1) 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:

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

3) The responsibility for providing organizational direction for a facility's continuous quality improvement program frequently rests with the quality

4) A Quality Council has examined data on patient falls and determined that a comprehensive fall prevention program is needed. The first step in increasing staff awareness of this initiative is to

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

6) A poster containing information will most effectively convey outcome information to internal customers.

7) In continuous quality improvement programs, surveys are essential to determine which of the following?

8) An ambulatory/outpatient care facility identifies an opportunity to improve the turnaround time for reports of X-rays performed at a local hospital. Which of the following groups should be involved in the team to improve the process?

9) 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?

10) A hospital is working to reduce readmissions. Which of the following is the best approach to accomplish this goal?

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

12) Prior to plotting a line graph, a healthcare quality professional should FIRST

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

14) Evaluation of the quality and appropriateness of patient care in the radiology department is the responsibility of the

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

16) A patient safety program can best be enhanced by which of the following technologies?

17) Replacing retrospective review with concurrent review is an example of:

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

19) Medication is ordered for a diabetic patient. Its capacity to improve health status, as a Dimension of quality or performance, is it

20) In developing a program to evaluate the effectiveness of physician care, a primary care clinic would select which one of the following indicators?

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

22) An emergency department tracks wait times from patient arrival to physician assessment. Data is reported using a run chart. Which of the following demonstrates a true statistical increase in treatment delays?

23) A hospital-wide medical record audit on documentation has been completed. The following table shows the compliance rate of documentation:

Which of the following is the next step?

24) The primary purpose of risk management trend analysis is to

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?