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A Quality Council has chartered a performance improvement team to reduce
medication errors. The team has been meeting for several months and progress
has been slow. Which of the following is the most important factor for the Quality
Council to assess with the team leader?
a. Composition of the team
b. Number of medication errors since team was chartered
c. Team members' ability to interpret graphs
d. Length of team meetings - CORRECT ANSWER ✔✔ - a. Composition of the team
Two surveys were completed in a healthcare facility that showed conflicting
results concerning patient satisfaction with food services. The two surveys were
independently designed and distributed by different departments within the
facility. The healthcare quality professional should first:
a. Set up a quality improvement team to improve food service
b. Redistribute the surveys to obtain a larger sample size.
c. Design, distribute, and analyze a new survey instrument
d. Meet with the departments to review the survey processes - CORRECT ANSWER
✔✔ - d. Meet with the departments to review the survey processes
Pg. 1
,Which of the following steps occurs first in the facilitating change in an
organization?
a. Identify problems to be addressed in the organization
b. Solicit feedback from management
c. Select key people in the organization to serve on the team
d. Develop a performance improvement plan - CORRECT ANSWER ✔✔ - a. Identify
problems to be addressed in the organization
The separate services of pharmacy and nursing are having difficulty developing an
action plan for med errors. Pharmacy services states that nursing services causes
the majority of the problems related to errors, while nursing services states the
opposite. What is the quality professional's role in resolving this problem?
a. Provide them with directives on how to solve the problem
b. Facilitate discussion between the groups to enable them to assume ownership
of their portions of the problem
c. Assign the task to an uninvolved manager
d. Refer the problem to the facility-wide quality council - CORRECT ANSWER ✔✔ -
b. Facilitate discussion between the groups to enable them to assume ownership
of their portions of the problem
The governing body is responsible for setting policy, financial and strategic
direction, quality of care, and setting goals and objectives
A. True
B. False - CORRECT ANSWER ✔✔ - True
The governing body is responsible for implementing strategies and collecting
measurements of quality indicators.
Pg. 2
,A. True
B. False - CORRECT ANSWER ✔✔ - False
According to TJC (2012), how many serious medical errors involved
miscommunication between caregivers when patients are transferred or handed-
off?
a. 67%
b. 25%
c. 32%
d. 80% - CORRECT ANSWER ✔✔ - d. 80%
After brainstorming, which of the following should a quality improvement team
use to identify items that need immediate attention?
a. Histogram
b. Multi-voting
c. Cost-benefit analysis
d. Flow chart - CORRECT ANSWER ✔✔ - b. Multi-voting
Which of the following is the best way to determine if a quality improvement
initiative is successful?
a. Present findings to the Quality Council
b. Conduct a retrospective review
c. Compare outcomes with pre-established goals
d. Survey patients and customers - CORRECT ANSWER ✔✔ - c. Compare outcomes
with pre-established goals
Pg. 3
, A small, rural hospital wishes to evaluate customer satisfaction using a survey.
The organization has 4 patient care units, an emergency department, and an
ambulatory unit. Which of the following survey methods provides the most
reliable information?
a. A random sample of 20% of annual discharges/visits per unit
b. A random sample of 5% of all annual discharges/visits
c. All discharges/visits in January and July
d. All discharges/visits of customers with a last name beginning with the letters A-
E - CORRECT ANSWER ✔✔ - a. A random sample of 20% of annual
discharges/visits per unit
Using the 80/20 rule, 80% of organizational problems are issues related to
a. Systems
b. Education
c. Performance
d. Staffing - CORRECT ANSWER ✔✔ - a. Systems
Organizational leaders can best demonstrate commitment to a new quality
improvement initiative by
a. Reviewing the quality improvement plan
b. Offering solutions to identified problems
c. Allocating resources for the process
d. Maintaining performance appraisals for staff - CORRECT ANSWER ✔✔ - c.
Allocating resources for the process
Pg. 4