The process chain in a laboratory is particularly subject to: variability, delay, disorganization, conflict
variability
Confronted by excessive
... [Show More] WIP Levels, many laboratories take the unhelpful step of:
decreasing # of test runs,
hiring more employees,
acquiring a longer,
installing new technology
installing new technology
According to Institute of Medicine, which of the following is NOT one of the domains of quality care? government regulation, customization, safety, interventions consistent with the latest medical findings
government regulation
In a successful lean healthcare facility, the largest costs related to quality will be increased by: preventive efforts,
internal failures,
assessment programs,
external failures
preventive efforts
Whenever possible, medication orders should be by: weight, volume, dose, strength
dose
A delay in discharging patients is likely to cause recurrent bottlenecks in:
admissions from ER,
filling of prescriptions,
admissions from surgical wards,
all of the above
all of the above
A doctor fails to administer an indicated test and patients condition determines to the point that he must be admitted to an inpatient facility. This is an example of:
preventive error,
treatment error,
diagnostic error,
communication error
diagnostic error
When is the best time for chairing during a meeting? one hour beforehand, at the beginning, in the middle, at the end
at the beginning
In the perfect lean enterprise, delivery to the customer is: instantaneous, rapid, customizable, optional
instantaneous
A healthcare quality management professional ahs all of the following responsibilities toward improving patient safety EXCEPT: appointing a supervisor for a patient safety program, helping to develop a patient safety program, incorporating new technology into a patient safety program, setting and reviewing goals for patient safety program
appointing a supervisor for a patient safety program
Which of the following types of charts is best for determining cause & effect? run, control, fishbone, pareto
fishbone
A hospital needs to decide whether or not to incorporate a new feature into its current services, and as a result has commissioned qualitative research that will provide detailed feedback. Specifically, the hospital would like to collect opinions from patients and other hospital customers with a wide range of experience and backgrounds. Which of the following types of assessment is MOST likely to be of use to the hospital? case study, team analysis, survey, focus group
focus group
The process of risk management for the healthcare quality management professional includes all of the following EXCEPT? identification of risk, reporting of incidents, analysis of effects, prevention of risk
reporting of incidents
A hospital has found that the performance of one of its departments is consistently below the expected standards. The hospital administration wants to locate the source of the problems and see improvement in the department within six months. What is the healthcare quality management professional's role in this?
a. recommend that the hospital replace the current administration of the individual department,
b. research the problems and develop a program that applies current standards to the department,
c. advise that a performance improvement team be assembled to review and address the failings,
d. review the expected standards and submit these to the department for immediate application
c.advise that a performance improvement team be assembled to review and address the failings
The administration of a hospital has discovered that a lack of communication among different hospital departments has led overspending and unnecessary errors in patient care. The administration has asked the healthcare quality management professional to assemble a team that can improve department communication and address the problems. What type of team would be most useful for this task? quality circle, work group, cross functional, self-directed
cross functional
All of the following represent federally mandated patient rights in the US EXCEPT: rights to obtain a copy of medical records, right to informed consent for medical treatment, right to maintain the privacy of medical records, right to receive healthcare services
right to receive healthcare services
One of the largest departments within a hospital has been running over budget for some time. The increasing expenditure has become problematic, and therefore the department has been asked to maintain a budget. What is the healthcare quality management professional's role in this?
a.follow the hospital administration's guidelines in setting a budget for the department,
b.provide the department with software tools to enable it to set a manageable budget,
c.appoint a financial advisor to support the department in developing a compliant budget,
d.assist the department in developing a manageable budget and reviewing it for compliance
d.assist the department in developing a manageable budget and reviewing it for compliance
A hospital has recently conducted extensive updates on its website and wants to make sure that the new site is ready to be made available to the public. What is the healthcare quality management professional's role in this?
