100% CORRECT ANSWERS
Which of the following can be defined as, "A set of measures and data that give
managers and administrators a quick yet comprehensive overview of
performance?
a. Process measurement
b. Balanced scorecard
c. Dashboard
d. Six Sigma - ANSWER Balanced Scorecard
Balanced scorecards are useful because they put strategy and vision at the center
of an organization's efforts. They provide a visual display of the entire
organization's progress.
(Scorecards tell health systems how they're doing overall. They are quick and
comprehensive. Dashboards tell systems what's happening now using
interactive metrics with drill-down capabilities)
Describe quality assurance vs. quality control - ANSWER Quality Assurance:
Focus is on the processes and procedures that improve quality, including any
corrective actions needed to optimize post-production quality
Quality Control: Focus on the product to find defects that occur after
development
A patient care team is in disagreement over new admissions procedures. What
decision-making model should management use?
a. Decision criteria
b. Consensus
c. Tenure influence - ANSWER Decision criteria
,(This model explores all options equally and gives unorthodox or unpopular
options a fair chance)
How does the World Health Organization Surgical Safety Checklist lead to tight
coupling in the operating room?
a. It establishes universality for patients
b. It compartmentalizes the procedures
c. It establishes a clear OR hierarchy
d. It closely aligns the various individuals involved in the process - ANSWER
It closely aligns the various individuals involved in the process
Define risk management - ANSWER Taking steps to avoid and control risks
within an environment to accomplish a desired outcome
Describe internal vs. external customers - ANSWER Internal customers work
within the organizational structure. External customers rely on and/or utilize the
healthcare organization and product (patients, family members, medical
equipment suppliers)
Within the last 4 days, three post-surgical patients have died of pneumonia-
related complications at a large hospital. None of the patients presented as
symptomatic for pneumonia at the time of surgery. What evaluation tool should
be used to help identify and resolve this issue?
a. Epidemiological theory
b. Performance management measures
c. Statistical analysis
d. Improvement measures - ANSWER Epidemiological Theory, which is used
to identify the source and cause of an issue or anomaly
(The other tools are used to quantify data or examine processes that can
contribute to improvement)
When Hospital A's neonatal infection rates rise unexpectedly, the quality
council establishes a new set of performance measures. They base their
measures on internal standards, customer survey data, and employee survey
data. What important element are the members disregarding? - ANSWER
External standards, such as national goals and requirements
,(External data provides a context for the internal data and distinguishes where
and how the facility falls compared to national standards)
What challenges often occur with the use of aggregated data? - ANSWER
Context is lost and solutions are not identified
What elements should be part of an employee performance improvement plan?
What elements should NOT be part of a performance improvement plan? -
ANSWER 1) A clear statement of the problems to be addressed
2) Specific action steps to be taken as part of the plan
3) A desired outcome or goal behavior and a timeline
(It does NOT include any research into the cause of an employee's challenges)
Recent HCAHPS data for Hospital A indicate that doctors are not providing
adequate explanations to patients. In improving the patient safety culture with
regards to this issue, what two elements must be addressed?
a. Patient perceptions and clinical quality
b. Patient perceptions and physician education
c. Physician education and time constraints
d. Quality standards and time constraints - ANSWER Patient perceptions and
clinical quality
(Patient perception includes the mode of communication, the depth of
information, and understandability of the context. Clinical quality includes the
doctor's understanding of communication techniques, health literacy, etc.)
Which of the following are the primary reasons for developing drug
formularies?
a. Manage pharmacy costs, promote patient safety
b. Reduce medication errors, educate physicians
c. Encourage the appropriate use of medications, educate physicians
d. Decrease food and drug interactions, promote patient safety - ANSWER A
drug formulary is an approved list of medications, clinical indications, and
doses that helps manage pharmacy costs and patient safety
, Management using quality improvement principles should emphasize the
importance of:
a. Staff orientation
b. Customers' expectations
c. Quarterly statistical reports
d. Team selection - ANSWER The basis of quality improvement is knowing
what the customer needs and wants (b) The rest are only one component of
quality improvement.
Quality improvement teams are beneficial because they
a. Promote competition and pride among members
b. Maximize expertise and perspectives
c. Authorize solutions to problems - ANSWER A diverse team, including
members with different experience and backgrounds, provides a broader
knowledge base and outcomes
Which of the following is an essential component in a performance
improvement report?
a. Governing body approval
b. Data analysis and display
c. Individual performance review
d. Team composition and attendance - ANSWER Data and analysis display
What is the primary goal of risk management? - ANSWER To identify and
manage risks to promote patient safety
The relationship between patient satisfaction and hours per patient day on a
medical unit was found to be (r=0.60, p < 0.05). What is the correlation between
these two values?
a. 0.05
b. 0.36
c. 0.55
d. 0.60 - ANSWER The correlation coefficient (r) is an index that ranges from -
1 to 1 and reflects the extent of a linear relationship between two data sets. The
correlation coefficient is 0.60.
For a quality improvement team to deal effectively with conflict, it is important
to appoint which of the following to its membership?