C157- Practice Questions & Answers(Latest Update 2024)

Quality improvement assumes that? - ANSWER Most problems with service delivery resilt from process difficulties, not individuals. *QI starts with the assumption that erros occur as a result of system failures, not individual errors. The term "quality" as used in quality improvement usually refers to? - ANSWER Characteristics of a product or service that bear on its ability to satisfy stated or implied needs *Quality rests on the ability to satisfy customer needs Three major differences between traditional "quality assurance" (activities like keeping track of total number of different procedures conducted in your practice, rates of adverse outcomes) and "quality improvement" activities is that quality improvement also focuses on? - ANSWER Systems and processes *rather than individuals and products Effective quality improvement does not require? - ANSWER An increased emphasis on inspection of individuals' work A leadership style that is sad to motivate employees and that optimizes the introduction of change is? - ANSWER Participatory- An approach where leaders interact with other participants as peers, engaging them in the decision- making process and playing an equal role in the process as others and jointly carrying out the problem solving activities What representatives of a CV practice should be included on a quality improvement team to implement a new practice? - ANSWER All staff directly affected by the quality improvement practice to be implemented When is it appropriate to collect and use data? - ANSWER Before the QI project, to prove problem exists During the QI project, to answer questions about the cause and help prioritize the implementation of improvements After the implementation of the improvement to maintain the gain A concern that would be best solved by a QI team? - ANSWER A financial variance in cost per left heart cath procedure over the past 6 months *Substantial variation in cost for a procedure is a problem that directly affects customers and could have implications for organizational processes. It is an ideal concern for a QI team to handle The first step in problem solving is to? - ANSWER Define the problem issue After assessing current work flow and processes, a clinical team presumes that a delay can occur anywhere along the process of their tasks. Data is inadequate at this point to identify a particular time of day, day of week, type of patient, or step in the process that is largely responsible for the delays. Further data collection is necessary. What should the team "product" be for the next meeting? - ANSWER A list of questions to be answered and a draft data collection tool As a building block for determining whether or not quality has been improved, the use of basic descriptive statistics in applying QI is critical. What is not strictly quantitative description of the basic features of a study? - ANSWER Hospital ratings Two statistics essential for identifying opportunities for performance improvement? - ANSWER Variance and distributions Comparisons of your data against the top performers in your region describe the process of? - ANSWER External benchmarking Benchmarking creates objective measures of performance that are based on? - ANSWER Past performance targets within an organization Performance of a competing external organization Some external universal performance target established by the industry What quality tools would be most useful for identifying a problem in a process that could benefit from a quality improvement strategy? - ANSWER Flow Chart A patient has terminal illness. Against the family's wishes, the patient requests a DNR order. What ethical principle supports the patient's decision? - ANSWER Autonomy What ethical conflict places the equitable access to health care against actions that produce the greatest good? - ANSWER Justice versus utilitarianism 4 strategies that promote staff empowerment are adopting a shared vision, team building, relinquishing administrative control and? - ANSWER Rewarding performance that adheres to high standards The nurse executive is the chair of a new performance improvement team whose purpose is to address patient flow through the ER. A laboratory team member openly blames ER nurses