KAMA QUIZ 01 - KAMA GROUP

Created on March 05, 2021

Healthcare Management

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

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1) In the context of Total Quality Management (TQM) principles applied in healthcare, which scenario best exemplifies the concept of 'employee empowerment' while considering factors such as decision-making processes and task allocation?

Creating a committee composed solely of upper management to oversee all decision-making processes, including those involving frontline staff.

Establishing regular training sessions for frontline staff to enhance their decision-making skills and providing them with opportunities to lead certain projects independently

Allowing frontline staff to autonomously make decisions within their scope of expertise, with occasional oversight from upper management for major decisions.

Developing a system where only staff with specific job titles have the authority to make decisions, limiting empowerment to a select few.

2) 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.

Give data feedback on physician signature to the units.

Conduct a focused review on the patient assessment process.

Benchmark the compliance rates against another facility.

3) A culture of patient safety in an organization will have been successfully created when

near miss reporting of safety issues declines.

staff members serve as safety advocates.

personal accountability is removed from the organization.

a root cause analysis is performed regularly.

4) In the process of strategic planning, an organization makes decisions about the future. A basic component of the planning process is to

contract with a consulting firm to assist with the planning process.

determine organizational profitability during the most recent fiscal year.

examine both internal and external environments.

develop contractual relationships to enhance market share.

5) An organization has established a culture of patient safety when

fear of retaliation is eliminated.

patient safety goals are implemented.

employee education is completed

reports of potential errors have decreased.

6) Quality improvement team outcomes are best evaluated by which of the following?

nominal group technique

senior leadership

team leader

PDCA process

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

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

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

studying the process to understand the error.

developing a plan for just-in-time training.

8) Medication reconciliation is a process intended to

increase use of electronic medication administration.

improve efficiency of medication administration.

identify and resolve discrepancies.

investigate formulary discrepancies.

9) Minimizing the chances for an adverse event to reoccur includes determining the primary contributing factor by using

root cause analysis.

force field analysis.

clinical pathways.

failure mode and effects analysis (FMEA).

10) Meaningful quality process measures must be

feasible and explainable.

relevant and explainable.

relevant and valid.

valid and identifiable.

11) Leaders enhance employee commitment to organizational values by fostering which of the following types of communication?

timely, open, two-way

clear, written, top-down

formal, electronic, 'need to know

face-to-face, oral, scheduled

12) Which of the following are the primary reasons for developing drug formularies?

decrease food and drug interactions and promote patient safety

encourage the appropriate use of medications and minimize inventory

reduce medication errors and educate physicians

manage pharmacy costs and promote patient safety

13) The evolution of quality improvement in healthcare has shifted the primary focus from the performance of individuals to the performance of the:

governing body

organization's systems.

medical staff.

ancillary departments.

14) Which of the following is the primary benefit of using external quality consultants?

bridging knowledge gaps

maintaining performance standards for the organization

promoting effective communication

clarifying the mission and vision of the organization

15) The quality improvement director is responsible for the coordination of accreditation survey activities. Responsibilities will most likely include

preparing for unannounced surveys, disseminating the survey report, and developing new standards.

developing a protocol for a mock survey, conducting unannounced surveys, and challenging the survey report.

educating staff to all standards, writing the survey report, and completing the survey application.

facilitating self-assessments of compliance with standards, communicating new requirements to pertinent parties, and distributing the agenda for the survey.

16) Empowerment gives employees the opportunity to

gain respect of peers.

achieve upward mobility.

make more money.

solve problems.

17) 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

determine which patient safety goals need to be monitored.

research how technology can be used to prevent errors.

review incident reports to identify where the errors are occurring.

involve the entire organization in the program.

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

Refer the case for peer review.

Assign a proctor to the physician.

Modify the physician's privileges.

Review 100% of colonoscopy procedures.

19) Which of the following are essential functions of an infection control program?

surveillance and prevention

risk management and surveillance

prevention and education

patient safety and risk management

20) An operating room circulating nurse reported that the instrument count indicated a missing clamp. X-ray findings were negative, and the patient showed no adverse effects. This occurrence is an example of which of the following?

malpractice

clinical incompetency

claims management

potentially compensable event

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

financial resources are scarce.

the solution is evident.

data management is required.

the process has many owners.

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

focus groups.

seminars.

newsletters.

multidisciplinary teams.

23) Which of the following elements must be present in order to evaluate the effectiveness of a healthcare organization's quality improvement program?

support from the medical staff

integrated data collection

well-defined organizational structure

quantifiable objectives

24) The primary objective of the operational linkage between risk management and quality/performance improvement is to

develop a plan of action for individual cases.

meet regulatory requirements.

develop a comprehensive plan to prevent future occurrences.

alert the hospital attorney of a potentially compensable event.

25) A small, rural hospital wishes to evaluate customer satisfaction using a survey. The organization has four patient care units, an emergency department, and
an ambulatory unit. Which of the following survey methods provides the most reliable information?

all discharges/visits in January and July

a random sample of 20% of annual discharges/visits per unit

a random sample of 5% of all annual discharges/visits

all discharges/visits of customers with a last name beginning with the letters A-E

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