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 principles applies to continuous quality improvement in an organization?

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

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

Causes of nonconformance must be identified and corrected temporarily.

Empowerment automatically occurs upon implementation of the program.

2) The concept of organizational liability is most important in the field of healthcare quality because it holds the organization responsible for

assuring that peer review physicians have no conflict of interest in cases being reviewed

requiring physicians to carry adequate malpractice insurance.

maintaining confidentiality of all documents.

maintaining a process to identify deficiencies in the provision of care.

3) A physician who has a high inpatient mortality rate compared to others in a facility should first be

suspended in the interest of patient safety.

counseled by the department chairperson.

evaluated via a more in-depth review of cases.

reviewed by the credentialing committee.

4) Which of the following team members is responsible for keeping meetings focused?

time keeper

recorder

facilitator

leader

5) 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

Refer the involved nurse to nursing peer review.

Review the policy with nursing representatives to identify ambiguities.

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

6) A Quality Council has chartered a Failure Mode and Effects Analysis (FMEA) team to examine the best method of preventing medication errors after the installation of a new medication dispensing system. The team's first major task should be to

brainstorm on potential failure modes of the equipment.

identify ways to detect the likelihood of the equipment breaking down.

develop a few chart of how the equipment will be installed.

multi-vote on the severity of the potential equipment breakdowns.

7) 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:

requiring adoption of new values by all staff.

acceptance of the new mission and vision statements

integrating technology and databases

support of both hospitals' mission statements.

8) Which of the following are the primary reasons for developing drug formularies?

manage pharmacy costs and promote patient safety

encourage the appropriate use of medications and minimize inventory

decrease food and drug interactions and promote patient safety

reduce medication errors and educate physicians

9) A poster containing information will most effectively convey outcome information to internal customers.

2 Bar graphs showing the 2 unites with fewest number of falls over past year

(Patient fall decreased over 4 years) printed above a line graph showing percentage of falls to patient days

Patient fall indicate downward trend. Keep moving team!

(Patient fall last year were 0.5% of patient days) printed to photograph of the organization staff

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

documenting opinion as well as facts.

starting no earlier than 45 days after the event.

utilizing a multidisciplinary team.

using practitioners who were not involved in the event.

11) Based on the principles of the Institute for Healthcare Improvement (IHI), who has the ultimate responsibility for the effectiveness of quality improvement
and patient safety within an organization?

medical director

quality improvement director

CEO

governing body

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

contract with a consulting firm to assist with the planning process.

determine organizational profitability during the most recent fiscal year.

develop contractual relationships to enhance market share.

examine both internal and external environments.

13) Timeliness and compliance of documentation were discussed at a multidisciplinary team meeting. To evaluate the effectiveness of the team's action plan, which of the following will provide the most useful information?

physician attendance

medical record review

number of complaints

frequency of meetings

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

person performing the process

quality management representative

administrator

department supervisor

15) Which of the following is NOT a function of the facilitator on a quality improvement team?

Keep the group focused on a central issue.

Manage time.

Keep minutes and records of the team's efforts.

Tactfully prevent anyone from dominating the discussion.

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?

Report this as a sentinel event to the transferring hospital.

Do nothing since it happened at another facility.

Conduct an analysis to reduce future occurrences.

Recommend disciplinary action for the offenders.

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?

Identify quarterly discharge rates for the organization.

Conduct a root cause analysis to proactively identify risks.

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

Evaluate training data to plan leadership retreats.

18) A strategy used in brainstorming is that ideas are

all recorded.

progressively eliminated.

discussed when they are mentioned.

prioritized as they occur.

19) To reduce the incidence of ventilator-associated pneumonia (VAP) in a critical care unit, who should be included on a quality improvement team?

pharmacist, intensivist, and infection control nurse

ICU manager, respiratory therapist, and pharmacist

intensivist, ICU nurse, and respiratory therapist

primary care physician, infection control nurse, and surgeon

20) A patient is being taught how to self-administer insulin. Which of the following is the BEST method to assess this patient's understanding of the teaching?

return demonstration

patient satisfaction survey

family's ability to verbalize instructions

written pre-and posttest

21) A group of pediatric patients diagnosed with cystic fibrosis is being studied. Their attitudes toward the disease have been measured each year for the past 4
years. The methodology used is an example of a

cohort study

cross-sectional analysis.

case-mix study.

regression analysis.

22) A healthcare quality professional has been asked to examine a new method of reviewing adverse events in an organization. It has been decided that a system of triggers will be established to alert the Quality Council of a potential problem. The best example of a trigger that should be set with a threshold of zero is a

staff member not using proper handwashing technique.

near miss from failure to perform a 'time-out.'

patient complaint regarding wait times.

medical record not completed by a physician.

23) Healthcare leaders are confronted with the challenge of increasing quality while reducing costs. Which of the following approaches best advances improvement efforts?

Increase charges and decrease costs.

Incorporate customer satisfaction results into quality initiatives.

Support activities that improve outcomes and reduce variation.

Develop new services to increase revenues.

24) In order for a quality improvement team to deal effectively with conflict, it is important to appoint which of the following to its membership?

human resources representative

facilitator

senior leader

risk manager

25) 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

perform a regression analysis.

conduct a root cause analysis.

reassign the employees involved.

implement new technology.

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