"Underuse is evidenced by the fact that many scientifically sound practices are not used
as often they should be, For example, biannual mammography screening in woman ages
40 to 69 has been proven beneficial and yet is performed less than 75 percent of the
time." This is the categorization of:
A. Defects
B. Lack of professionalism in Medical field
C. Lack of care
D. Medical practice - ANSWER A. Errors
__________ refers to the term used when proper clinical care process is not carried out
accordingly, for instance administering an incorrect drug to a patient or using a correct
drug in the wrong way.
A. Underuse
B. Overuse
C. Misuse
D. Abuse use - ANSWER Answer: C- misuse
Crossing the Quality Chasm provided a blueprint for the future that categorized and
integrated the components of quality through six aims for improvement, chain of effects,
and simple rules for redesign of health care. The six aims for improvement viewed also
six dimensions of quality. Which one of the following is NOT out of those dimensions?
A. Safe
B. Care centered
C. Efficient
, D. Effective - ANSWER Answer: B- care centered
_____________ can be measured by how well evidence- _____________ can be measured
by how well evidence-based practices are followed, such as the percent of time diabetic
patients receive all recommended care at each doctor visit, the percent of
hospital-acquired infections, or the percent of patients who develop pressure ulcers
(bed sores) while in the nursing home.
A. Safe care
B. Equitable care
C. Effective care
D. Timely care - ANSWER Answer: C - effective care
Currently, patients view the quality of our healthcare system as less than optimal.
Quality in healthcare is a term used universally stirring significant emotion including:
A. Frustration and despair, demonstrated by patients experiencing healthcare services
personally or family members observing the care of their loved ones
B. Anxiety due to the ever-rising costs and complexities of care
C. Patient centered measures
D. Timely care that may be experienced in terms of performance of services - ANSWER
Answer: A, B -
There is a story of an intensive care unit (ICU) at Dominican Hospital in Santa Cruz
Country, California. Dominican, a 379-bed community hospital, is part of the 41-hospital
Catholic Healthcare West system. "We used to replace ventilator circuit for incubated
patients daily because we thought this helped to prevent pneumonia," said Lee
Vanderpool, vice president. "But the evidence shows that the more you interfere with
that device, the more often you risk introducing infection.". It turns out it is often better
to leave it alone until it begins to become cloudy, or 'gunky,' as the no clinicians say."
The hospital staff learned an important lesson from this experience that:
A. Evidence is more powerful than intuition
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