"Underuse is evidence by the fact that many scientifically sound practices are not used as often they should be, For example, biannual mammography
... [Show More] screening in woman ages 40 to 69 has been proven beneficial and yet is performed less than 75 percent of the time." This is the categorization of:
A. Defects
B. Lack of professionalism in Medical field
C. Lack of care
D. Healthcare practice
A. Defects
__________ is a term applied when the proper clinical care process is not executed appropriately, such as giving the wrong drug to a patient or incorrectly administering the correct drug.
A. Underuse
B. Overuse
C. Misuse
D. Illegal use
Answer: C- misuse
Crossing the Quality Chasm provided a blueprint for the future that classified and unified the components of quality through six aims for improvement, chain of effects, and simple rules for redesign of healthcare. The six aims for improvement, viewed also six dimensions of quality. Which of the following is NOT out of those dimensions?
A. Safe
B. Care centered
C. Efficient
D. Effective
Answer: B- care centered
______________ can be measured by how well evidence-______________ can be measured by how well evidence-based practices are followed, such as the percentage of time diabetic patients receive all recommended care at each doctor visit, the percentage of hospital-acquired infections, or the percentage of patients who develop pressure ulcers (bed sores) while in the nursing home.
A. Safe care
B. Equitable care
C. Effective care
D. Timely care
Answer: C - effective care
Today's patients' perception of the quality of our healthcare system is not favorable. In healthcare, quality is a household word that evokes great emotion, including:
A. Frustration and despair, exhibited by patients who experience healthcare services firsthand or family members who observe the care of their loved ones
B. Anxiety over the ever-increasing costs and complexities of care
C. Patient centered measures
D. Timely care that may be experienced in terms of performance of services
Answer: A, B -
There is a story of an intensive care unit (ICU) at Dominican Hospital in Santa Cruz Country, California. Dominican, a 379-bed community hospital, is part of the 41-hospital Catholic Healthcare West system. "We used to replace ventilator circuit for incubated patients daily because we thought this helped to prevent pneumonia," explained Lee Vanderpool, vice president. ""But the evidence shows that the more you interfere with that device, the more often you risk introducing infection. It turns out it is often better to leave it alone until it begins to become cloudy, or 'gunky,' as the no clinicians say." The hospital staff learned an important lesson from this experience that:
A. Evidence is more powerful than intuition
B. Intuition is more powerful than evidence
C. Efforts improve mortality rate
D. Introduction f a new protocol, or any new idea, involves education
Answer: A
A number of attributes can characterize the quality of healthcare services. As, there are different groups involved in healthcare, such as physicians, patients and health insurers, tend to attach different levels of importance to particular attributes and as a result define quality care differently. Which of the following is/are NOT out of those attributes?
A. Technical performance
B. Responsiveness to patient preferences
C. Excess staff
D. Amenities
Answer: C
Quality and technical performance refers to how well current scientific medical knowledge and technology are applied in a given situation. It is usually assessed in terms of:
A. Timeliness and accuracy of the diagnosis
B. Appropriateness of therapy and other medical interventions are performed
C. The quality of interpersonal relationships
D. Both A & B
Answer: D
The quality of amenities of care refers to the characteristics of the setting in which the encounter between patient and clinician takes place, such as:
A. Comfort
B. Comfort, care and access
C. Comfort, convenience and privacy
D. Responsive to patient preferences
Answer: C
Amenities may cover areas as mentioned below EXCEPT:
A. Ample and convenient parking
B. Good directional signs
C. Comfortable waiting rooms
D. Vast and facilitated food providing area
Answer: D
_________________ refers to the "degree to which individuals and groups are able to obtain needed services."
A. Responsiveness to patient preferences
B. Amenities
C. Equity
D. Access
Answer: D
In earlier formulations, responsiveness to patients' preferences was just one of the factors seen as determining the quality of patient clinician interpersonal relationship. But, now it is translated into many factors. Which of the following is out of such factors?
A. Respect for patients' values
B. Respect for patients' preferences
C. Respect for patients' expressed needs
D. Respect for Respect for patient's convenience
Answer: A, B, C
Efficiency refers how well resources are used in achieving a given result. Efficiency ___________ whenever the resources used to produce a given output are _____________.
A. Reduces, reduced
B. Increases, increased
C. Improves, reduced
D. It is truly situation dependent
Answer: C
In general, as the amounts spent on providing services for a particular condition grow, diminishing returns set in meaning that each unit of expenditure yield ever-smaller benefits until a point where ________________.
A. No additional benefits accrue from adding more care B. Additional benefits are too small to justify the added costs C. There is displacement of more useful care D. perfection is within the reach of all individuals
Answer: A
"Quality is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." This is the definition of Quality care often quoted by:
A. IOM
B. IHI
C. HQCB
D. OCHP
Answer: A
"Likelihood of desired health outcomes" corresponds to clinicians' view that, with respect to outcomes, there are only probabilities, not certainties, owing to factors-such as patients' genetically determined physiological reliance-that influence:
A. The primary concerns of patients
B. Outcomes of care and yet are beyond clinicians' control
C. Outcomes of care and now are within clinicians' control
D. High cost interventions
Answer: B
In fact, because patients' satisfaction is so influenced by __________________ rather than to the more indiscernible technical ones-health maintenance organizations, hospitals and other health care delivery organizations have come to view the quality of nontechnical aspects of care as crucial to attractions and retaining patients.
A. Their reactions to interpersonal and amenity aspect of care
B. Patients recognize that they do not possess the wherewithal to evaluate all technical elements of care C. Every patient has definite preference in every clinical situation
D. Their likelihood of desires outcomes
Answer: A
Payers are more likely to embrace the optimization definition of care which can put them at odds with:
A. Clinicians
B. Health administrators
C. Physicians
D. Both A & B
Answer: C
The manager's perspective on quality differs markedly from that of clinicians and patients on:
A. Efficiency, effectiveness and access
B. Efficiency, cost effectiveness and equity
C. Responsiveness to patient preferences
D. Equity, access and technical performance
Answer: B [Show Less]