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

death due to a medication error

hemolytic transfusion reaction

surgery on the wrong patient or body part

suicide threat by a patient in a confined 24-hour care setting

2) A facility has identified a trend of increased falls for patients aged 60 to 85 years. An effective fall prevention program should include

a patient assessment process, a family sitter program, and a sedation protocol.

a patient assessment process, a fall protocol, and staff education.

a fall protocol, restraint criteria, and a family sitter program.

restraint criteria, staff education, and a sedation protocol.

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

employee education is completed

reports of potential errors have decreased.

fear of retaliation is eliminated.

patient safety goals are implemented.

4) 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?

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.

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

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

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

norming.

performing.

forming.

conforming.

6) A large facility has fostered a culture of patient safety through staff education, support of process improvements at department levels, and implementation of a nonpunitive approach to error reporting. Compliance with patient safety goals ranges from 75-100%. In assessing the culture of patient safety, a healthcare quality professional should

survey patients from the last six months.

survey all employees and physicians.

review data collected through incident reports.

review post-surgical infection rate data.

7) Patient satisfaction scores for a community hospital demonstrate multiple areas for improvement including a need to improve the attractiveness of the facility, responsiveness to patient needs, and physician and nursing communication. Based on these results, which of the following would the healthcare quality professional also expect to find?

units operating independently with little communication between units

unit managers who openly discuss patient satisfaction scores

administration prioritizing and leading units to achieve organizational goals

employee satisfaction scores in the 80th percentile compared to other peer organizations

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

risk management and surveillance

surveillance and prevention

patient safety and risk management

prevention and education

9) The clinical competency of a physician is determined by

the CEO.

a committee of peers.

a Quality Management Committee.

the hospital governing body.

10) Which of the following is the primary goal of risk management?

Eliminate financial loss associated with legal actions.

Identify and manage risks to promote patient safety.

Perform failure mode and effects analyses.

Maintain an effective incident reporting system.

11) An organization can best measure its effectiveness in meeting customer expectations by:

benchmarking occupancy rates.

creating a run chart of complaints.

analyzing satisfaction data

tracking length of stay.

12) Which of the following is NOT a function of the facilitator on a quality improvement team?

Keep the group focused on a central issue.

Manage time.

Keep minutes and records of the team's efforts.

Tactfully prevent anyone from dominating the discussion.

13) A 69-year-old female admitted for hip replacement is taken to surgery. The patient is identified, the surgical site is marked incorrectly, and equipment/x-rays are present. A near miss was most likely identified as a result of

a root cause analysis.

informed consent documentation.

a surgical team 'time-out.'

an equipment check.

14) 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

receive quarterly reports.

believe the costs are justified by the benefits.

be a visible participant in the process.

limit training to managers and supervisors.

15) A re-engineering effort occurred at a facility. The activities, particularly those regarding staff layoffs, were carefully planned, communicated, and implemented according to the plan. One year later, the business is stable but staff morale is very low. A healthcare quality professional has been asked to consult in determining where the effort went wrong. Based on the concepts of change theory, the cause is most likely

leadership was not properly trained in the change process.

a failure to address the needs of the staff who were retained.

a few disgruntled staff are instigating dissension in the ranks.

that the re-engineering decision was a mistake.

16) A failure mode and effects analysis (FMEA) provides which of the following types of review?

retroactive

retrospective

concurrent

proactive

17) To reduce the incidence of ventilator-associated pneumonia (VAP) in a critical care unit, who should be included on a quality improvement team?

primary care physician, infection control nurse, and surgeon

ICU manager, respiratory therapist, and pharmacist

pharmacist, intensivist, and infection control nurse

intensivist, ICU nurse, and respiratory therapist

18) 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?

patient satisfaction survey

return demonstration

family's ability to verbalize instructions

written pre-and posttest

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

equal numbers.

raw numbers.

severity adjusted.

reported monthly

20) Meaningful quality process measures must be

valid and identifiable.

feasible and explainable.

relevant and valid.

relevant and explainable.

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

encourage the appropriate use of medications and minimize inventory

reduce medication errors and educate physicians

manage pharmacy costs and promote patient safety

decrease food and drug interactions and promote patient safety

22) A utilization management department of a hospital has collected data on length of stay and readmission rates. Compared to benchmarks, the length of stay rates are higher, and readmission rates are lower. Which of the following is the next step?

Conduct a cost-benefit analysis.

Display readmission rates with a run chart.

Investigate the length of stay rates.

Identify additional benchmarks to compare the data.

23) Patient safety is promoted in an organization through

willingness to pay overtime, open communication, and staff education.

performance reviews, encouragement of error reporting, and willingness to pay overtime.

encouragement of error reporting, staff education, and reliable systems.

reliable systems, open communication, and performance reviews.

24) The best reason to evaluate team meetings is to

assess progress.

rate leader performance.

assess accuracy of the minutes.

keep participants interested.

25) 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

identify the average time of its competitors.

decrease its rate to meet the national average.

determine whether its rate is within one standard deviation of the national average

contact Facility B to determine its practices.

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