QUIZ TEST - KAMA GROUP

Created on March 05, 2021

Healthcare Management

These MCQs test your information on Healthcare Leadership, Information Management, Quality Improvement, and Patient Safety.

Please fill out the information below to receive the Result in your Email or WhatsApp.

1) A t-test may be used to

evaluate the effects of two different treatments.

evaluate differences among three or more treatments.

display the size of a sampling variation.

display a listing of the number of occurrences of a variable.

2) A patient is being taught how to self-administer insulin. Which of the following is the BEST method to assess this patient's understanding of the teaching?

return demonstration

patient satisfaction survey

written pre-and posttest

family's ability to verbalize instructions

3) A physician who has a high inpatient mortality rate compared to others in a facility should first be

evaluated via a more in-depth review of cases.

counseled by the department chairperson.

reviewed by the credentialing committee.

suspended in the interest of patient safety.

4) A curriculum developed by healthcare organizations for staff education in organizational change should include all of the following EXCEPT

budgeting techniques.

conflict resolution.

project and time management.

the negotiating process.

5) When using cost-benefit analysis in decision-making, it is important to remember that

qualitative and quantitative data should be used.

return on investment should be at least 10 to 1.

consideration of the benefit is more important than cost.

implementation costs are more important than return on investment.

6) The primary reason healthcare organizations use benchmarking is to

provide risk adjustment.

improve performance

decrease risk to the organization

comply with accreditation standards.

7) Leadership can best integrate performance improvement within an organization through

multidisciplinary teams.

newsletters.

focus groups.

seminars.

8) Hospital A has recently merged with Hospital B. After 6 months it is noted that Hospital A has successfully transitioned their staff to new organizational values, while Hospital B still struggles. Hospital A's success can best be attributed to:

support of both hospitals' mission statements.

acceptance of the new mission and vision statements

integrating technology and databases

requiring adoption of new values by all staff.

9) Which of the following is an example of a "never event" or sentinel event?

fever of 101.2°F after a blood transfusion

missed dose of an antibiotic

patient fall that results in a bruised tailbone

patient suicide in the psychiatric ward

10) A clinical pathway for the management of hip fractures has been developed by a multi-disciplinary team and implemented in a large teaching hospital. After
monitoring for 6 months, the length of stay continues to exceed the guidelines. Which of the following should be the next step?

Continue to monitor, and collect additional data.

Correlate the pathway with staffing levels.

Evaluate compliance with the pathway.

Re-educate the staff on the purpose of the pathway.

11) A summary of antibiotic usage for the fourth quarter showed that an internal medicine department did not meet pre-established criteria in 82% of the patients reviewed. Following review, the Pharmacy and Therapeutics Committee should recommend that the results be shared first with the

Quality Council.

governing body.

chief of the department.

utilization committee.

12) Which of the following is the FIRST step in facilitating change in an organization?

Get feedback from staff on the problems to be addressed.

Develop a performance improvement plan.

Identify problems to be addressed in the organization.

Identify key people in the organization who should be involved.

13) The responsibility to promote organizational values and commitment among the staff lies within:

Medical director, quality manager

Clinical, non-clinical leaders

Nurse executive and CEO

Nurse staff, senior management

14) After brainstorming, which of the following should a quality improvement team use to identify items that need immediate attention?

multi-voting

cost-benefit analysis

histogram

flow chart

15) In evaluating "long waiting times," a healthcare quality professional best demonstrates components related to staffing, methods, measures, materials, and equipment utilizing a

run chart.

Ishikawa diagram.

pie chart.

histogram.

16) A Quality Council has decided that a Patient Safety Committee needs to be established to oversee the patient safety program. The Quality Council has asked this committee to prepare a Patient Safety Plan that would guide the program. A key factor that needs to be considered for the long-term success of the patient safety program is to

research how technology can be used to prevent errors.

determine which patient safety goals need to be monitored.

involve the entire organization in the program.

review incident reports to identify where the errors are occurring.

17) Incorporating TQM key concepts, compartmentalization of QM/QI activities by organizational structure, i.e., by department or discipline, is

Consistent with TQM philosophy.

A weakness in implementing quality improvement.

Important for preservation of medical staff autonomy.

The most efficient structure.

18) A healthcare quality professional is developing a policy regarding access to physician quality files. In addition to the date and name of the person requesting the information, which of the following should be included in the policy?

the practitioner privilege form

the credentialing application

purpose of the request

requestor's contact information

19) Which of the following are measures of central tendency?

correlation, regression, and t-test

grouped data, bell curve, and distribution

mean, median, and mode

standard deviation, variance, and standard error

20) A root cause analysis team examined a serious medication error and recommended changes. Which of the following should be done next?

Monthly reports should be sent to the regulatory body

Random checks for compliance should be made by patient safety staff.

The Quality Council should review medication errors quarterly.

The process owner should implement and assess effectiveness.

21) Which of the following actions has the greatest impact in reducing harm?

revising the patient safety evaluation tool

increasing data collection frequency

forming a performance improvement team

improving interdisciplinary communication

22) When errors are discovered, staff and supervisors best demonstrate a culture of safety by

performing a root cause analysis to determine which individuals were involved.

studying the process to understand the error.

planning which details of the error to disclose to senior leadership.

developing a plan for just-in-time training.

23) Which of the following is an example of information that should be included in an incident report, but should NOT be recorded in a patient's medical record?

the date, time, dose, and name of a medication administered to a patient in error

the patient found on the floor next to the bed with the patient's right leg appearing to be rotated

details concerning a medication preparation error discovered and corrected prior to administration

the patient's right knee replaced after consenting to replacement of the left knee

24) A hospital-wide medical record audit on documentation has been completed. The following table shows the compliance rate of documentation:

Compliance Rate (%) Documentation	1st Qtr	2nd Qtr
Surgical "time-outs" performed	90	95
Communication of critical results	91	95
Pain score used	50	60
Initial patient assessment performed	52	45

Which of the following is the next step?

Conduct training regarding pain score.

Conduct a focused review on the patient assessment process.

Give data feedback on physician signature to the units.

Benchmark the compliance rates against another facility.

25) What is the most frequent cause of failure in any improvement effort?

Poor communication across the organization

Inadequate or improper training

Lack of senior and middle management involvement

Unrealistic expectations

Your score is