1) 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?

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

3) Which of the following is the FIRST step in facilitating change in an organization?

4) An operating room circulating nurse reported that the instrument count indicated a missing clamp. X-ray findings were negative, and the patient showed no adverse effects. This occurrence is an example of which of the following?

5) A balanced scorecard for an organization is best described as

6) The primary objective of the operational linkage between risk management and quality/performance improvement is to

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

8) A medication error occurred and resulted in a severe adverse outcome. In addition to informing the patient and/or family, a healthcare quality professional should

9) The responsibility to promote organizational values and commitment among the staff lies within:

10) Generic screening is an example of risk

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

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

13) The most effective way for a healthcare quality professional to communicate quality improvement activities for the medical staff is by:

14) Results of physician practice pattern studies are most likely to promote behavior changes when disseminated to the

15) 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

16) 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?

17) 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

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

19) Evidence of strong organization culture

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

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

22) 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?

23) Barriers to effective communication include

24) Medication reconciliation is a process intended to

25) Problem-solving, cross-functional understanding, expanded areas of expertise, and increased span of knowledge are examples of