1) 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

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

3) 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

4) 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?

5) An organization that is committed to a culture of team-work, collaboration, and adaptability is referred to as having

6) Which of the following scenarios best illustrates the principles of Lean management in healthcare delivery?

7) The primary purpose of an organization's quality improvement (QI) strategic plan is to

8) Generic screening is an example of risk

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

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

11) Which of the following is the best example of the use of human factors engineering?

12) A t-test may be used to

13) Which of the following is the best tool to begin an investigation into the causes of laboratory labeling errors?

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

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

16) Performance improvement teams should always be required to

17) 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?

18) A health plan is required to have a mechanism for members to submit complaints. Which of the following actions must be included in the complaint analysis to ensure the plan makes full use of this type of information?

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

20) Frequency distribution can best be displayed through use of

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

22) Which of the following charts will most likely be used first in a root cause analysis?

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

24) A hospice agency conducted a satisfaction survey of all 200 patients currently
receiving pain management services. When asked if they were satisfied with their pain management, 170 patients said yes, and 30 said no. A target satisfaction rate of 90% has been set. In this situation, a healthcare quality professional should:

25) Which of the following is the primary benefit of using external quality consultants?