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

2) Upon completion of a performance improvement project, who is the best person to compile and write a report?

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

4) A serious event has occurred related to the timely notification of critical test results. The root cause was traced to nursing difficulty with following the organizational policy. To prevent a similar event from reoccurring, which of the following should be done next?

5) The staff has been trained and oriented on a new electronic incident reporting system. In the past, staff could report anonymously. The new system requires staff to sign in with an individualized username and password. Three months after implementation, there is a sharp reduction in the number of reported incidents. Which of the following reasons for underreporting of incidents is of greatest concern?

6) Quality improvement team development stages include all of the following EXCEPT

7) A staff member reports that a colon perforation occurred during a colonoscopy. Which of the following is a healthcare quality professional's next step?

8) Medication reconciliation is a process intended to

9) Two surveys were completed in a healthcare facility that showed conflicting results concerning patient satisfaction with food services. The two surveys were independently designed and distributed by different departments within the facility. The healthcare quality professional should FIRST

10) A chief quality offer has the responsibility for the education and implementation of a quality improvement process. To affect cultural change, the chief quality officer must

11) Facility A is investigating its medication administration time for a specific diagnosis. Evidence-based guidelines indicate that administration of a particular drug within 30 minutes significantly improves patient outcomes. The national average is 32 minutes. The average for Facility B is 28 minutes. If the average for Facility A is 35 minutes, Facility A should

12) The authority and responsibility of each level of the organization concerning quality management mechanisms must be specified in the

13) Which of the following action plans is the first step in correcting inappropriate blood usage in an emergency department?

14) On discharge, the patient refuses billing because 2 out of 3 days of his stay in the hospital is due to medication anaphylaxis. This occurrence is:

15) An effective facilitator should be skilled in process evaluation and the tools of performance evaluation, and must

16) A Quality Council has chartered a Failure Mode and Effects Analysis (FMEA) team to examine the best method of preventing medication errors after the installation of a new medication dispensing system. The team's first major task should be to

17) Satisfaction surveys, focus groups, and complaint tracking are tools used to:

18) Which of the following is the BEST way for a healthcare quality professional to involve nursing staff in the restructuring of a patient care unit?

19) The concept of organizational liability is most important in the field of healthcare quality because it holds the organization responsible for

20) Organizational leaders can best demonstrate commitment to a new quality improvement initiative by

21) To avoid misinterpreting variances, which of the following statistical tools should be used?

22) Quality leadership, in contrast to management by results, starts with which of the following?

23) The clinical competency of a physician is determined by

24) When a healthcare organization is contracting with an outside provider for services, the subcontractor must

25) Healthcare quality professionals can best communicate organizational values and commitment through