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A 69-year-old female admitted for hip replacement is taken to surgery. The patient is
identified, the surgical site is marked incorrectly, and equipment/x-rays are present. A
near miss was most likely identified as a result of - CORRECT ANSWER: a surgical
team 'time-out.'
A consulting firm has been selected by a healthcare Board of Directors to assess the
quality improvement program. Before starting the assessment, the quality professional
should first - CORRECT ANSWER: define expectations and outcomes.
A critical difference between quality assurance (QA) and quality improvement is a shift
in focus from - CORRECT ANSWER: identifying poor performers to improving group
performance
A culture of patient safety in an organization will have been successfully created when -
CORRECT ANSWER: staff members serve as safety advocates.
A facility is becoming part of a healthcare network. Which of the following employee
education programs is most important? - CORRECT ANSWER: organizational change
A failure mode and effects analysis (FMEA) provides which of the following types of
review? - CORRECT ANSWER: proactive
A health plan is required to have a mechanism for members to submit complaints.
Which of the following actions must be included in the complaint analysis to ensure the
plan makes full use of this type of information? - CORRECT ANSWER: Review
complaints to find system problems that can be improved
, A healthcare network has implemented an electronic medical record system allowing
data to be transmitted, on demand, from one facility to another. Which of the following
will best promote both cost effectiveness and patient satisfaction? - CORRECT
ANSWER: decreasing repeat tests when a patient is seen in more than one facility
A healthcare quality professional has been asked to examine a new method of
reviewing adverse events in an organization. It has been decided that a system of
triggers will be established to alert the Quality Council of a potential problem. The best
example of a trigger that should be set with a threshold of zero is a - CORRECT
ANSWER: near miss from failure to perform a 'time-out.'
A healthcare quality professional is attempting to refine the differences between an
organization's objectives and the stakeholder needs. Which of the following tools is
most appropriate? - CORRECT ANSWER: gap analysis
A healthcare quality professional is conducting a study to determine how many patients
contracted influenza despite receiving flu shots. This study is evaluating - CORRECT
ANSWER: efficacy
A hospice agency conducted a satisfaction survey of all 200 patients currently receiving
pain management services. When asked if they were satisfied with their pain
management, 170 patients said yes, and 30 said no. A target satisfaction rate of 90%
has been set. In this situation, a healthcare quality professional should - CORRECT
ANSWER: review all dissatisfied responses for similarities.
A hospital has recently moved to a paperless system. It is noted that some data is
missing from the obstetrics delivery record. A healthcare quality professional should
recommend - CORRECT ANSWER: evaluating the computerized data entry process
A monitoring system is being designed in which data will be collected and compared to
criteria. Which of the following will best enhance the validity and reliability of the data? -
CORRECT ANSWER: providing a practice-based definition and specific instructions for
each element