Question 1

Avedis Donabedian defined health care quality as having which of the following components?
A) The social management of health and illness
B) The ethical principles that govern the conduct of affairs in general and the health care enterprise in particular
C) The quality of the nursing education
D) The amenities of care
E) Both the ethical principles that govern the conduct of affairs in general and the health care enterprise in particular and the amenities of care

Accepted Answer

Donabedian defined health care quality as having three components: technical quality, interpersonal quality, and amenities of care. Technical quality refers to the effectiveness of care, interpersonal quality refers to the patient-provider relationship, and amenities of care refers to the physical environment of care.

Question 2

The term effectiveness of clinical care can be addressed with which of the following questions?
A) Are things done?
B) Are the right things done?
C) What are the right things to do?
D) Was the clinical procedure done correctly?
E) None of these is correct.

Accepted Answer

Effectiveness of clinical care is concerned with whether the right things are done, meaning whether the appropriate interventions are provided to achieve the desired health outcomes.

Question 3

"Failure to provide a service whose benefit is greater than its risk" is the definition of which of the following terms?
A) Abuse
B) Overuse
C) Misuse
D) Underuse
E) None of these is correct.

Accepted Answer

Underuse refers to the failure to provide a service whose benefit is greater than its risk.

Question 4

"The right service is provided badly and an avoidable complication reduces the benefit the patient receives" is the definition of which of the following terms?
A) Abuse
B) Overuse
C) Underuse
D) Misuse
E) None of these is correct.

Accepted Answer

Misuse refers to situations where the right service is provided, but it is done poorly, leading to complications that reduce the benefit to the patient.

Question 5

Lean is an improvement methodology based on which of the following?
A) Reduction of defects
B) Reduction of waste
C) Reduction of fat
D) Reduction of variability

Accepted Answer

Lean focuses on the reduction of waste to improve efficiency and value in processes.

Question 6

Good measurement requires all of the following, except:
A) measurement variation.
B) rigorous definition of concept to be measured.
C) reliable measurement.
D) valid measurement.
E) Good measurement requires all of these.

Accepted Answer

Measurement variation is not a requirement for good measurement; rather, it is something to be minimized or controlled.

Question 7

Statistical Process Control focuses on controlling:
A) inputs.
B) outcomes.
C) variation.
D) causes
E) None of these is correct.

Accepted Answer

Statistical Process Control (SPC) focuses on controlling variation in processes to ensure consistent quality and performance.

Question 8

Which aspect of quality does CQI focus upon to improve quality?
A) Outcome
B) Structure
C) Process
D) Both outcome and structure
E) Both structure and process

Accepted Answer

CQI (Continuous Quality Improvement) primarily focuses on improving the processes within an organization to enhance quality.

Question 9

Within the FOCUS-PDCA model, the letter U represents:
A) flowcharting the process and documenting the sequence of activities.
B) determining the quality improvement process to implement.
C) organizing a team.
D) finding a process to improve.
E) identifying measures, collecting data, and analyzing them.

Accepted Answer

The letter U in the FOCUS-PDCA model stands for "Understanding the current process," which involves identifying measures, collecting data, and analyzing them.

Question 10

______ employs a structured process called DMAIC, which stands for Define, Measure, Analyze, Improve, and Control.
A) Greenbelts R Us
B) Business Process Reengineering
C) FOCUS-PDCA
D) Six Sigma
E) Shewhart or Deming Cycle

Accepted Answer

Six Sigma employs the DMAIC process, which stands for Define, Measure, Analyze, Improve, and Control, as a method for improving business processes and reducing defects.

Question 11

What do the four letters in the PDCA Model represent?
A) Plan-Design-Check-Act
B) Plan-Design-Control-Achieve
C) Plan-Drawn-Click-Act
D) Plan-Do-Check-Act
E) None of these is correct.

Accepted Answer

The PDCA Model stands for Plan-Do-Check-Act, which is a four-step management method used for the control and continuous improvement of processes and products.

Question 12

In health care, the Lean methodology defines waste as which of the following?
A) Overproduction and inventory
B) Motion and transportation
C) Overprocessing and waiting
D) Defects and underutilization of staff
E) Overproduction, inventory, overprocessing, and waiting
F) All of these are correct.

Accepted Answer

Lean methodology in healthcare identifies all the listed options as forms of waste, including overproduction, inventory, motion, transportation, overprocessing, waiting, defects, and underutilization of staff.

Question 13

Which of the following quality improvement techniques helps to identify and organize the possible cause for a problem in a structured format?
A) Process analysis
B) Process mapping
C) Fishbone diagram
D) Data collection
E) Geographical mapping

Accepted Answer

A Fishbone diagram, also known as a cause-and-effect diagram or Ishikawa diagram, helps to identify and organize potential causes of a problem in a structured format.

Question 14

The Force Field Diagram is useful in which of the following?
A) Data analysis
B) Visual management
C) Change management
D) Root cause analysis
E) None of these is correct.

Accepted Answer

The Force Field Diagram is a tool used in change management to identify and analyze the forces that support or hinder a change initiative.

Question 15

Define complexity science and give an example.

Accepted Answer

The answer of Define complexity science and give an example....

Question 16

Define underutilization of staff and give an example.

Accepted Answer

The answer of Define underutilization of staff and give an...

Question 17

Define the following components of the five principles of high reliability, and provide an example of each: preoccupation with failure, reluctance to simplify, and sensitivity to operations.

Accepted Answer

The answer of Define the following components of the five...

Quiz 7: Quality and Performance Improvement Basics

Avedis Donabedian defined health care quality as having which of the following components?

The term effectiveness of clinical care can be addressed with which of the following questions?

"Failure to provide a service whose benefit is greater than its risk" is the definition of which of the following terms?

"The right service is provided badly and an avoidable complication reduces the benefit the patient receives" is the definition of which of the following terms?

Lean is an improvement methodology based on which of the following?

Good measurement requires all of the following, except:

Statistical Process Control focuses on controlling:

Which aspect of quality does CQI focus upon to improve quality?

Within the FOCUS-PDCA model, the letter U represents:

______ employs a structured process called DMAIC, which stands for Define, Measure, Analyze, Improve, and Control.

What do the four letters in the PDCA Model represent?

In health care, the Lean methodology defines waste as which of the following?

Which of the following quality improvement techniques helps to identify and organize the possible cause for a problem in a structured format?

The Force Field Diagram is useful in which of the following?

Define complexity science and give an example.

Define underutilization of staff and give an example.

Define the following components of the five principles of high reliability, and provide an example of each: preoccupation with failure, reluctance to simplify, and sensitivity to operations.