Quality Improvement Exam 5

Cancer is the third leading cause of death in the U.S.. What categorical data is this known as a) Ordinal b) Nominal c) Internal d) Ratio

a) Ordinal

You have made a list of the advantages and disadvantages of a measure of central tendency. Advantages: Easy to obtain and interpret Not sensitive to extreme observations in the frequency distribution Easy to communicate and explain to others. Disadvantages: May not be descriptive of the distribution May not be unique Does not provide information about the entire distribution a) mean b) median c) range d) mode

d) mode

You are trying to improve communication with your staff by posting graphs or significant statistics on the employee bulletin board. You recently calculated the percentage of time employees spend on each of six major tasks. Because you would like the employees to appreciate each task as percentage of their whole day, you will post these figures using a a) line graph b) bar graph c) scatter diagram d) pie graph

d) pie graph

Pasadena Bay Hospital reports an average LOS in January of 3.7 days with a standard deviation of 20. This tells us that a) most patients had an LOS of 3 to 4 days b) there was a small variation in the LOS c) patients at Pasadena Bay stay longer than average d) there was a large variation in the LOS

d) there was a large variation in the LOS

DOA

dead on arrival

If 200 patients were discharged in March and of these three died. What is the gross death rate? a) 0.015 b) 1.5% c) 1% d) 2%

b) 1.5%

Question 27 2 / 2 pts In May, 270 women were admitted to the Obstetrics service. Of these, 263 women delivered; 33 deliveries were by C-section. What is the denominator for calculating the C-section rate? a) 33 b) 263 c) 270 d) 263 + 33

b) 263

Community Hospital had 25 inpatient deaths, including newborns for the month of June. The hospital had a total number of 500 discharges for the same period, including deaths of adults, children, and newborns. What was the hospitals gross death rate for June? a) 0.05% b) 5% c) 20% d) 200%

b) 5%

During the past year 40 females were diagnosed with breast cancer. The age of each patient, at the time of diagnosis was recorded. The ages in descending order are: 81, 79, 78, 76, 75, 74, 73, 72, 69, 68, 67, 66, 64, 64, 63, 62, 61, 59, 58, 58, 58, 57, 56, 55, 54, 53, 52, 49, 48, 47, 46, 44, 43, 41, 39, 39, 38, 34, 32, 28. What is the mode? a) 57 b) 58 c) 59 d) 60

b) 58

Royal Palm Hospital has 500 beds and 55 bassinets. In February of a nonleap year, it reported the following statistics: IPSD: Adult and Pediatric: 12345 Newborn: 553 Discharges: Adult and Pediatric: 1351 Newborn: 77 Discharge Days: Adult and Pediatric: 9457 Newborn: 231 What was the average length of stay at Royal Palm Hospital in February? a) 6.8 days b) 7 days c) 9 days d) 9.1 days

b) 7 days

Royal Palm Hospital has 500 beds and 55 bassinets. In February of a nonleap year, it reported the following statistics: IPSD: Adult and Pediatric: 12345 Newborn: 553 Discharges: Adult and Pediatric: 1351 Newborn: 77 Discharge Days: Adult and Pediatric: 9457 Newborn: 231 What was the percentage of occupancy for adults and pediatrics in February? a) 84.8% b) 88.2% c) 79.6% d) 80.5%

b) 88.2%

Which organization focuses one of its main priorities on patient-centered outcomes research? a) CDC b) AHRQ c) WHO d) HHS

b) AHRQ

Which type of research include those studies that pose only minimal risk to human subjects? a) Exempt b) Expedited c) Full board approval d) Clinical trial research

b) Expedited

Which rate compares the number of autopsies performed on hospital inpatients to the total number of inpatient deaths for the same period of time? a) Net autopsy rate b) Gross autopsy rate c) Hospital autopsy rate d) Averaged autopsy rate

b) Gross autopsy rate

Analysis of big data does not necessarily mean that upper level statistics have to be used. One can start with ___________ levels of statistics and then move on to ________ statistics if the problem that needs to be solved requires the higher level of statistics. a) inferential; descriptive b) descriptive; inferential c) random; non-random d) social; scientific

b) descriptive; inferential

The best form/graph for demonstrating trends over time would be a) frequency polygon b) line graph c) pie chart d) histogram

b) line graph

Distinguish between qualitative and quantitative research.