a.compile a list of required information for the website and report this to the hospital,
b.review the website to ensure that the reported information is accurate and complete,
c.evaluate the changes that have been made in the website and recommend improvements,
d.compare the website to other hospital sites to ensure that the new compares favorably
b.review the website to ensure that the reported information is accurate and complete
A disagreement has arisen between the hospital administration and the members of one of its departments. The disagreement is in connection with the authority of the different parties involved and whether or not the administration can require the department to perform a certain task. What is the healthcare quality management professional's role in this?
a. advise the department to respect the authority of the hospital and to follow its expectations for department professional,
b. review the rules establishing authority and inform the parties about how these rules apply to the department and the administration,
c. consider the statement from both sides and participate in finding a solution that meets the expectations of both parties,
d. create a review board to act as a mediator between the hospital administration and the department to find an agreeable solution
b. review the rules establishing authority and inform the parties about how these rules apply to the department and the administration
To cut down on costs, a clinic has been hiring outside consultants to perform many of its tasks, but there are concerns that the performance of many of these consultants does not meet the state's standards for the clinic's operation. What is the healthcare quality management professional's role in this?
a. develop educational programs to assist the consultants and ensure that the standards are met,
b. supply the consultants with the information about state standards and ensure full compliance,
c. review the activities of the consultants and report the results to the clinic administration,
d. create simulated activities to test the consultants and see if they are meeting the standards
c. review the activities of the consultants and report the results to the clinic administration
which of the following performance improvement models would be the BEST recommendation for a clinic that wants to discover the source of problems in patient care, eliminate these problems, and achieve consistently high quality results in patient care?
PDCA,
Six Sigma,
FOCUS,
LEAN
Six Sigma
What are the 3 basic closely interrelated activities that quality management employ?
quality planning, control, improvement
Which of the following is the first step in preparing for an initial accreditation or certification survey of an organization?
a. staff knowledge and plan staff training,
b. hire a consultant and conduct a mock survey,
c. appoint a survey coordinator and prepare a survey agenda
d. review the standards and determine readiness
d. review the standards and determine readiness
For health information technology to be MOST effective in reducing harm, the technology needs to be:
a. numeric and easy to use,
b. integrated with clinical workflow,
c. able to correct claims date,
d. flexible and accessible
b. integrated with clinical workflow
A strategy used in brainstorming is that ideas are:
a. prioritized as they occur,
b. all recorded,
c. discussed when they are mentioned,
d. progressively eliminated
b. all recorded
Which of the following should a Quality Council provide to best ensure success of performance improvement teams?
a. empowerment and training,
b. indicators and a data analyst,
c. standards and procedures,
d. facilitator and recorder
a. empowerment and training
Failure modes can be prioritized by calculating the criticality index. Which of the following three categories are normally used to calculate a criticality index?
a. frequency/severity/ease of detection,
b. probability/likelihood/criticality,
c. response/evidence/outcome,
d. effectiveness/risk/priority
a. frequency/severity/ease of detection
Which of the following charts would most likely be used first in a root cause analysis?
a. Pareto,
b. control,
c. flow,
d. gantt
c. flow
A summary of antibiotic usage for the fourth quarter showed that an internal medicine department did not meet pre-established criteria in 82% of the patients reviewed. following review, the pharmacy and therapeutics committee should recommend that the results be shared first with the:
a. utilization committee,
b. Quality Council,
c. governing body,
d. chief of the department
d. chief of the department
When considering the use of an external subject matter expert (SME), which of the following characteristics is MOST critical?
a. references of the SME,
b. cost of the SME's services,
c. geographic location of the SME,
d. leadership's personal preference
a. references of the SME
Timeliness and compliance of documentation were discussed at a multidisciplinary team meeting. To evaluate the effectiveness of the team's action plan, which of the following would provide the most useful information?
a. number of complaints,
b. physician attendance,
c. medical record review,
d. frequency of meetings
c. medical record review
For a continuous quality improvement team to be successful, who must be included on the team?
