1) A healthcare quality professional is attempting to refine the differences between an organization's objectives and the stakeholder needs. Which of the following tools is most appropriate?

2) An organization has established a culture of patient safety when

3) Clinical decision support systems can support medication safety by alerting prescribers to

4) Problem-solving, cross-functional understanding, expanded areas of expertise, and increased span of knowledge are examples of

5) The primary reason healthcare organizations use benchmarking is to

6) The concept of "patient safety" applies most appropriately to

7) 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

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

9) 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

10) An organization can best measure its effectiveness in meeting customer expectations by:

11) Minimizing the chances for an adverse event to reoccur includes determining the primary contributing factor by using

12) 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

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

14) Medication reconciliation is a process intended to

15) Performance improvement teams should always be required to

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

17) 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?

18) 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?

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

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

21) A new quality director has reviewed the information related to the Quality Council minutes and notes the following: - The council meets quarterly. Meetings
last approximately 2 hours. - The council roster includes all clinical department managers and the quality director. Attendance ranges from 45-60%. - The primary role of the council is to receive department quality reports, which are then forwarded to the organization's governing body. Based on the information above, which of the following actions is most appropriate?

22) 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?

23) In the quality improvement process, performing a cost-benefit analysis is most useful in

24) Balanced scorecards are useful because they

25) The primary purpose of an organization's quality improvement (QI) strategic plan is to