The rate of Cesarean section performed at a facility over the past 5 years is best presented in a - control
chart because
data collected over time.
A large acute care facility has fostered a culture of patient safety through staff education, support of
process improvements at the departmental level, and implementation of a non-punitive approach to
error reporting. Compliance with patient safety goals in departments range from 75—100%.How should
the organization assess its culture of patient safety? - Survey employees and physicians
A process indicator is one that measures - an activity to provide care or service.
An acute care facility plans to use a survey to evaluate its level of customer satisfaction. The facility has
an urgent care center, dialysis unit, operating room, cardiac catheterization lab, and six Medical/Surgical
inpatient units.Which of the following methods provides the most reliable data? - A random sample of
20% of all annual discharges/visits per unit
A curriculum for staff education in organizational change should include all of the following - budgeting
techniques.
An acute care facility has had an increase in the rate of patient falls in the past six months. The
healthcare quality professional should recommend - sharing the data with staff to provide feedback
Situation-Background-Assessment-Recommendation (SBAR) is a - tool to improve communication
between caregivers.
Team building exercises for the first meeting should include all of the following EXCEPT - reviewing the
improvement plan.
, In the development of department-specific performance indicators, the healthcare quality professional
in her role as a consultant should - conduct a literature search and select appropriate quality indicators
To introduce performance improvement concepts throughout the organization, a healthcare quality
professional should consider implementing all of the following steps EXCEPT - mandating staff
participation in self-study activities related to quality.
Which of the following is an example of a leadership strategy to integrate the patient safety program
into the organization's overall performance improvement system? - Apply failure mode and effects
analysis (FMEA) in the healthcare system
On which of the following areas should a trend analysis of incidents at an acute care facility focus? -
Severity level and occurrence types
A quality improvement team has brainstormed a list of many ideas. Which tool should the team use to
identify which ideas to test first? - Multi-voting
A team approach to quality improvement activities is preferred when - the process has many owners
The following data on falls were obtained from a facility with units that have similar average daily
censuses.
Unit A—9%
Unit B—4%
Unit C—6%
Unit D—8%
What other information is needed to help determine the cause of the falls? - Compliance with the fall
prevention protocol
Which of the following questions should be asked first when reviewing an organization's performance
improvement (PI) plan? - Is the PI plan consistent with the organization's mission and strategic
priorities?
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