼs model to this particular situation. A and B are
wrong because structure and process measures
do not apply to this situation. D is incorrect because
Donabedianʼs outcome measures do apply to this case.
After experiencing a sentinel event, Hospital A is required to
perform a root cause analysis. Which of the following is not a
requirement of a root cause analysis?
a. It must be conducted
as soon as possible after
the event. b. All
personnel involved in the
event must be present.
c. Legal affidavits
must be taken before
questioning.
,d. Blame and liability
should not be discussed
or assigned.. - ANSWER-
C:
During a root cause
analysis, legal affidavits
are not required before
questioning. All of the
other answer choices are
elements that are
required as part of a root
cause analysis
. A recent article from a prestigious health ranking organization
has placed Hospital A at the very bottom of a list of regional
hospitals. In order to move up in the rankings, what should
Hospital A do first?
a. Establish a steering committee to pinpoint problems
and identify solutions
b. Replace individuals at the administrative level with
new hires
c. Establish a quality council to enforce quality
standards
, d. Launch an extensive public relations campaign to
improve image. - ANSWER- A: To fix the low
placement in rankings, Hospital A needs to establish
a steering committee to pinpoint problem areas and
identify potential solutions
To ensure proper identification of transfusion patients, your
organization has recently adopted a two person bedside/chair-
side verification process. What is his an example of?
a. Requirements for accreditation
b. National patient safety goals
c. Joint Commission best practices
d. Local and regional healthcare laws. - ANSWER- B: Two-
person bedside/ chair-side verification of transfusion patients
is a clear example of national patient safety goals being put
into place.
. Your clinic has had three recent instances of chart mixups. In
each case, doctors made initial patient contact with the wrong
chart in hand and incorrect information.
What technology would be most helpful in this
situation? a. Medication barcode scanners
b. Tablet computers or smartphones
c. Electronic health record software