Healthcare Quality Management and Patient Safety practice questions

Question 1

An organization is seeking recognition as a top facility for patient experience. Based on the HCAHPS data below, which action plan will best support this goal? | Measure | Baseline | Current | Goal | |---|---:|---:|---:| | Cleanliness of hospital environment | 73.20 | 74.50 | 85 | | Communication about medications |…

Accepted Answer

Identify barriers to environmental services completing daily room cleaning.

Answer

Audit patient call-bell response times for delays.

Answer

Develop scripting to tell patients about medications.

Answer

Implement team communication training for clinical staff.

Question 2

The following chart represents readmission data for the second quarter. Given the results, which action would help the quality manager identify opportunities for improvement? | Unit | Readmission percentage | |---|---:| | 2 South | 22% | | 2 North | 15% | | 3 South | 10% | | 3 North | 26% | | 4 South | 5% | | 4 North…

Accepted Answer

Further analyze 2 South and 3 North to determine possible causes.

Answer

Use a scattergram to look for an association between readmissions and unit.

Answer

Meet with the Quality Council to share the results for 4 North and 4 South.

Answer

Take no further action because the data are not definitive.

Question 3

An orthopedic surgeon has the following one-year profile: | Measure | Count | |---|---:| | Patients discharged | 142 | | Procedures performed | 100 | | Arthroscopies | 36 | | Hip replacements | 52 | | Laminectomies | 12 | | Surgical wound infections | 32 | | Readmissions within 7 days | 20 | | Incomplete medical…

Accepted Answer

28%

Answer

14%

Answer

20%

Answer

40%

Question 4

A facility reports the following medication-error percentages: Unit A 6%, Unit B 4%, Unit C 9%, and Unit D 8%. What additional information is needed before interpreting these data?

Accepted Answer

Numerator and denominator

Answer

Mode of medication errors

Answer

Staffing ratios

Answer

Time of day

Question 5

Which conclusion can be reached from a 30-day control chart of average time from admission decision to emergency-department departure? The process mean is approximately 45 minutes, the upper control limit is approximately 90 minutes, and the lower control limit is near zero. Day 18 is approximately 102 minutes and…

Accepted Answer

Special-cause variation is shown on the chart.

Answer

An upward trend is noted near the end of the collection period.

Answer

The chart shows common-cause variation only.

Answer

The chart shows a shift in performance.

Question 6

A hospital compares needlestick injuries across three units: Unit A has 2 injuries per 1,000 admissions, Unit B has 12 injuries per 800 admissions, and Unit C has 6 injuries per 762 admissions. Which leadership response best demonstrates a culture of safety?

Accepted Answer

Promote a nonpunitive response to reported needlestick injuries.

Answer

Congratulate Unit A for reporting the fewest needlestick injuries.

Answer

Review staff training records for all three units.

Answer

Evaluate a needle-safety device only for Unit B.

Question 7

A patient-complaints control chart has a center line of 9.833, an upper control limit of 19.241, and a lower control limit of 0.426. Monthly counts from January through December are approximately 12, 15, 11, 8, 10, 9, 6, 13, 10, 10, 8, and 6. Which statement accurately describes the results of an improvement project…

Accepted Answer

The project has not shown a significant impact on patient complaints.

Answer

The February and August complaint counts are outliers.

Answer

The project has resulted in a significant decrease in patient complaints.

Answer

There is a significant decrease in complaints from October through December.

Question 8

A hospital compares surgical infection rates with state rates: | Procedure | Hospital rate | 95% confidence interval | State rate | |---|---:|---:|---:| | Total hip | 0.4 | 0.2–0.6 | 0.9 | | Total knee | 1.1 | 0.8–1.2 | 1.0 | | ACL | 1.5 | 1.4–1.6 | 1.5 | | Total shoulder | 1.3 | 1.0–1.6 | 0.9 | On which procedure…

Accepted Answer

Total shoulder

Answer

Total hip

Answer

ACL

Answer

Total knee

Question 9

A rapid process-improvement team began a new process on January 7 to reduce targeted events per bed day. A control chart shows a sustained decrease after implementation, with the post-implementation points increasingly below the center line and the final point at the lower control limit. What is the best conclusion?

Accepted Answer

There was a decreasing shift; recommend continuing the process.

Answer

There was a decreasing trend; recommend discontinuing the process.

Answer

There was a spike in the process; recommend discontinuing the process.

Answer

There was an increasing shift; recommend discontinuing the process.

Question 10

An organization implemented a revised medication-reconciliation process 21 months ago. A statistical process-control chart shows month 4 above the upper control limit, followed by a long run from approximately month 10 through month 21 below the original 10% process mean. What can be concluded?

Accepted Answer

The data indicate that compliance has decreased.

Answer

The data are inconclusive and require additional monitoring before interpretation.

Answer

Compliance is expected to be above the mean in the coming months.

Answer

The number of compliant clinicians has increased.

Healthcare Quality Management and Patient Safety practice questions

Question stream

Discussion

Measure	Baseline	Current	Goal
Cleanliness of hospital environment	73.20	74.50	85
Communication about medications	82.40	91.30	90
Communication with doctors	73.70	74.20	75
Responsiveness of staff	90.60	88.90	85

Manage your cookie preferences

Loading subject practice

Loading Brainliest

Loading subject practice

Healthcare Quality Management and Patient Safety practice questions

Question stream

Discussion

Practice overview