Multiple Choice Questions in Healthcare Quality 11-20

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1. Your community hospital has coordinated with local municipality authority to convert a busy intersection to a roundabout (i.e., traffic circle) to alleviate long standing condestion, but after completion it was realized that large fire trucks cannot fit through the new configuration. This is an example of:

Quality assurance.

System re-engineering.

Unintended consequences.

Continuous quality improvement.

2. All of the following are key aspects of quality EXCEPT:

It considers customers needs.

It promotes high levels of precision.

It depends upon customer perceptions.

It does not change with time.

3. A team approach to assist in problem solving is most useful when:

the organization's goals are unclear.

diverse areas of expertise are required.

there are adequate resources within the organization.

communication challenges exist.

4. The primary goal of risk management is to:

minimize financial loss associated with legal actions.

identify the high risk areas of the organization.

perform Failure Mode and Effects Analyses (FMEA).

maintain an effective and timely incident reporting system.

5. All of the following statement about variation in quality management methods are true EXCEPT:

Special cause variation is best addressed at the specific source.

Special cause variation is typically random in nature.

Common cause variation is also known as (internal variation).

Common cause variation is inherent to any given process.

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6. Published articles information in scientific lournals is set in the following sequence:

Author(s), Title, Journal, Year, Volume, Issue, Page(s).

Journal, Year, Volume, Issue, Page(s), Year, Title.

Author(s), Journal, Title, Year, Volume, Issue, Page(s).

Title, Author(s), Journal, Year, Volume, Issue, Page(s).

7. All of the following statement are true EXCEPT:

Accreditation by the Joint Commission is mandatory for hospitals that bill Medicare for services.

The Hospital Quality Alliance develops and promotes the utilization of quality measures, such as those addressing surgical wound infections.

The National Quality Forum reviews and endorses voluntary consensus standards.

The Institute for Healthcare Improvement is an independent, non-profit organization promoting patient safety initiatives.

8. A 67 years old diabetic patient being taught how to self-administer insulin. Which of the following is the best method to assess this patient's understanding of the teaching?

family's ability to verbalize instructions.

patient satisfaction survey.

return demonstration.

written pre- and post test.

9. The following are reasonable description of variation in process capability EXCEPT:

Degree of distribution about the mean.

Distance from perfection.

Antithesis of quality.

Extent to which process conforms to the norm.

10. Regarding Meta-analysis, all the following statements are True EXCEPT:

It provides a more precise estimate of a treatment effect.

It doesn't allow a more objective appraisal of the evidence than traditional narrative reviews.

It may be biased due to exclusion of relevant studies or inclusion of inadequate studies.

It is a statistical procedure that integrates the results of several independent studies that considered to be combinable.

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