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

2) 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?

3) In the process of strategic planning, an organization makes decisions about the future. A basic component of the planning process is to

4) 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?

5) 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

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?

7) 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

8) 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?

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

10) 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?

11) Barriers to effective communication include

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

13) A hospital has recently moved to a paperless system. It is noted that some data is missing from the obstetrics delivery record. A healthcare quality professional should recommend

14) A patient in an acute psychiatric unit committed suicide by hanging himself with his shoelaces. To prevent this from occurring again, the most appropriate action is to institute

15) A curriculum developed by healthcare organizations for staff education in organizational change should include all of the following EXCEPT

16) Which of the following are the first steps when preparing for an initial accreditation or certification survey of an organization?

17) An effective facilitator should be skilled in process evaluation and the tools of performance evaluation, and must

18) Evaluating medication administration to reduce medical errors is an example of

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

20) Hospital A has recently merged with Hospital B. After 6 months it is noted that Hospital A has successfully transitioned their staff to new organizational values, while Hospital B still struggles. Hospital A's success can best be attributed to:

21) A failure mode and effects analysis (FMEA) provides which of the following types of review?

22) Situation-Background-Assessment-Recommendation (SBAR) is a

23) Comparing healthcare organizations by using medical error rates

24) 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

25) For health information technology to be most effective in reducing harm, the technology needs to be