Question 1

Since before 2010, nurses have been using the huddle, which is a highly modified and streamlined form of which process?
A) Six Sigma
B) Scrum
C) Risk management
D) Care management

Accepted Answer

The huddle in nursing is a streamlined form of Scrum, a process framework used primarily in software development for managing work with an emphasis on teamwork, accountability, and iterative progress toward a well-defined goal. It has been adapted in healthcare to improve communication, efficiency, and patient care by promoting quick, daily meetings (huddles) among team members to discuss patient care, potential issues, and the day's objectives.

Question 2

One of the three core functions of the Quality Improvement Organization (QIO) is protecting Medicare beneficiaries by expeditiously addressing individual complaints, including violations of which legislative act?
A) Affordable Care Act
B) Registered Nurse Safe Staffing Act
C) Omnibus Budget Reconciliation Act
D) Emergency Treatment and Active Labor Act

Accepted Answer

The Emergency Treatment and Active Labor Act (EMTALA) is a federal law that requires anyone coming to an emergency department to be stabilized and treated, regardless of their insurance status or ability to pay. Quality Improvement Organizations (QIOs) play a role in ensuring that Medicare beneficiaries' rights are protected, including adherence to EMTALA provisions.

Question 3

Well-paid consultants called Black Belts, trained in which process, are hired by hospitals and other institutions that believe this process may be the answer to their quality issues?
A) Six Sigma
B) Risk management
C) Care management
D) Continuous quality improvement

Accepted Answer

Six Sigma is a set of techniques and tools for process improvement. Black Belts are experts trained in the Six Sigma methodology, hired to improve quality and efficiency in various organizations, including hospitals.

Question 4

The most accepted definition of which process is a framework within which people can address complex adaptive problems by working as an effective team through collaborating on the solutions to complex issues?
A) Six Sigma
B) Scrum
C) Risk management
D) Care management

Accepted Answer

Scrum is widely recognized as a framework that enables teams to work together to solve complex, adaptive problems while productively and creatively delivering products of the highest possible value. It emphasizes teamwork, accountability, and iterative progress toward a well-defined goal.

Question 5

What sixth competency was added to the Quality and Safety Education for Nurses (QSEN) model when the model was revised because of the important role this competency now plays in health care?
A) Safety
B) Quality improvement
C) Evidence-based practice
D) Informatics

Accepted Answer

Informatics was added as the sixth competency to the QSEN model to reflect its growing importance in healthcare, emphasizing the need for nurses to be skilled in using information technology to improve patient care.

Question 6

A hybrid Six Sigma program called Lean Six Sigma focuses on identifying and eliminating which of the following and thereby improving the flow of processes?
A) Waste
B) Errors
C) Repetition
D) Paperwork

Accepted Answer

Lean Six Sigma focuses on identifying and eliminating waste to improve process flow and efficiency.

Question 7

Which organization uses quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data?
A) Leapfrog Group
B) The Joint Commission
C) Agency for Healthcare Research and Quality
D) Centers for Medicare and Medicaid Services

Accepted Answer

The Agency for Healthcare Research and Quality (AHRQ) uses quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data. These indicators help in evaluating healthcare performance and areas for improvement.

Question 8

Which organization now serves as the gold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information?
A) Leapfrog Group
B) The Joint Commission
C) Institute of Medicine
D) Centers for Medicare and Medicaid Services

Accepted Answer

The Leapfrog Group is recognized for its role in evaluating hospital performance on safety, quality, and efficiency, promoting transparency and access to healthcare information.

Question 9

When the Six Sigma process is used to analyze a problem, the five-step statistical process can be applied once which variation is detected?
A) Chance variation
B) Common variation
C) Assigned variation
D) Continuous variation

Accepted Answer

Assigned variation, also known as special cause variation, is the type of variation that Six Sigma aims to identify and eliminate. It refers to variation that can be traced to a specific cause, unlike common or chance variation, which is inherent to the process.

