Exam Questions Quality And Safety In Health Care Chapter 13

Chapter 13. Quality and Safety in Health Care

Questions

Multiple Choice

1. How are the National Patient Safety Goals (NPSG) used by the Joint Commission?

1. The NPSG are used as suggestions for practice improvement.

2. The NPSG are part of a larger effort to help patients understand safety.

3. The NPSG are financial goals for organizations providing healthcare.

4. The NPSG are performance expectations to improve safety and quality.

Answer: _____

2. W. Edwards Deming challenged which managerial notion?

1. Patient satisfaction can drive the change process.

2. Quality and increased productivity are incompatible.

3. Nurses don’t want to improve the safety of the care environment.

4. Managers are responsible for making well-prepared recommendations.

Answer: _____

3. The Juran trilogy focuses on which aspect of transforming an organization?

1. Tools

2. Skills

3. Attitudes

4. Knowledge

Answer: _____

4. Putting a continuous quality improvement structure in place includes:

1. Evaluating legal standards

2. Externalizing new beliefs

3. Categorizing efforts and plans

4. Developing a quality council

Answer: _____

5. Which of these is the purpose of the “DO NOT USE” list published by the Joint Commission.

1. Advising physicians which medications to avoid using

2. Enhancing the safety of medical equipment use on patients

3. Reducing medication errors from misreading physician orders

4. Informing staff of safety initiatives that failed to produce expected results

Answer: _____

6. When is a process team typically required?

1. During times of change that impact all nursing staff

2. When improvements involve more than one discipline

3. During episodes of multiple intense change processes at once

4. When projects can be dealt with during day-to-day operations

Answer: _____

7. Which quality improvement tool is used to diagram a root-cause analysis?

1. Fishbone diagram

2. Histogram

3. Pareto diagram

4. Pie chart

Answer: _____

8. In a culture of blame, which is targeted as the cause of the adverse event?

1. The individual

2. The healthcare team

3. Physicians and nurses

4. Nurses and medical researchers

Answer: _____

9. In which would the systemic issues be questioned and targeted for improvement?

1. Healthcare plan

2. Culture of blame

3. Planning process

4. Culture of safety

Answer: _____

10. Which definition best describes benchmarking?

1. Comparing processes to the best in the industry

2. Examining data to determine the need for improvement

3. Reviewing surveys to determine if projects meet the goal

4. Determining the expectation of safe care in the clinical setting

Answer: _____

Multiple Response

11. Which of these are part of the specific knowledge, tools, and techniques required for a new quality in healthcare? Select all that apply.

1. Lifelong learning

2. Technology review

3. Process improvement

4. Cross-functional teamwork

5. Continuous quality improvement

Answer: _____

12. Which statements are true about the special-cause variation chart? Select all that apply.

1. It tracks emerging patterns over time.

2. The normal pattern appears as concentric circles.

3. It monitors processes with run and control charts.

4. It demonstrates minute variations that are part of nature.

5. The individual data points may be unpredictable.

Answer: _____

13. Which method(s) is/are used to select improvement projects? Select all that apply.

1. Listen to your consumers.

2. Review existing reports.

3. Follow a model for change.

4. Read journal articles.

5. Ask the staff about needs.

Answer: _____

14. Which are examples of sentinel events? Select all that apply.

1. Prolonged fluoroscopy

2. Homicide of a staff member

3. Precipitous birth of a full-term infant

4. Discharging an infant to the wrong family.

5. Unintended retention of a foreign body in a patient

Answer: _____

15. Quality improvement requires which of the following? Select all that apply.

1. Establish a need for improvement.

2. Provide controls to maintain gains.

3. Organize project teams for discovery of causes.

4. Develop survey instruments that are reliable.

5. Allow for transition to consumer preference.

Answer: _____