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) 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

require staff to sign that they have read and understood the falls policy.

share unit-specific data on falls.

conduct a medication review of patients who have fallen.

use an educator to teach falls prevention.

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

patient safety goals are implemented.

reports of potential errors have decreased.

fear of retaliation is eliminated.

employee education is completed

3) Which of the following is an example of a "never event" or sentinel event?

fever of 101.2°F after a blood transfusion

patient fall that results in a bruised tailbone

patient suicide in the psychiatric ward

missed dose of an antibiotic

4) Meaningful quality process measures must be

feasible and explainable.

relevant and explainable.

valid and identifiable.

relevant and valid.

5) 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

the amount of data the team has collected.

the length of time the team has been together.

how well the team met the intended outcome.

the effectiveness of the team leader and facilitator.

6) A quality improvement manager received the results from the most recent customer survey. Sixty percent of the residents in a nursing home have rated the
temperature of foods served as poor. Which of the following actions should be taken first?

Ignore the results and assess next quarter.

Set up a continuous monitor for review.

Review previous results and assess trends

Call the dietitian and ask for an explanation.

7) Balanced scorecards are useful because they

evaluate the pros and cons of the governing body's priorities.

put strategy and vision at the center of an organization's effort.

focus on the most significant strategic initiative.

concentrate on the performance of individual units.

8) A new quality director has reviewed the information related to the Quality Council minutes and notes the following: - The council meets quarterly. Meetings
last approximately 2 hours. - The council roster includes all clinical department managers and the quality director. Attendance ranges from 45-60%. - The primary role of the council is to receive department quality reports, which are then forwarded to the organization's governing body. Based on the information above, which of the following actions is most appropriate?

Switch to a monthly meeting with a new agenda format.

Eliminate the council and directly report quality data to the governing body

Redefine the council's role to coordinate and prioritize quality activities.

Require departments to forward reports for review prior to the meetings.

9) 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 all employees and physicians.

review post-surgical infection rate data.

review data collected through incident reports.

survey patients from the last six months.

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

maintaining performance appraisals for staff.

allocating resources for the process.

reviewing the quality improvement plan.

offering solutions to identified problems.

11) 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.

that the re-engineering decision was a mistake.

a few disgruntled staff are instigating dissension in the ranks.

12) 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

involve the entire organization in the program.

research how technology can be used to prevent errors.

review incident reports to identify where the errors are occurring.

determine which patient safety goals need to be monitored.

13) The phrase "reaching consensus" is often used in performance improvement. The term consensus refers to

unanimous agreement.

a majority vote of those present.

everyone being totally satisfied.

support by all members.

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

limit training to managers and supervisors.

receive quarterly reports.

be a visible participant in the process.

believe the costs are justified by the benefits.

15) What is the primary goal of alignment efforts in healthcare quality?

Minimizing collaboration among healthcare providers

Enhancing patient experience and outcomes

Maximizing individual provider profits

Ignoring the need for standardization and consistency

16) Impressed by what he saw at a healthcare conference, the Chief Executive Officer decided to adopt Lean Six Sigma as the hospital's new approach to process improvement. If the desired results are not achieved, which of the following is the most likely reason for this?

Projects not linked to organizational goals and objectives

Lack of understanding of Lean Six Sigma

Inadequate focus on behavioral change to support process change

Lack of top management support

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

root cause analysis.

force field analysis.

failure mode and effects analysis (FMEA).

clinical pathways.

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

histogram.

Ishikawa diagram.

run chart.

pie chart.

19) A patient is transferred to a neighboring hospital for a magnetic resonance imaging (MRI) exam. Due to a misinterpretation of orders, the procedure is performed on the wrong part of the body. Which of the following should the healthcare quality professional do?

Do nothing since it happened at another facility.

Report this as a sentinel event to the transferring hospital.

Conduct an analysis to reduce future occurrences.

Recommend disciplinary action for the offenders.

20) Healthcare quality professionals can best communicate organizational values and commitment through

establishing a multidisciplinary task force.

disseminating monthly newsletters.

creating a mission statement.

leading by example.

21) Benchmarking is based on identifying which of the following?

competition

deficiencies

best practices

statistical control

22) Using the 80/20 rule, 80% of organizational problems are issues related to:

education.

staffing.

systems.

performance.

23) A root cause analysis team examined a serious medication error and recommended changes. Which of the following should be done next?

Random checks for compliance should be made by patient safety staff.

The process owner should implement and assess effectiveness.

Monthly reports should be sent to the regulatory body

The Quality Council should review medication errors quarterly.

24) For a continuous quality improvement team to be successful, who must be included on the team?

quality management representative

administrator

person performing the process

department supervisor

25) The use of clinical pathways and guidelines in hospitals should do which of the following?

Improve patient satisfaction.

Reduce length of stay.

Identify errors in patient care.

Minimize variation in patient care.

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