MOA 192 - Quality and Performance » Fall 2022 » Week 7 Quiz
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Question #1
During what type of improvement project does the team brainstorm what could go wrong in each step of a process.
A.
Lean Six Sigma project
B.
Root cause analysis
C.
Failure mode and effects analysis
D.
Rapid cycle improvement
Question #2
According to The Joint Commission, which of the following situations represents a sentinel event?
A.
Physician falsifies records to obtain additional reimbursement.
B.
Family complains about possible elder abuse by a nursing aide.
C.
An unknown assailant robs a home health nurse at gunpoint.
D.
Patient has a stroke after being given an incorrect medication.
Question #3
What is the primary reason for analyzing patient incident data?
A.
To create a database of patient incident information
B.
To find which caregivers are not doing their job well
C.
To understand the risk of patient care lawsuits
D.
To identify unsafe patient care situations
Question #4
What is the first step of a root cause analysis?
A.
Develop risk-reduction strategies
B.
Identify the contributing factors
C.
Report event to the governing board
D.
Understand what happened
Question #5
What is the primary purpose of root cause analysis and failure mode and effect analysis?
A.
Meet Medicare requirements
B.
Reduce wasteful process steps
C.
Improve patient safety
D.
Evaluate staff performance
Question #6
What federally recognized group maintains a database of adverse patient events?
A.
Patient Safety Organization
B.
Agency for Healthcare Research and Quality
C.
Quality Improvement Organization
D.
National Patient Safety Foundation
Question #7
For what purpose would a cause and effect diagram be used during a root cause analysis?
A.
Prioritize risk reduction strategies
B.
Pilot test process changes
C.
Select members of the investigation team
D.
Brainstorm reasons for the event
Question #8
What type of form is used by hospital caregivers to document potential or actual patient safety concerns?
A.
Incident report
B.
Risk summary
C.
Check sheet
D.
Environmental assessment
Question #9
What terms are used to describe what could go wrong during a process step?
A.
Incident occurrence
B.
Incident occurrence
C.
Failure mode
Question #10
According to The Joint Commission in 2015, which of the following was one of the most common root causes of sentinel events in healthcare organizations?
A.
Too few facilities with advanced information technology
B.
Inadequate communication between care providers
C.
According to The Joint Commission in 2015, which of the following was one of the most common root causes of sentinel events in healthcare organizations?
D.
Failure of process safeguards
Question #11
According to The Joint Commission, if a mistake occurs that harms a patient, what must be told to the patient or their representative?
A.
How other patients may be affected
B.
Cause of the patient care mistake
C.
Name of the facility’s lawyer
Question #12
There is no reason to investigate what happened to cause a near miss event because no patient was harmed.
A.
True
B.
False
Question #13
The American Medical Association discourages healthcare organizations from including consumers as members of patient safety advisory groups.
A.
False
B.
True
Question #14
Failure mode and effects analysis is a prospective risk assessment technique.
A.
False
B.
True
Question #15
The likelihood of human errors causing patient harm can be greatly reduced by disciplining staff for making mistakes.
A.
False
B.
True
Question #16
What tactic is a way to improve the reliability of a healthcare process?
A.
Create redundancies.
B.
Encourage personal discretion.
C.
Add process steps.
D.
Punish staff who make mistakes.
Question #17
When an IT system alerts the physician to a potential incompatibility when a new drug is prescribed for a patient, how is the system helping to prevent mistakes?
A.
Reducing inefficiencies
B.
Making failures visible
C.
Mitigating harm
D.
Standardizing the process
Question #18
The number of actions that achieve intended results divided by the total number of actions is measuring what aspect of performance?
A.
Effectiveness
B.
Reliability
C.
Compliance
Question #19
Which of the following improvement actions can help achieve 95% process reliability?
A.
Gather data on the number of failures.
B.
Standardize the process steps.
C.
Do time-work studies to improve efficiency.
D.
Train people to complete the process steps.
Question #20
What is an improvement action considered to be strong—meaning it is more likely to achieve patient safety improvement goals than weak or intermediate actions?
A.
Software enhancements
B.
Process double-checks
C.
Tangible involvement by leadership
D.
Checklists for staff to follow
Question #21
At what level of reliability do most US hospitals now function?
A.
Less than 80 percent
B.
90 percent
C.
80 percent
D.
95 percent
Question #22
What is the primary reason for measuring the effectiveness of improvement actions?
A.
Confirm actions are successful
B.
Celebrate success with staff
C.
Comply with Medicare requirements
D.
Complete the P-D-S-A improvement cycle
Question #23
When can an organization stop measuring the effectiveness of actions taken during an improvement project?
A.
When people are confident the improvement is permanent
B.
When data are no longer available
C.
After it is confirmed actions were implemented
D.
When a higher priority for improvement is identified
Question #24
The study of interactions between people, technology, and policy for the purpose of improving work reliability is called what?
A.
Six Sigma
B.
Work systems analysis
C.
Human factors engineering
D.
Quality assurance
Question #25
How long after an improvement project has ended should measurement data be gathered to determine the project’s success?
A.
Six months after process improvements have been implemented
B.
Until the project sponsor is confident improvements are permanent
C.
Once the Medicare requirements for QAPI have been met
D.
As long as required by the project measurement plan
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