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A team has been tasked with developing a program to prevent patient falls. Which of the following data elements from an incident/occurrence report would
provide the most useful information for the team in evaluating the program’s success?
In health care organization, the quality department developed an indicator to measure the commitment of the staff to Myocardial infarction guidelines .This indicator measure:
In implementing a care bundle for the management of acute myocardial infarction, the recording of the extent to which smoking cessation counseling is provided is a measure of
A facility has identified a trend of increased falls for patients aged 60 to 85 years. An effective fall prevention program should include
Outcomes as used as indicators of quality are defined as any of the following except:
The performance indicator, “Total unscheduled inpatient admissions following ambulatory procedure (within 48 hours)” is a measure of
An organization’s data demonstrate an increase in the number of patient falls. A healthcare quality professional should recommend
Nurse to patient ratio is an example of what type of measures?
The number of designated women receiving breast cancer screening (mammograms) in the reporting year measures
A process indicator is defined as one that measures
The following data is being analyzed based on 6 months of incident reports for falls in a facility with 10 ICU beds and 40 Med/Surg beds:
Which of the following is the next step for the healthcare quality professional to pursue?
Measuring the time it takes a nurse to perform a procedure addresses which of the following aspects of care?
Data collected about surgical cases shows significant delays. Further analysis shows the following chart:
Which of the following monitors provides patient outcome information?
One of the aims in the treatment of severe community-acquired pneumonia is to maintain an oxygen saturation of >94% (or 88 – 92% in patients with chronic obstructive airway disease). Ensuring adequate oxygenation for this condition is a
Which of the following is the best example of an outcome measure?
A hospital-wide medical record audit on documentation has been completed.
The following table shows the compliance rate of documentation:
Compliance Rate (%) Documentation: 1st Qtr 2nd Qtr
Surgical “time-outs” performed 90 95
Communication of critical results 91 95
Pain score used 50 60
Initial patient assessment performed 52 45
Which of the following is the next step?
Effectiveness of performance improvement program best assessed by:
Which of the following obstetrical outcomes will result in a morbidity review?
The quality improvement team finds high needles sticks in emergency department. Who should the team share this information with?
Preliminary data shows increase medical errors in a unit. What should be initially done?
In an improvement project to reduce the wait times in an Emergency Room, the time taken to be assessed by a physician is
A healthcare organization’s strategic plan objectives include a customer satisfaction rating of 85%. The following data are available for three units:
Customer Satisfaction Rate: Unite A/80% Unite B/80% Unite C/62%
Which of the following should a healthcare quality professional recommend?
Which of the following is the BEST definition of process?
The primary goal of quality/performance improvement is to improve
Monitoring phlebitis associated with IV insertions by nurses in the Surgical Intensive Care Unit addresses which focus?
Two surveys were completed in a healthcare facility that showed conflicting results concerning patient satisfaction with food services. The two surveys were independently designed and distributed by different departments within the facility. The healthcare quality professional should FIRST
Functional fire doors are an example of a key hospital
In developing a program to evaluate the effectiveness of physician care, a primary care clinic would select which one of the following indicators?
Monitoring the specific organization and content requirements of a medical record system is a review of which focus?
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?
The outcomes of cardiopulmonary resuscitation (CPR) at an acute care facility in the past 12 months have been poorer than similar organizations in the area. How can the facility assess multidisciplinary team performance during CPR?
All of the following is positive patient outcome except:
A hospice agency conducted a satisfaction survey of all 200 patients currently receiving pain management services. When asked if they were satisfied with their
pain management, 170 patients said yes, and 30 said no. A target satisfaction rate of 90% has been set. In this situation, a healthcare quality professional should
Percentage of children two years of age who had one or more capillary or venous lead blood tests for lead poisoning by their second birthday is a
There were a large number of late visits for home care. The quality professional wants to talk to the home care nurse at this problem. What is the best approach?
A hospital has recently moved to a paperless system. It is noted that some data is missing from the obstetrics delivery record. A healthcare quality professional should recommend
What is the most important relationship between structure, process, and outcome as types of indicators of quality?
Which of the following is example of outcome measure:
A serious event has occurred related to the timely notification of critical test results. The root cause was traced to nursing difficulty with following the
organizational policy. To prevent a similar event from reoccurring, which of the following should be done next?
Customer survey gives score of 1-5 (1 dissatisfaction & 5 very satisfied) found that customer satisfaction of pain management is 1.4, the benchmark score is 3.2, what the healthcare quality professional should recommend:
A clinical pathway on the management of hip fractures has been developed by a multi-disciplinary team and implemented in a large teaching hospital. After monitoring for 6 months, the length of stay continues to exceed the guidelines. Which of the following should be the next step?
Which of the following does an outcome indicator measure?
The medical record manager reports that authentication of verbal orders occurs 25% of the time , as compared to a reported 85% in situations ,which of the following is the initial action for the manager to take ?
A policy for “time-outs” in an operating room was initiated in the first quarter. The second quarter data demonstrated only 40% compliance with all elements of the process. The first step the Quality Council should take is to
Which of the following best describes the successful outcome of the quality improvement process?
42- The following information about patient falls is obtained from a facility with
units that have a similar average daily census:
Unit A: 6%
Unit B: 4%
Unit C: 9%
Unit D: 8%
Which of the following additional information is most important to evaluate the
cause of the falls?
If a hospital has a problem with multidisciplinary teams performance during CPR , what is the best method to assess the problem?
Review of the timeliness of high risk screening for diabetes addresses which focus?