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

3) Which of the following elements must be present in order to evaluate the effectiveness of a healthcare organization's quality improvement program?

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

5) Generic screening is an example of risk

6) A process indicator is defined as one that measures

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

8) The primary purpose of integrating financial and quality management information is to

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

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

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

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

13) Two surveys were completed in a healthcare facility that showed conflicting results concerning patient satisfaction with food services. The two surveys were independently designed and distributed by different departments within the facility. The healthcare quality professional should FIRST

14) Quality leadership, in contrast to management by results, starts with which of the following?

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

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

17) Leadership can best integrate performance improvement within an organization through

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

19) 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

20) A small, rural hospital wishes to evaluate customer satisfaction using a survey. The organization has four patient care units, an emergency department, and
an ambulatory unit. Which of the following survey methods provides the most reliable information?

21) The major drawback of using raw numbers to present the results of quality monitoring is that they

22) Impressed by what he saw at a healthcare conference, the Chief Executive Officer decided to adopt Lean Six Sigma as the hospital's new approach to process improvement. If the desired results are not achieved, which of the following is the most likely reason for this?

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

24) Empowerment gives employees the opportunity to

25) In lean thinking, a process step is defined as "value added" if the