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.

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

Important for preservation of medical staff autonomy.

A weakness in implementing quality improvement.

Consistent with TQM philosophy.

The most efficient structure.

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

decrease food and drug interactions and promote patient safety

encourage the appropriate use of medications and minimize inventory

manage pharmacy costs and promote patient safety

reduce medication errors and educate physicians

3) 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?

Review the policy with nursing representatives to identify ambiguities.

Educate nursing staff on the importance of timely notification of critical test results

Refer the involved nurse to nursing peer review.

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

4) 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?

CEO

quality improvement director

medical director

governing body

5) In the context of Total Quality Management (TQM) principles applied in healthcare, which scenario best exemplifies the concept of 'employee empowerment' while considering factors such as decision-making processes and task allocation?

Creating a committee composed solely of upper management to oversee all decision-making processes, including those involving frontline staff.

Allowing frontline staff to autonomously make decisions within their scope of expertise, with occasional oversight from upper management for major decisions.

Developing a system where only staff with specific job titles have the authority to make decisions, limiting empowerment to a select few.

Establishing regular training sessions for frontline staff to enhance their decision-making skills and providing them with opportunities to lead certain projects independently

6) Balanced scorecards are useful because they

concentrate on the performance of individual units.

focus on the most significant strategic initiative.

evaluate the pros and cons of the governing body's priorities.

put strategy and vision at the center of an organization's effort.

7) After a significant unexpected event, an intense analysis is performed to

understand the cause.

prepare the facility for a lawsuit.

identify who made the error.

collect risk management data.

8) Which of the following principles applies to continuous quality improvement in an organization?

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

Empowerment automatically occurs upon implementation of the program.

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

Causes of nonconformance must be identified and corrected temporarily.

9) A quality council has chartered a performance improvement team to reduce medication errors. The team has been meeting for several months and progress has been very slow. Which of the following is the most important factor for the quality council to assess with the team leader?

team members' ability to interpret graphs

number of medication errors since team was chartered

composition of the team

frequency of team meetings

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

customer recognizes the value.

customer corrects a mistake to add value.

process owner recognizes the value.

process owner changes the value of the product.

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

death due to a medication error

suicide threat by a patient in a confined 24-hour care setting

surgery on the wrong patient or body part

hemolytic transfusion reaction

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

method that measures process variation.

tool to improve communication among caregivers.

Six Sigma methodology.

software package used in quality improvement.

13) In the context of quality awards, what role does organizational leadership play in strategic alignment?

Defining the organization's strategic objectives.

Conducting customer surveys.

Ensuring compliance with award criteria.

Implementing operational changes.

14) 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

believe the costs are justified by the benefits.

limit training to managers and supervisors.

receive quarterly reports.

be a visible participant in the process.

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

identify opportunities for improvements.

eliminate financial loss for organizations.

meet regulatory requirements.

provide required reports to liability carriers.

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

an integrated report showing the best performing teams.

a tool to reflect the priorities of the organization's customers.

a graphic display of departmental performance.

a representation of key performance indicators.

17) When a healthcare organization is contracting with an outside provider for services, the subcontractor must

provide a representative to the Quality Council.

meet all regulatory requirements.

have a competitively priced service.

have an active risk management program.

18) The best way to evaluate the effectiveness of performance improvement training is through:

participants' feedback.

self-assessments.

observed behavioral changes

post-test results.

19) Which of the following is the primary goal of risk management?

Perform failure mode and effects analyses.

Eliminate financial loss associated with legal actions.

Identify and manage risks to promote patient safety.

Maintain an effective incident reporting system.

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

the negotiating process.

conflict resolution.

project and time management.

budgeting techniques.

21) A 69-year-old female admitted for hip replacement is taken to surgery. The patient is identified, the surgical site is marked incorrectly, and equipment/x-rays are present. A near miss was most likely identified as a result of

an equipment check.

a root cause analysis.

informed consent documentation.

a surgical team 'time-out.'

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

diverse areas of expertise are required.

the organization's goals are unclear.

communication challenges exist.

there are ample resources within the organization.

23) When errors are discovered, staff and supervisors best demonstrate a culture of safety by

performing a root cause analysis to determine which individuals were involved.

developing a plan for just-in-time training.

studying the process to understand the error.

planning which details of the error to disclose to senior leadership.

24) A hospital is working to reduce readmissions. Which of the following is the best approach to accomplish this goal?

showing a video to a patient and their family

having the patient provide return demonstration of the knowledge provided

giving an education sheet on patient medication to the patient and family

requesting the home health nurse provide patient instruction

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

The staff complies with all infection control policies and procedures.

The contract lab will provide results within 24 hours of sample delivery.

The patients will express overall satisfaction with clinic facilities.

Newly diagnosed hypertensive patients are controlled within 6 months.

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