1) Which of the following is most appropriate in preparation for an external survey of a healthcare facility?

2) The leader of a pain management performance improvement team has asked the Quality Council to disband the team. The most important factor for the Quality Council to assess is

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

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

5) 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?

6) Quality improvement teams are beneficial because they

7) What sampling technique involves selecting the medical record of every fifth patient undergoing cardiovascular bypass?

8) An organization's data demonstrate an increase in the number of patient falls. A healthcare quality professional should recommend

9) To be useful in preventing future error, a Root Cause Analysis (RCA) should be performed

10) When developing department-specific performance measures and indicators, the quality manager as a consultant should

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

12) Performance improvement teams should always be required to

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

14) A team approach in quality improvement activities is preferred when

15) A t-test may be used to

16) Failure modes can be prioritized by calculating the criticality index. Which of the following three categories are normally used to calculate a criticality index?

17) Which of the following sampling techniques selects participants based on their availability in a certain place during a specific time frame?

18) Team cohesion is established during which of the following stages of team growth?

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

20) Which of the following is the best approach to identifying potential errors in a patient's care, treatment, and services when implementing a National Patient Safety Goal?

21) Based on identified issues, a healthcare quality professional examines 100% of one physician's admissions and only 20% of all other physicians' admissions. This is best described as a

22) Which of the following topics are discussed at a morbidity and mortality conference?

23) Which of the following charts will most likely be used first in a root cause analysis?

24) A critically ill patient is admitted and requires a specialized procedure; however, the surgeon does not have privileges at the facility. Which of the following documents will be MOST helpful in identifying the course of action the hospital should take?

25) 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