1) Which of the following should be included in an annual performance improvement report to a governing body?

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

3) 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

4) Which of the following best demonstrates the use of the Plan-Do-Check-Act performance improvement model?

5) In order for a quality improvement team to deal effectively with conflict, it is important to appoint which of the following to its membership?

6) The concept of "patient safety" applies most appropriately to

7) Physician profiles are reviewed at the time of reappointment to

8) Generic screening is an example of risk

9) Which of the following scenarios best illustrates the principles of Lean management in healthcare delivery?

10) A hospice agency conducted a satisfaction survey of all 200 patients currently
receiving pain management services. When asked if they were satisfied with their pain management, 170 patients said yes, and 30 said no. A target satisfaction rate of 90% has been set. In this situation, a healthcare quality professional should:

11) One aspect of a quality process that integrates with risk management is the review and evaluation of

12) Which of the following is most useful in performing a morbidity/mortality review?

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

14) A policy for "time-outs" in an operating room was initiated in the first quarter. The second quarter data demonstrated only 40% compliance with all elements of the process. The first step the Quality Council should take is to:

15) Which of the following is the most appropriate question to ask when reviewing an organization's performance improvement (PI) plan?

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

17) Which of the following should a Quality Council provide to best ensure success of performance improvement teams?

18) Which of the following adverse events is NOT considered a sentinel event?

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

20) The primary purpose of an organization's quality improvement (QI) strategic plan is to

21) A Quality Council has created a Patient Safety Council. The council is concerned that staff may see this as another program that has been added to their
busy schedules that will eventually go away. The best way for the organization to establish patient safety as an ongoing part of the organization's culture is to

22) 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?

23) Which of the following is always true regarding a sentinel event?

24) In profiling length-of-stay data for benchmarking, it is important that data be

25) A healthcare quality professional has been asked to provide a report on the rate of Cesarean sections performed at a hospital over the past five years. Which of
the following is the best way to present the data.