"Underuse is evidence by the fact that many scientifically sound practices are not used as of-
ten they should be, For example, biannual mammography 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 - ANSWER A. Defects
__________ is a term applied when the proper clinical care process is not executed appro-
priately, 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 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
1
, C. Efficient
D. Effective - ANSWER 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-ac-
quired 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 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
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 be-
gins to become cloudy, or 'gunky,' as the no clinicians say." The hospital staff learned an im-
portant lesson from this experience that:
2
ten they should be, For example, biannual mammography 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 - ANSWER A. Defects
__________ is a term applied when the proper clinical care process is not executed appro-
priately, 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 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
1
, C. Efficient
D. Effective - ANSWER 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-ac-
quired 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 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
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 be-
gins to become cloudy, or 'gunky,' as the no clinicians say." The hospital staff learned an im-
portant lesson from this experience that:
2
