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.
Failure mode and effects analysis
B.
Lean Six Sigma project
C.
Root cause analysis
D.
Rapid cycle improvement
Question #2
According to The Joint Commission, which of the following situations represents a sentinel event?
A.
Family complains about possible elder abuse by a nursing aide.
B.
Patient has a stroke after being given an incorrect medication.
C.
An unknown assailant robs a home health nurse at gunpoint.
D.
Physician falsifies records to obtain additional reimbursement.
Question #3
What is the primary reason for analyzing patient incident data?
A.
To identify unsafe patient care situations
B.
To create a database of patient incident information
C.
To find which caregivers are not doing their job well
D.
To understand the risk of patient care lawsuits
Question #4
What is the first step of a root cause analysis?
A.
Understand what happened
B.
Develop risk-reduction strategies
C.
Identify the contributing factors
D.
Report event to the governing board
Question #5
What is the primary purpose of root cause analysis and failure mode and effect analysis?
A.
Evaluate staff performance
B.
Improve patient safety
C.
Reduce wasteful process steps
D.
Meet Medicare requirements
Question #6
What federally recognized group maintains a database of adverse patient events?
A.
National Patient Safety Foundation
B.
Agency for Healthcare Research and Quality
C.
Patient Safety Organization
D.
Quality Improvement Organization
Question #7
For what purpose would a cause and effect diagram be used during a root cause analysis?
A.
Pilot test process changes
B.
Prioritize risk reduction strategies
C.
Brainstorm reasons for the event
D.
Select members of the investigation team
Question #8
What type of form is used by hospital caregivers to document potential or actual patient safety concerns?
A.
Check sheet
B.
Environmental assessment
C.
Incident report
D.
Risk summary
Question #9
What terms are used to describe what could go wrong during a process step?
A.
Incident occurrence
B.
Failure mode
C.
Incident occurrence
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.
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?
C.
Failure of process safeguards
D.
Inadequate communication between care providers
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.
Cause of the patient care mistake
B.
Name of the facility’s lawyer
C.
How other patients may be affected
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.
True
B.
False
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.
Encourage personal discretion.
B.
Create redundancies.
C.
Punish staff who make mistakes.
D.
Add process steps.
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.
Standardizing the process
B.
Reducing inefficiencies
C.
Making failures visible
D.
Mitigating harm
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.
Do time-work studies to improve efficiency.
B.
Standardize the process steps.
C.
Gather data on the number of failures.
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.
Process double-checks
B.
Software enhancements
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.
90 percent
B.
Less than 80 percent
C.
95 percent
D.
80 percent
Question #22
What is the primary reason for measuring the effectiveness of improvement actions?
A.
Celebrate success with staff
B.
Confirm actions are successful
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.
After it is confirmed actions were implemented
B.
When a higher priority for improvement is identified
C.
When data are no longer available
D.
When people are confident the improvement is permanent
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.
Once the Medicare requirements for QAPI have been met
B.
Six months after process improvements have been implemented
C.
Until the project sponsor is confident improvements are permanent
D.
As long as required by the project measurement plan
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