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.

Please fill out the information below to receive the Result in your Email or WhatsApp.

1) Which of the following is an example of a leadership strategy to integrate the patient safety program into a healthcare organization's overall performance improvement system?

Use a system-wide failure mode and effects analysis (FMEA).

Identify quarterly discharge rates for the organization.

Evaluate training data to plan leadership retreats.

Conduct a root cause analysis to proactively identify risks.

2) A number of specialty and primary care clinicians have participated in several meetings to develop clinical practice guidelines for the management of diabetes. The team leader has moved the team through the actual guideline development and is now concentrating on the "evaluation of quality of care" phase. Which of the following sequences of steps should the team consider in developing the evaluation phase?

identify medical review criteria, identify sampling methods to be used, define objectives of the performance review, pilot test.

define objectives of the performance review, identify populations covered by the guideline, develop data collection form, pilot test.

consider costs of the review, identify clinicians and sites of care, define objectives of the performance review, develop data collection form.

develop data collection form, identify populations covered by the guideline, identify the data sources, conduct the review

3) A critically ill patient is admitted and requires a specialized procedure; however, the surgeon does not have privileges at the facility. Which of the following documents will be MOST helpful in identifying the course of action the hospital should take?

surgical policies and procedures

patient safety manual

risk management plan

medical staff bylaws

4) 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?

Report this as a sentinel event to the transferring hospital.

Recommend disciplinary action for the offenders.

Conduct an analysis to reduce future occurrences.

Do nothing since it happened at another facility.

5) 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:

continue to audit to confirm that a problem exists.

create a letter for the CEO to send to all surgeons.

examine if the policy is clear and user-friendly.

ask the nurses to identify non-compliant surgeons.

6) 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 a focused review on the patient assessment process.

Conduct training regarding pain score.

Benchmark the compliance rates against another facility.

Give data feedback on physician signature to the units.

7) To develop a Performance Improvement Plan, the organization must

design the process and the plan, and then plan for the implementation.

evaluate the costs for each department’s involvement.

review plans and goals from other organizations.

perform a Root-Cause Analysis to determine what needs to be improved.

8) Comparing healthcare organizations by using medical error rates

cannot be performed by facilities with less than 100 beds.

must include a minimum of 10 different facilities

provides the best method for benchmarking patient safety.

may present bias due to differences in reporting practices.

9) What sampling technique involves selecting the medical record of every fifth patient undergoing cardiovascular bypass?

systematic

convenience

stratified

simple random

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

newsletters.

seminars.

multidisciplinary teams.

focus groups.

11) To be useful in preventing future error, a Root Cause Analysis (RCA) should be performed

utilizing a multidisciplinary team.

starting no earlier than 45 days after the event.

using practitioners who were not involved in the event.

documenting opinion as well as facts.

12) 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

contact Facility B to determine its practices.

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

13) When examining the relationship between staff and patient outcomes, which of the following is the most appropriate to assess?

occurrence reports and sentinel events

overtime data and absenteeism rates

patient safety data and overtime data

staff turnover and budget

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

Identify the high risk areas of the organization.

Reduce financial loss associated with legal actions.

Maintain an effective incident reporting system.

Perform failure mode and effects analyses.

15) 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?

Educate nursing staff on the importance of timely notification of critical test results

Continue to collect data as one event is insufficient to take action.

Review the policy with nursing representatives to identify ambiguities.

Refer the involved nurse to nursing peer review.

16) An organization's data demonstrate an increase in the number of patient falls. A healthcare quality professional should recommend

convening a focus group of medical staff to discuss fall risks.

revising the fall-risk assessment tool.

increasing staffing on weekends and nights.

sharing the data with the staff to provide feedback.

17) Which of the following principles applies to continuous quality improvement in an organization?

Causes of nonconformance must be identified and corrected temporarily.

Twenty percent of trouble comes from 80% of the problems.

Empowerment automatically occurs upon implementation of the program.

Systems, not poor job performance, are responsible for most problems.

18) The surgery department's monthly case review revealed 10 records meeting the criteria. Six records did not meet the criteria. In calculating the incidence rate, the denominator is

19) A quality improvement manager must decide how to present data that demonstrates the relationship between two process characteristics. Which of the following data display techniques is most appropriate?

line graph

bar chart

Pareto chart

scatter diagram

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

return on investment should be at least 10 to 1.

consideration of the benefit is more important than cost.

qualitative and quantitative data should be used.

implementation costs are more important than return on investment.

21) A Failure Mode and Effects Analysis (FMEA) is performed

to immediately investigate an incident that occurred.

if the severity of an incident led to a patient death.

as a preventative measure before an incident occurs.

when there is a chance of an incident reoccurring.

22) The major drawback of using raw numbers to present the results of quality monitoring is that they

may be used for focused review.

only measure compliance to established criteria.

cannot be graphed.

lack proper reference points for interpretation.

23) When choosing an outside consultant to lead employee focus groups, which of the following priority areas of expertise should a healthcare quality professional look for?

group dynamics and facilitation

organization design and re-engineering

organization assessment and change management

team development and management

24) 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.

Monthly reports should be sent to the regulatory body

The Quality Council should review medication errors quarterly.

The process owner should implement and assess effectiveness.

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

face-to-face, oral, scheduled

timely, open, two-way

formal, electronic, 'need to know

clear, written, top-down

Your score is