a. department supervisor
b. person performing the process,
c. quality management representative,
d. administrator
b. person performing the process
Deemed status refers to:
a. surveyors who work for both an accrediting body and a healthcare organization,
b. physicians who have been reported to the National Practitioner Database,
c. accreditation equivalency with a Census for Medicare & Medicaid Services (CMS) survey,
d. a healthcare organization that passes a Centers for Medicare & Medicaid services (CMS) survey
accreditation equivalency with a Census for Medicare & Medicaid Services (CMS) survey
Random screening of newborns by the neonatology department has confirmed a high incidence of glucose insufficiency (G6PD) in the local population. Management believes that the cost of testing all newborns would be too high. which of the following should the healthcare quality professional suggest?
a. review literature to determine best practices,
b. continue to conduct random testing,
c.conduct an analysis to confirm management's beliefs
d.test only newborns with a family history of G6PD
d. test only newborns with a family history of G6PD
Frequency distribution can best be displayed through use of:
a. interrelationship diagram,
b. force field analysis,
c. flow chart,
d. histogram
d. histogram
A clinical pathway on the management of hip fractures has been developed by a multi-disciplinary team and implemented in a large teaching hospital. After monitoring for 6 months, the length of stay continues to exceed the guidelines. Which of the following should be the next step?
a. correlate the pathway with staffing levels,
b. re-educate the staff on the purpose of the pathway,
c. evaluate compliance with the pathway,
d. continue to monitor and collect additional data
c. evaluate compliance with the pathway
Which of the following is an example of information that should be included in an incident report, but should not be recorded in a patient's medical record?
a. the date/time/dose/name of a medication administered to a patient in error
b. the patient found on the floor next to the bed with the patients right leg appearing to be rotated
c. the patient's right knee replaced after consenting to replacement of the left knee
d. details concerning a medication preparation error discovered and corrected prior to administration
d. details concerning a medication preparation error discovered and corrected prior to administration
Comparing healthcare organizations by using medical error rates:
a. provides the best method for benchmarking patient safety
b. must include a minimum of 10 different facilities
c. may present bias due to differences in reporting practices
d. cannot be performed by facilities with less than 100 beds
provides the best method for benchmarking patient safety
An outpatient clinic is attempting to measure the quality of a newly developed diabetes disease management program. To accomplish this, laboratory results will be measured overtime. The best way to display the data is to use a:
a. gantt chart,
b. pareto chart,
c. flow chart,
d. control chart
d. control chart
What is the best explanation for the relatively slow introduction of lean practices into medical laboratories?
a. the variability and complexity of the samples in a laboratory is much bigger than a manufacturing environment
b. scientists are less receptive to the core principles of lean
c. medical laboratories function differently than factories
d. medical research is mostly funded by the government
scientists are less receptive to the core principles of lean
Which of the following conditions should a quality assessment program NOT examine?
a. condition that is thought to be treatable,
b. condition for which the treatment is susceptible to significant influence by health care providers,
c. condition that has cost effective treatments,
d. rare condition that has a small effect on mortality or morbidity
a rare condition that has a small effect on mortality or morbidity
A doctor fails to administer an indicated test, and the patients condition deteriorates to the point that he must be admitted to an inpatient facility. This is an example of:
preventive error,
treatment error,
diagnostic error,
communication error
diagnostic error
In managed care, the most widely used performance measure are:
Agency for Healthcare and Quality (AHRQ), Healthcare Effectiveness Data for Information Set (HEDIS),
National Quality Forum (NQF),
Uniform Hospital Discharge Data Set (UHDDS)
Healthcare Effectiveness Data for Information Set (HEDIS)
A serious event has occurred related to the timely notification of critical test results. The root cause was traced to nursing difficulty with following the organizational policy. To prevent a similar event from repeating. Which if the following should be done next?
a. continue to collect data as one event is insufficient to take action
b. refer the involved nurse to nursing peer review
c. review the policy with nursing representatives to identify ambiguities
d.educate nursing staff on the importance of timely notification of critical test results
c. review the policy with nursing representatives to identify ambiguities
Medication reconciliation is a process intended to:
a. improve efficiency of medication administration
b. investigate formulary discrepancies
c. identify and resolve discrepancies
d. increase use of electronic medication administration
c. identify and resolve discrepancies [Show Less]