Qualitative research collects data based on intangible statistics, such as a person's feelings (interviews). However quantitative research collects data based on tangible statistics, such as the number of discharges (gross death rate).

Mortality

Refers to death statistics

Sandy Beach Hospital reports 1652 discharges for September. The infection control report documents 21 community-acquired infections and 27 nosocomial infections for the same month. a) 1.3 b) 1.4 c) 1.6 d) 2.9

1.6

CTT

Census Taking Time

Morbidity

Data refers to disease statistics and are gathered to provide data on the prevalence of disease

What is descriptive research and what is one of the most common tools employed?

Descriptive research only explores the data that is collected and creates new deductions based on this data collected. One of the most common tools employed is the computer-assisted coding software.

Distinguish and give EXAMPLES of internal users and external users.

Internal users are the employees that work inside the business, such as physicians in a hospital business. External users are employees that do not work inside the business, but may use the business' resources as a consumer, such as a patient or vendor in a hospital business.

True or False: Discharge is a termination of the hospitalization. A death is considered a discharge but deaths are recorded independently to help facilitate rate calculation.

True

A patient admitted to the hospital on January 24 and discharged on February 9 has a length of stay of a) 16 days b) 15 days c) 17 days d) 14 days

a) 16 days

Bayside Hospital has 275 adult beds, 30 pediatric beds, and 40 bassinets. In a nonleap year, inpatient service days were 75860 for adults, 7100 pediatrics, and 11800 for newborns. What was the average daily census for the year? a) 227 b) 208 c) 207 d) 259

a) 227

During the past year 40 females were diagnosed with breast cancer. The age of each patient, at the time of diagnosis was recorded. The ages in descending order are: 81, 79, 78, 76, 75, 74, 73, 72, 69, 68, 67, 66, 64, 64, 63, 62, 61, 59, 58, 58, 58, 57, 56, 55, 54, 53, 52, 49, 48, 47, 46, 44, 43, 41, 39, 39, 38, 34, 32, 28. The mean is: a) 57.5 b) 59 c) 56 d) 54

a) 57.5

On May 5, a hospital with 85 beds has an inpatient service day total of 60 patients. What is the inpatient bed occupancy percentage for May 5? a) 70.6% b) 80% c) 65% d) None of the above

a) 70.6%

Critique this statement: The Healthcare Cost and Utilization Project is an interactive database supported by the Agency for Healthcare Research and Quality. The database facilitates the comparison of hospital statistics for the purpose of research and benchmarking. a) This is a true statement. b) This is a false statement as HCUP is not interactive. c) This is a false statement as HCUP is not used for research. d) This is a false statement as HCUP is not used for comparisons.

a) This is a true statement.

Critique this statement: The National Center for Health Statistics is the agency within the Centers for Disease Control that gathers information on vital and health statistics in the United States. a) This is a true statement. b) This is not a true statement as the agency is actually CMS. c) This is not a true statement as the agency is actually Joint Commission. d) This is not a true statement as the agency is actually institutional review boards.

a) This is a true statement.

Discharge List (Look at test) Looking more closely at the LOS for these patients, when you calculate the standard deviation on the data, you would expect a) a large standard deviation because the dispersion is large b) a small standard deviation because the dispersion is small c) a large standard deviation because the dispersion is small d) a small standard deviation because the dispersion is large

a) a large standard deviation because the dispersion is large

What is the simplest measure of the central tendency? a) mode b) mean c) median d) range

a) mode

Discharge List (Look at test) Without even performing any complex calculations, you can get a quick, simple measure of dispersion in the LOS for yesterday's discharges by computing the a) range of the data set b) mean of the data set c) variance of the data set d) coefficient of variation of the data set

a) range of the data set

The ability to obtain the same results from different studies using different methodologies and different populations is a) reliability b) validity c) confidence d) specificity

