Deck 13: Quality and Safety in Health Care

Question 1

Which of the following is part of the specific knowledge,tools,and techniques required for a new quality in healthcare? Select all that apply.

A) Lifelong learning
B) Technology review
C) Process improvement
D) Cross-functional teamwork

Answer 1

Technology review

Question 2

In a culture of blame,which of the following is targeted as the cause of the adverse event?

A) The individual
B) The healthcare team
C) Physicians and nurses
D) Nurses and medical researchers

Answer 2

The individual

Question 3

Currently,quality improvement entails:

A) Correcting existing problems
B) Ongoing improvement and regulations
C) Correcting problems and ongoing improvement
D) None of the above

Answer 3

Correcting problems and ongoing improvement

Question 4

The traditional quality assurance model:

A) Is no longer sufficient
B) Occurs in the culture of safety
C) Meets the needs of evolving healthcare
D) All of the above

Question 5

Which of the following is true about process teams?

A) Activities should cross functions.
B) They are mandated to differentiate steps.
C) Activities should be limited to a discipline.
D) They address issues that are dealt with in day-to-day operations.

Question 6

Benchmarking requires understanding of statistical methods,including the validity and reliability of the tools and measures used in both organizations,understanding systems variation,and sampling methods.

Question 7

Putting a continuous quality improvement structure in place includes:

A) A quality council
B) Externalization of new beliefs
C) Categorizing efforts and plans
D) All of the above

Question 8

Which of the following is not a safety initiative?

A) Barcoding
B) Intensivists
C) Physician review
D) Limited abbreviation

Question 9

Which of the following methods is useful for selecting or recognizing a process to be improved?

A) Reviewing existing reports
B) Identifying excess complexity
C) Interviewing people in the process
D) All of the above

Question 10

Systemic issues are questioned and targeted for improvement in a:

A) Healthcare plan
B) Culture of blame
C) Planning process
D) Culture of safety

Question 11

Which of the following is a quality model?

A) Juran trilogy
B) Deming's principles for transformation
C) The Joint Commission's requirements for accreditation
D) All of the above

Question 12

The rapid changes in healthcare and the added focus on patient safety have required:

A) Redesign of its delivery
B) Devolving demands from insurance companies
C) Competition within the healthcare industry
D) All of the above

Question 13

Which of the following is on the official Joint Commission "Do Not Use" list and should be avoided? Select all that apply.

A) cc
B) Unit
C) Q.O.D.
D) Less than

Question 14

Which of the following is not an example of a sentinel event? Select all that apply.

A) Prolonged fluoroscopy
B) Precipitous birth of a full-term infant
C) Unintended retention of a foreign body in a patient
D) Homicide of a staff member, licensed independent practitioner, or vendor while on site at the healthcare organization

Question 15

Which of the following is true about a special-cause variation chart? Select all that apply.

A) It tracks emerging overtime patterns.
B) The normal pattern appears as concentric circles.
C) It monitors processes with run and control charts.
D) It demonstrates minute variations that are part of nature.