IHI Q1 101, IHI Q1 102, Q1 103: TESTING AND MEASURING
CHANGES WTITH PDSA CYCLES FINAL EXAM ACTUAL
QUESTIONS AND CORRECT ANSWERS ALREADY GRADED
A+ GUARANTEED SUCCESS
3) Which of the following countries has had a relatively inexpensive universal health
insurance system for more than 50 years?
a) Chile
b) Germany
c) Japan
d) The US
c) Japan
Which of the following is a basic principle of improvement?
a) Improvement must come from the bottom up — not the top down.
b) Every system is perfectly designed to get the results it gets.
c) Data should always drive improvement.
d) When examining a complex system, consider all the parts separately.
b) Every system is perfectly designed to get the results it gets.
Using Deming's System of Profound Knowledge is helpful in quality improvement
because:
5) Which of the following statements is a reason for improving the US health care
system?
a) The US has fallen behind in biomedical innovation.
b) The US lacks the means to measure health care quality and access.
1
,c) The US government and citizens alike are struggling to afford the cost of care.
d) All of the above
c) The US government and citizens alike are struggling to afford the cost of care.
1) Why was it important for the Institute of Medicine (IOM) to develop its six aims
for health care?
a) So that accreditation organizations would be better able to evaluate hospitals
b) So that health care organizations would have a better idea of what they needed to
improve
c) So that lawmakers could focus their attention upon specific areas when working
on health care reform
d) All of the above
b) So that health care organizations would have a better idea of what they needed to
improve
Michael S., a 49-year-old factory worker, is brought to the hospital after developing
chest pain at work. He is quickly diagnosed with an acute myocardial infarction
(heart attack). However, he waits almost two hours to get to the catheterization lab
and have his blocked coronary artery opened. Ultimately, he suffers permanent
damage to his heart.
3) Which component of Deming's System of Profound Knowledge is the team about
to harness?
a) Appreciation of a system
b) Understanding variation
c) Theory of knowledge
d) Psychology (human behavior)
b) Understanding variation
2
,4) Which of the following statements is true:
a) During the past 15 years, the cost of care has been a growing problem for many
developed nations.
b) During the past 15 years, most countries around the world have used similar
approaches to improve health care quality and access.
c) Among industrialized nations, there is a perfect correlation between quality
rankings and the number of dollars spent on health care.
d) All of the above
a) During the past 15 years, the cost of care has been a growing problem for many
developed nations.
2) Which of the IOM aims has this hospital FAILED to meet?
a) Equitable
b) Safe
c) Effective
d) Efficient
e) Timely
f) Patient-centered
e) timely
3) The hospital where Michael is recovering reviews its patient satisfaction survey
results in order to improve its care and patient outcomes. Leaders poring over the
data note that 90 to 100 percent of patients rate staff as "excellent" in the following
categories: listening, answering questions, being friendly and courteous, and giving
good advice based on specific needs and preferences. Which aim is the hospital
generally achieving?
a) Equitable
b) Safe
c) Effective
3
, d) Efficient
e) Timely
f) Patient-centered
f) patient-centered
4) Which of the following improvement efforts is the best example of increasing the
effectiveness of care?
a) Decreasing adverse drug events by having a pharmacist on rounds in the intensive
care unit
b) Shortening wait times at a clinic by allowing patients to self-register on a
computer in the waiting room
c) Improving the percent of clinic patients achieving their goal blood pressure by
instituting a series of reminders for providers about evidence-based processes
d) Instituting quarterly focus groups of patients seen in the emergency department
to better identify patient concerns
c) Improving the percent of clinic patients achieving their goal blood pressure by
instituting a series of reminders for providers about evidence-based processes
5) Which of the following improvement efforts is the best example of increasing the
equity of care?
a) Decreasing adverse drug events by having a pharmacist on rounds in the intensive
care unit
b) Shortening wait times at a clinic by allowing patients to self-register on a
computer in the waiting room
c) Instituting quarterly focus groups of patients seen in the emergency department to
better identify patient concerns
d) Through staff development and weekly feedback, equalizing the likelihood that a
patient will receive pain medication regardless of race, ethnicity, or education
4
CHANGES WTITH PDSA CYCLES FINAL EXAM ACTUAL
QUESTIONS AND CORRECT ANSWERS ALREADY GRADED
A+ GUARANTEED SUCCESS
3) Which of the following countries has had a relatively inexpensive universal health
insurance system for more than 50 years?
