HSCI Midterm WITH COMPLETE
SOLUTIONS GRADED A+
Quality Improvement is defined as the combined efforts of everyone including
healthcare professionals, researchers, payers, planners, and educators, but does not
include patients and their families to make changes that will lead to better outcomes,
better care, and better professional development. - ANSWERS:False
W. Edward Deming created the PDSA Cycle (Plan, Do, Study, Act). - ANSWERS:True
How many times should a PDSA cycle be completed? - ANSWERS:Until the desired
outcome is reached
Quality improvement is a _____ responsibility. - ANSWERS:Shared
What are the three pillars of improvement? - ANSWERS:Improved Patient Outcomes,
Better Professional Development, and Better System Performance
What does quality improvement aim to improve? - ANSWERS:Processes
Where do quality gaps exist in the healthcare system? - ANSWERS:All specialties and
all levels of the healthcare system
All specialties and all levels of the healthcare system - ANSWERS:True
A Canadian study in 2004 estimated that out of 2.5 million annual hospital admissions,
____ involved adverse events. - ANSWERS:13.5%
What is an event that results in death or serious physical or psychological injury or risk?
- ANSWERS:Adverse event
What is an example of a quality gap? - ANSWERS:the difference between the expected
level of care and the measure outcomes of a system
In the PDSA cycle, what step usually takes the most time? - ANSWERS:Plan
Process improvement was originally created by a non-healthcare organization? -
ANSWERS:True
What is a set of knowledge and skills to take the best evidence and put it into practice
consistently and reliably for the improvement of care for patients? -
ANSWERS:Connector
, What is the most important communication tool? - ANSWERS:Listening
Evidence-based practice is the process of shared decision making between the
practitioner, patient, and others significant to them based on research evidence, the
patients experiences and preferences, clinical expertise or know-how, and other
available robust sources of information. - ANSWERS:True
Where should the patient be located in a practice model? - ANSWERS:center
Does evidence-based practice involve using judgment? - ANSWERS:Yes
By making the knowledge available, the care gap is automatically bridged for different
patient populations. - ANSWERS:False
Evidence Based Practice is limited in scope in that it does address linking evidence to
the systems of care. - ANSWERS:False
What is the first step in finding the right evidence to make system improvements? -
ANSWERS:Asking the right questions
The PICO method helps ensure that a question is patient centered and specific. What
does PICO stand for? - ANSWERS:patient, intervention, comparison, outcome
Background questions tend to be more general and knowledge based, while foreground
questions probe for information and apply it in specified ways. - ANSWERS:True
Which evidence based research is the strongest? - ANSWERS:systematic reviews
Expert opinions, case reports, and case controlled studies are what type of information?
- ANSWERS:unfiltered
_________________ build strong evidence because they control for as many factors as
possible, both in design and statistical analysis. - ANSWERS:randomized control trials
Which level of literature search aims to be quick, broad, and to capture as many
resources as possible? - ANSWERS:level 1: rapid searches
Which level of literature search begins with planning and pays close attention to
literature types and resources? - ANSWERS:level 2: careful searches
Which level of literature search is neccesary when you need clinical information for a
very specific question? - ANSWERS:level 3: expert searches
An evidence synthesis can include evidence from a range of studies on a specific topic.
- ANSWERS:True
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