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,Which of the following action plans is the first step in ANSWER
correcting inappropriate blood usage in an emergency A. in-service on ordering blood usage for the physicians
department?
A. in-service on ordering blood usage for the physicians
B. elimination of wasted blood
C. improvements in documentation
D. development of a new procurement procedure
Which of the following is most appropriate in preparation ANSWER
for an external survey of a healthcare facility? C. Educate staff about the types of questions they may be asked.
A. Assign key staff to answer all questions.
B. Ask department heads to prepare a presentation for
the survey team.
C. Educate staff about the types of questions they may
be asked.
D. Set up teams to make a good showing for the survey.
The following table shows the percentage of hospital- ANSWER
acquired pressure ulcers: Which of the following D. Conduct a focused analysis of pressure ulcer cases
should the healthcare quality professional do next?
A. Implement a new pressure ulcer protocol.
B. Re-educate staff.
C. Continue to track and trend the data.
D. Conduct a focused analysis of pressure ulcer cases
Leadership can best integrate performance improvement ANSWER
within an organization through: A. multidisciplinary teams
(best integrate performance improvement by promoting an interdisciplinary
A. multidisciplinary teams. approach to the process and including multiple subject matter experts.)
B. newsletters.
C. focus groups.
D. seminars.
A medication error occurred and resulted in a severe ANSWER
adverse outcome. In addition to informing the D. conduct a root cause analysis.
patient and/or family, a healthcare quality professional (exploration of system and process issues should be the primary function of a
should: root cause analysis)
A. perform a regression analysis.
B. implement new technology.
C. reassign the employees involved.
D. conduct a root cause analysis.
The primary purpose of an organization's quality ANSWER
improvement (QI) strategic plan is to: C. define the future direction for quality.
(This is a function of having a QI strategic plan.)
A. determine accountability for outcomes.
B. assess improvement opportunities.
C. define the future direction for quality.
D. explain the purpose of performance teams
Which of the following are the first steps when preparing ANSWER
for an initial accreditation or certification survey A. Review the standards and determine readiness.
of an organization? (These actions are part of the gap analysis, which establishes a good baseline to
determine where to focus and how to prioritize efforts.)
A. Review the standards and determine readiness.
B. Appoint a survey coordinator and prepare a survey
agenda.
C. Hire a consultant and conduct a mock survey.
D. Assess staff knowledge and plan staff training.
The primary purpose of risk management trend analysis ANSWER
is to: C. identify opportunities for improvements.
(Risk management focuses on identification, assessment, and reduction of risk.
A. meet regulatory requirements. The goal is to protect the organization from losses, the key component of which
B. provide required reports to liability carriers. is proactive improvement to avoid and reduce risk.)
C. identify opportunities for improvements.
D. eliminate financial loss for organizations
, Which of the following elements must be present in order ANSWER
to evaluate the effectiveness of a healthcare A. quantifiable objectives
organization's quality improvement program? (To evaluate effectiveness, an organization must have quantifiable objectives in
order to measure progress toward meeting goals)
A. quantifiable objectives
B. support from the medical staff
C. well-defined organizational structure
D. integrated data collection
Balanced scorecards are useful because they ANSWER
C. put strategy and vision at the center of an organization's effort.
A. focus on the most significant strategic initiative. (The balanced scorecard is a management framework that translates an
B. evaluate the pros and cons of the governing body's organization's strategic objectives into a set of performance measures that are
priorities. measured, monitored, and changed, if necessary, to ensure that organization's
C. put strategy and vision at the center of an strategic goals are met.)
organization's effort.
D. concentrate on the performance of individual units.
A t-test may be used to: ANSWER
B. evaluate the effects of two different treatments.
A. display the size of a sampling variation. (A t-test is used to examine if the mean of two treatments are statistically different
B. evaluate the effects of two different treatments. from one another)
C. evaluate differences among three or more treatments.
D. display a listing of the number of occurrences of a
variable
Which of the following should a Quality Council provide ANSWER
to best ensure success of performance improvement B. empowerment and training
teams?
A. facilitator and recorder
B. empowerment and training
C. indicators and a data analyst
D. standards and procedures
Which of the following is the most effective way to ANSWER
integrate performance improvement concepts throughout C. quality teams
an organization? (Quality teams include participation by front-line staff, which allows direct
integration of performance improvement into practice.)
A. quarterly newsletters
B. monthly lectures
C. quality teams
D. continuous monitoring
The primary purpose of integrating financial and quality ANSWER
management information is to: A. identify problems in resource management.
(This ties financial impact to quality management.)
A. identify problems in resource management.
B. develop physician profiles.
C. identify potential cash flow problems.
D. determine medical necessity of treatment
A group of pediatric patients diagnosed with cystic ANSWER
fibrosis is being studied. Their attitudes toward the A. cohort study
disease have been measured each year for the past 4 (analyzes a group with a specific characteristic, such as cystic fibrosis.)
years. The methodology used is an example of a:
A. cohort study.
B. regression analysis.
C. case-mix study.
D. cross-sectional analysis
A root cause analysis team examined a serious ANSWER
medication error and recommended changes. Which of C. The process owner should implement and assess effectiveness.
the following should be done next? (the recommended changes need to be assigned ownership.)
A. Random checks for compliance should be made by
patient safety staff.
B. The Quality Council should review medication errors
quarterly.
C. The process owner should implement and assess
effectiveness.
D. Monthly reports should be sent to the regulatory body.