a) Chile
b) Germany
c) Japan
d) The US
c) Japan
Which of the following is a basic principle of improvement?
a) Improvement must come from the bottom up — not the top down.
b) Every system is perfectly designed to get the results it gets.
c) Data should always drive improvement.
d) When examining a complex system, consider all the parts separately.
b) Every system is perfectly designed to get the results it gets.
Using Deming's System of Profound Knowledge is helpful in quality improvement
because:
5) Which of the following statements is a reason for improving the US health care
system?
a) The US has fallen behind in biomedical innovation.
b) The US lacks the means to measure health care quality and access.
1
,c) The US government and citizens alike are struggling to afford the cost of care.
d) All of the above
c) The US government and citizens alike are struggling to afford the cost of care.
1) Why was it important for the Institute of Medicine (IOM) to develop its six aims
for health care?
a) So that accreditation organizations would be better able to evaluate hospitals
b) So that health care organizations would have a better idea of what they needed to
improve
c) So that lawmakers could focus their attention upon specific areas when working
on health care reform
d) All of the above
b) So that health care organizations would have a better idea of what they needed to
improve
Michael S., a 49-year-old factory worker, is brought to the hospital after developing
chest pain at work. He is quickly diagnosed with an acute myocardial infarction
(heart attack). However, he waits almost two hours to get to the catheterization lab
and have his blocked coronary artery opened. Ultimately, he suffers permanent
damage to his heart.
3) Which component of Deming's System of Profound Knowledge is the team about
to harness?
a) Appreciation of a system
b) Understanding variation
c) Theory of knowledge
d) Psychology (human behavior)
b) Understanding variation
2
,4) Which of the following statements is true:
a) During the past 15 years, the cost of care has been a growing problem for many
developed nations.
b) During the past 15 years, most countries around the world have used similar
approaches to improve health care quality and access.
c) Among industrialized nations, there is a perfect correlation between quality
rankings and the number of dollars spent on health care.
d) All of the above
a) During the past 15 years, the cost of care has been a growing problem for many
developed nations.
2) Which of the IOM aims has this hospital FAILED to meet?
a) Equitable
b) Safe
c) Effective
d) Efficient
e) Timely
f) Patient-centered
e) timely
3) The hospital where Michael is recovering reviews its patient satisfaction survey
results in order to improve its care and patient outcomes. Leaders poring over the
data note that 90 to 100 percent of patients rate staff as "excellent" in the following
categories: listening, answering questions, being friendly and courteous, and giving
good advice based on specific needs and preferences. Which aim is the hospital
generally achieving?
a) Equitable
b) Safe
c) Effective
3
, d) Efficient
e) Timely
f) Patient-centered
f) patient-centered
4) Which of the following improvement efforts is the best example of increasing the
effectiveness of care?
a) Decreasing adverse drug events by having a pharmacist on rounds in the intensive
care unit
b) Shortening wait times at a clinic by allowing patients to self-register on a
computer in the waiting room
c) Improving the percent of clinic patients achieving their goal blood pressure by
instituting a series of reminders for providers about evidence-based processes
d) Instituting quarterly focus groups of patients seen in the emergency department
to better identify patient concerns
c) Improving the percent of clinic patients achieving their goal blood pressure by
instituting a series of reminders for providers about evidence-based processes
5) Which of the following improvement efforts is the best example of increasing the
equity of care?
a) Decreasing adverse drug events by having a pharmacist on rounds in the intensive
care unit
b) Shortening wait times at a clinic by allowing patients to self-register on a
computer in the waiting room
c) Instituting quarterly focus groups of patients seen in the emergency department to
better identify patient concerns
d) Through staff development and weekly feedback, equalizing the likelihood that a
patient will receive pain medication regardless of race, ethnicity, or education
4
