1) The utilization management committee is reviewing length-of-stay data for a particular procedure. In comparing data by physician, which of the following statistics will be most useful?

2) 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?

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

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

5) After brainstorming, which of the following should a quality improvement team use to identify items that need immediate attention?

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

7) Evidence of strong organization culture

8) A team approach in quality improvement activities is preferred when

9) Incorporating TQM key concepts, compartmentalization of QM/QI activities by organizational structure, i.e., by department or discipline, is

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

11) A healthcare quality professional is developing a policy regarding access to physician quality files. In addition to the date and name of the person requesting the information, which of the following should be included in the policy?

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

13) 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?

14) Informed consent for hip surgery was obtained and documented for an elderly patient. In the recovery room, a nurse discovered the wrong hip had been replaced. A healthcare quality professional should

15) 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

16) A culture of patient safety in an organization will have been successfully created when

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

18) A process indicator is defined as one that measures

19) Which of the following is always true regarding a sentinel event?

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

21) Upon completion of a performance improvement project, who is the best person to compile and write a report?

22) The staff has been trained and oriented on a new electronic incident reporting system. In the past, staff could report anonymously. The new system requires staff to sign in with an individualized username and password. Three months after implementation, there is a sharp reduction in the number of reported incidents. Which of the following reasons for underreporting of incidents is of greatest concern?

23) 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

24) Meaningful quality process measures must be

25) A team approach to problem solving is most useful when