Deck 18: Patient Safety in Radiation Oncology

Question 1

9)Which of the following characteristics is least reflective of a good leader?

A) Readily receives criticism
B) Listens well
C) Inspires others
D) Promotes standardization

Answer 1

D
Leaders must be good listeners, determined to reach patient safety goals, and not be afraid of criticism.They must promote, encourage, motivate, and coach staff toward safety and quality mindfulness.Leaders need to continuously inspire people to go beyond their regular duties and identify ways to improve.

Question 2

3)The appropriate management of change efforts facilitates which of the following?
I)Improved procedures
II)Staff development as leaders
III)Positive clinical outcomes

A) I, III
B) I, II
C) II, III
D) All of the above

Answer 2

D
An appropriate management of change will help ensure safety and quality care.Furthermore, all team members then have an open environment where they can lead change to improve safety, quality, and efficiency.

Question 3

16)Which of the following would be a key driving force for the development of staff exhibiting "initiating" and "enhancing" behaviors during culture change efforts?

A) Positive feedback
B) Low staff levels
C) Burdensome reporting system
D) Limited access to training

Answer 3

A

Question 4

19)Which of the following is one tool used to depict how different processes change over time?

A) Fishbone diagram
B) Control chart
C) Pareto chart
D) Histogram

Question 5

7)Transactional-transformational leadership (TTL)focuses on which of the following?

A) Interactions between leaders and followers
B) Relationship between leaders and followers
C) Reward for positive behaviors and punishment for negative behaviors
D) Relationship and interactions between leaders and followers

Question 6

15)The step in the plan-do-study-act improvement cycle associated with making adjustments to address a problem is the ______________ step.

A) plan
B) do
C) study
D) act

Question 7

6)Transformational leadership focuses on which of the following?

A) Interactions between leaders and followers
B) Relationship between leaders and followers
C) Rewards for positive behaviors and punishment for negative behaviors
D) Relationship and interactions between leaders and followers

Question 8

10)According to Harold Freudenberger, physical signs of burnout would not include which of the following?

A) Headaches
B) Insomnia
C) Fatigue
D) Alopecia

Question 9

17)Which of the following would be a key restraining force in the development of staff exhibiting initiating and enhancing behaviors during culture change efforts?

A) Positive feedback
B) Pressure to conform
C) Job-related autonomy
D) Accountability

Question 10

4)A culture of safety in the radiation oncology department requires the participation of which of the following?
I)Physicians
II)Physicists
III)Radiation therapists

A) I, II
B) II, III
C) I, III
D) All of the above

Question 11

1)The new accreditation program initiated by the American Society for Radiation Oncology (ASTRO)aims to improve departmental __________________.

A) cost effectiveness
B) reliability
C) accountability
D) professionalism

Question 12

13)Regular safety rounds may be instituted by a department in order to do which of the following?

A) Discuss items needed to perform tasks successfully.
B) Improve interpersonal and organizational communication.
C) Report various issues noticed during the day.
D) Evaluate the quality of work by others.

Question 13

11)Place the three levels of burnout in progressive order.
I)Depersonalization
II)Emotional exhaustion
III)Reduced personal accomplishment

A) I, II, III
B) II, III, I
C) II, I, III
D) III, II, I

Question 14

18)One tool used to show problem areas leading to potential solutions is a graph showing the range of data collected.Data would be displayed in a _____________________.

A) fishbone graph
B) Pareto graph
C) histogram
D) control chart

Question 15

5)According to Kotter, which of the following would be a characteristic of successful implementation of change?

A) Dictatorship-style leadership
B) Clear communication of vision and strategy
C) Divisions of labor among staff and management
D) Division of labor among physicians and technical staff

Question 16

14)The main objective of peer review activities is to __________________________.

A) break down hierarchy
B) enhance quality of performance
C) improve the quality of decisions made during patient setup
D) evenly distribute the workload

Question 17

2)ASTRO accreditation program assesses radiation oncology departments using _____ standards.

A) 5
B) 7
C) 14
D) 16

Question 18

8)Transformational leaders likely focus on the ______________.

A) tasks to be completed
B) methods for completing tasks
C) rationale for tasks
D) reward and punishment

Question 19

12)A therapist who seems cynical toward coworkers and patients may be experiencing burnout at the level known as ______________________.

A) emotional exhaustion
B) depersonalization
C) reduced personal accomplishment
D) occupational stress