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IHI Exam Study Questions 2024/25 Update All with 100% Correct Verified Answers
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IHI Exam Study Questions 2024/25 Update All with100% Correct Verified Answers
B - ✔✔Using Deming's System of Profound Knowledge is helpful in quality improvement
because:
(A) It's a systematic set of procedures for implementing improvement.
(B) It can help break down complex quality issues into smaller, more understandable parts.
(C) It can help figure out who is to blame after an error.
(D) It's a helpful way to secure funding from external sources for planned improvements.
B - ✔✔Transcendental Nursing Home is working on decreasing its rates of catheter-
associated urinary tract infections (UTIs) among its residents. While reviewing data, the
improvement team notices that the UTI rate on Floor 3 is half that of the rest of the floors. They
decide to visit the unit and find out what it is doing differently.
Which component of Deming's System of Profound Knowledge is the team about to harness?
(A) Appreciation of a system
(B) Understanding variation
(C) Theory of knowledge
(D) Psychology (human behavior)
D - ✔✔Transcendental Nursing Home is working on decreasing its rates of catheter-
associated urinary tract infections (UTIs) among its residents. While reviewing data, the
improvement team notices that the UTI rate on Floor 3 is half that of the rest of the floors. They
decide to visit the unit and find out what it is doing differently.
After speaking with caregivers on Floor 3, the improvement team discovers that there is a
particularly dedicated head nurse on the unit whose mother died after a catheter-associated
UTI. This nurse orients all new providers and also provides feedback when she sees that
catheters are being placed unnecessarily in patients. Which component of Deming's System of
Profound Knowledge do this nurse's actions best represent?
(A) Appreciation of a system
(B) Understanding variation
,(C) Theory of knowledge
(D) Psychology (human behavior)
C - ✔✔Which of these is a question particularly associated with the "theory of knowledge"
component in Deming's System of Profound Knowledge?
(A) What motivates people to act as they do?
(B) What is the variation in results trying to tell you about the system?
(C) What are your predictions about the system's performance?
(D) What is the whole system that you're trying to manage?
C - ✔✔The Model for Improvement begins with three questions designed to clarify the
following concepts:
(A) Plan, do, act
(B) Mission, goal, strategy
(C) Aims, measures, changes
(D) Will, ideas, and execution
B - ✔✔An orthopedic clinic in a busy metropolitan area would like to improve its patient
scheduling process. More specifically, the clinic wants to improve its efficiency and the
satisfaction of its patients.
Applying the Model for Improvement to the clinic's improvement goal, which of the following is
the most reasonable aim statement?
(A) Implement two PDSA cycles within six months of beginning the project.
(B) Increase the number of patients reporting they are "very satisfied" with the clinic's
scheduling by 50 percent within six months.
(C) Modify the scheduling process to allow both front desk staff AND nurses to directly
schedule appointments.
(D) Create an efficient process for scheduling return appointments at the time of checkout.
,C - ✔✔An orthopedic clinic in a busy metropolitan area would like to improve its patient
scheduling process. More specifically, the clinic wants to improve its efficiency and the
satisfaction of its patients. After assembling a team and working through the three questions of
the Model for Improvement, the orthopedic clinic decides to implement an automated
reminder phone call 24 hours prior to each clinical appointment. The clinic's improvement team
hopes that this small change will improve scheduling.
What is the team's next step?
(A) Take a well-deserved break.
(B) Develop their project-level measures.
(C) Test their change plan using the PDSA cycle.
(D) Report their results to clinic leadership and prepare a poster for a national meeting.
B - ✔✔An orthopedic clinic in a busy metropolitan area would like to improve its patient
scheduling process. More specifically, the clinic wants to improve its efficiency and the
satisfaction of its patients. After assembling a team and working through the three questions of
the Model for Improvement, the orthopedic clinic decides to implement an automated
reminder phone call 24 hours prior to each clinical appointment. The clinic's improvement team
hopes that this small change will improve scheduling.
The orthopedic clinic plans the change to improve scheduling, and then it carries out a small
test of change with three patients on Tuesday morning. What's the next thing the clinic's
improvement team should do?
(A) Change their measures.
(B) Measure to see if the change led to improvement.
(C) Report their results to the clinic leadership and prepare a poster for a national meeting.
(D) Implement the new scheduling process based upon their initial impressions of how
everything is working.
E - ✔✔When trying to improve a process, one reason to use PDSA cycles rather than a more
traditional version of the scientific method (such as a randomized, controlled trial) is that:
(A) PDSA cycles are easier to run with a large team of people.
(B) The results of PDSA cycles are more generalizable than other methods.
(C) PDSA cycles are simpler to use than other methods.
, (D) PDSA cycles provide a mechanism to adjust improvement ideas as the project progresses.
(E) Both C and D
A - ✔✔Having a clear aim statement is important in quality improvement work because:
(A) Aim statements provide a clear and specific goal for the organization to reach.
(B) All grant agencies require clear aim statements when they are considering funding
requests.
(C) Aim statements remove all obstacles from quality improvement projects.
(D) The leaders of all organizations expect to see these types of goals.
B - ✔✔An aim statement should include the following:
(A) Specific time frame, team membership, and numeric goals
(B) Numeric goals, specific time frame, and the patient population or system affected
(C) Patient population or system affected, estimated cost of improvement, and numeric goals
(D) All of the above
B - ✔✔Brenda, an emergency room nurse, notes that there seems to be a significant delay
between the ordering and the administration of pain medications in her department. She
decides to conduct a small improvement project to reduce this delay and obtains the support of
the charge nurse (head nurse).
Which of the following is the most effective aim statement for this project?
(A) Within one month, 95 percent of physicians will tell nurses when a pain medication is
ordered on emergency room patients.
(B) Within three months, the emergency department will administer all pain medications
within 45 minutes of order time.
(C) Within two months, improve the timeliness of pain medication delivery by allowing nurses
to stock the most commonly used medications in the emergency unit
(D) Within three months, the emergency department will improve the timeliness of pain
medication delivery to 100 percent of patients.
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