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.
Family complains about possible elder abuse by a nursing aide.
B.
Physician falsifies records to obtain additional reimbursement.
C.
Patient has a stroke after being given an incorrect medication.
D.
An unknown assailant robs a home health nurse at gunpoint.
Question #3
What is the primary reason for analyzing patient incident data?
A.
To find which caregivers are not doing their job well
B.
To understand the risk of patient care lawsuits
C.
To identify unsafe patient care situations
D.
To create a database of patient incident information
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.
Meet Medicare requirements
D.
Reduce wasteful process steps
Question #6
What federally recognized group maintains a database of adverse patient events?
A.
Quality Improvement Organization
B.
National Patient Safety Foundation
C.
Patient Safety Organization
D.
Agency for Healthcare Research and Quality
Question #7
For what purpose would a cause and effect diagram be used during a root cause analysis?
A.
Pilot test process changes
B.
Brainstorm reasons for the event
C.
Prioritize risk reduction strategies
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.
Risk summary
D.
Incident report
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.
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?
B.
Inadequate communication between care providers
C.
Too few facilities with advanced information technology
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.
Cause of the patient care mistake
B.
How other patients may be affected
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.
True
B.
False
Question #15
The likelihood of human errors causing patient harm can be greatly reduced by disciplining staff for making mistakes.
A.
True
B.
False
Question #16
What tactic is a way to improve the reliability of a healthcare process?
A.
Add process steps.
B.
Punish staff who make mistakes.
C.
Create redundancies.
D.
Encourage personal discretion.
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.
Making failures visible
C.
Reducing inefficiencies
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.
Compliance
B.
Reliability
C.
Effectiveness
Question #19
Which of the following improvement actions can help achieve 95% process reliability?
A.
Do time-work studies to improve efficiency.
B.
Train people to complete the process steps.
C.
Standardize the process steps.
D.
Gather data on the number of failures.
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.
Checklists for staff to follow
B.
Process double-checks
C.
Tangible involvement by leadership
D.
Software enhancements
Question #21
At what level of reliability do most US hospitals now function?
A.
95 percent
B.
90 percent
C.
80 percent
D.
Less than 80 percent
Question #22
What is the primary reason for measuring the effectiveness of improvement actions?
A.
Celebrate success with staff
B.
Complete the P-D-S-A improvement cycle
C.
Comply with Medicare requirements
D.
Confirm actions are successful
Question #23
When can an organization stop measuring the effectiveness of actions taken during an improvement project?
A.
When a higher priority for improvement is identified
B.
When data are no longer available
C.
When people are confident the improvement is permanent
D.
After it is confirmed actions were implemented
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.
Quality assurance
C.
Work systems analysis
D.
Human factors engineering
Question #25
How long after an improvement project has ended should measurement data be gathered to determine the project’s success?
A.
Until the project sponsor is confident improvements are permanent
B.
Six months after process improvements have been implemented
C.
Once the Medicare requirements for QAPI have been met
D.
As long as required by the project measurement plan
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