Question 10

The huddle tends to be most effective in which units, where well-planned and controllable shifts can suddenly turn into pandemonium?
A) Acute care units
B) Long-term care units
C) Intermediate care units
D) Rehabilitation units

Accepted Answer

Acute care units often face sudden shifts from calm to chaotic situations due to the nature of the emergencies and critical care they provide, making huddles an effective tool for quick, coordinated responses.

Question 11

Section 3501 of which legislative act mandated that the Agency for Healthcare Research and Quality work through a Center for Quality Improvement and Patient Safety to conduct research on the best quality-improvement practice innovations and strategies?
A) Affordable Care Act
B) Registered Nurse Safe Staffing Act
C) Omnibus Budget Reconciliation Act
D) Emergency Treatment and Active Labor Act

Accepted Answer

Section 3501 of the Affordable Care Act specifically mandates that the Agency for Healthcare Research and Quality (AHRQ) work through the Center for Quality Improvement and Patient Safety to conduct and support research on the best practices for quality improvement and patient safety.

Question 12

Electronic tools that act as a scorecard and can provide retrospective or real-time data to assess quality are referred to as which of following?
A) Huddles
B) Benchmarks
C) Dashboards
D) Clinical pathways

Accepted Answer

Dashboards are electronic tools designed to display data in an easily understandable format, often in real-time or through retrospective analysis, to assess and monitor quality, performance, and other metrics.

Question 13

In health care, which of the following attempts to guarantee that when an action is performed by a health-care professional, it is performed correctly the first time and each time thereafter?
A) Six Sigma
B) Quality assurance
C) Risk management
D) Care management

Accepted Answer

Quality assurance in healthcare focuses on ensuring that healthcare services are consistently performed correctly and meet established standards, aiming for reliability and accuracy in patient care.

Question 14

The development of which of the following grew out of a need to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner?
A) Benchmarks
B) Dashboards
C) Clinical pathways
D) Lean Six Sigma

Accepted Answer

Clinical pathways were developed to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner. They are structured multidisciplinary care plans which detail essential steps in the care of patients with a specific clinical problem.

Question 15

With which approach does the care-delivery process receive close and constant scrutiny, and everyone is encouraged to think creatively to devise and test new ideas for improving quality?
A) Six Sigma
B) Risk management
C) Care management
D) Continuous quality improvement

Accepted Answer

Continuous quality improvement (CQI) is an approach where the care-delivery process is constantly scrutinized, and all team members are encouraged to think creatively to develop and test new ideas for enhancing quality.

Quiz 14: Ensuring Quality Care

Since before 2010, nurses have been using the huddle, which is a highly modified and streamlined form of which process?

One of the three core functions of the Quality Improvement Organization (QIO) is protecting Medicare beneficiaries by expeditiously addressing individual complaints, including violations of which legislative act?

Well-paid consultants called Black Belts, trained in which process, are hired by hospitals and other institutions that believe this process may be the answer to their quality issues?

The most accepted definition of which process is a framework within which people can address complex adaptive problems by working as an effective team through collaborating on the solutions to complex issues?

What sixth competency was added to the Quality and Safety Education for Nurses (QSEN) model when the model was revised because of the important role this competency now plays in health care?

A hybrid Six Sigma program called Lean Six Sigma focuses on identifying and eliminating which of the following and thereby improving the flow of processes?

Which organization uses quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data?

Which organization now serves as the gold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information?

When the Six Sigma process is used to analyze a problem, the five-step statistical process can be applied once which variation is detected?

The huddle tends to be most effective in which units, where well-planned and controllable shifts can suddenly turn into pandemonium?

Section 3501 of which legislative act mandated that the Agency for Healthcare Research and Quality work through a Center for Quality Improvement and Patient Safety to conduct research on the best quality-improvement practice innovations and strategies?

Electronic tools that act as a scorecard and can provide retrospective or real-time data to assess quality are referred to as which of following?

In health care, which of the following attempts to guarantee that when an action is performed by a health-care professional, it is performed correctly the first time and each time thereafter?

The development of which of the following grew out of a need to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner?

With which approach does the care-delivery process receive close and constant scrutiny, and everyone is encouraged to think creatively to devise and test new ideas for improving quality?