a) reliability

The statistics reported for a 300 bed hospital for 1 year were 20932 discharges with 136651 discharge days and 3699 consultations performed. What was the consultation rate for the year? a) 16.5% b) 17.0% c) 17.7% d) 18.0%

c) 17.7%

All Women's Hospital for the month of March Statistics Live Births: 225 Intermediate and Late fetal deaths: 5 Early fetal deaths: 4 Newborn discharges: 235 What is the fetal death rate using the above stats? a) 4.0% b) 1.78% c) 2.2% d) 1.77%

c) 2.2%

During the first three months of the year, 18 inpatient deaths were recorded. Two of these were coroner's cases and fell under the coroner's jurisdiction. Of the remaining 16, an autopsy was performed on four patients. Four outpatient deaths were also reported and two of these were autopsied. What is the gross autopsy rate? a) 20% b) 21% c) 22.2% d) 23%

c) 22.2%

Given the numbers 1, 5, 10, 25, 26, and 66, what is the range? a) 10 b) 26 c) 65 d) 66.5

c) 65

Lake City Health Center has 200 beds and 20 bassinets. In a nonleap year, Styles Hospital admitted 16437 adults and children; 16570 adults and children were discharged. There were 1764 live births and 1798 newborns discharged. The bed turnover rate for the year was a) 82.2 b) 82.7 c) 82.9 d) 93.5

c) 82.9

______________ is a method of grouping patients according to a predefined set of characteristics. a) Reimbursement b) Case Mix c) Encounter d) None of the above

c) Case Mix

This is a count of people, an official periodic enumeration of a population. a) IP census b) Census c) A&D d) OP

c) Census

Which rate is used to compare the number of inpatient deaths to the total number of inpatient deaths and discharges? a) Net hospital b) Fetal/newborn/maternal hospital death rate c) Gross hospital death rate d) Adjusted hospital death rate

c) Gross hospital death rate

Which of the following statements best describes the difference between a hospital inpatient and a hospital outpatient? a) Outpatients are treated in the emergency department; inpatients receive services in the regular clinical departments of the hospital. b) Inpatients always stay in the hospital overnight; outpatients never do. c) Inpatients receive room, board, and continuous nursing services in areas of the hospital where patients generally stay overnight; outpatients receive ambulatory diagnostic and therapeutic services. d) Outpatients primarily receive diagnostic services; inpatients receive mostly therapeutic services.

c) Inpatients receive room, board, and continuous nursing services in areas of the hospital where patients generally stay overnight; outpatients receive ambulatory diagnostic and therapeutic services.

Suppose that there are six males in a class of twenty students. What term could be used to describe the comparison? a) Ratio b) Percentage c) Proportion d) Rate

c) Proportion

The primary source of clinical data in a healthcare facility is the ________________. a) statistics b) performance improvement plan c) health record d) none of the above

c) health record

The measure of reliability used to assess the degree to which different judges or raters agree in their assessment decisions is a) validity b) inductive reasoning c) interrater reliability d) mortality

c) interrater reliability

During the past year 40 females were diagnosed with breast cancer. The age of each patient, at the time of diagnosis was recorded. The ages in descending order are: 81, 79, 78, 76, 75, 74, 73, 72, 69, 68, 67, 66, 64, 64, 63, 62, 61, 59, 58, 58, 58, 57, 56, 55, 54, 53, 52, 49, 48, 47, 46, 44, 43, 41, 39, 39, 38, 34, 32, 28. What is the median? a) 59 b) 56 c) 57 d) 58

d) 58

The inpatient census at midnight is 67. Two patients were admitted in the morning; one died 2 hours later; the second patient was transferred to another facility that same afternoon. The inpatient service days for that day will be a) 65 b) 67 c) 68 d) 69

d) 69

Suppose that you want to display the average length of stay by gender and service for the month of August. What graphic technique would you choose? a) Table b) Histogram c) Line graph d) Bar chart

d) Bar chart

What information is needed to calculate the net death rate for a period? a) The number of deaths for the period. b) The number of deaths occurring within 48 hours of admission for the period c) The number of discharges for the period d) all of the above

d) all of the above

William Rumple was pronounced dead on arrival (DOA). The hospital pathologist performed an autopsy on Mr. Rumple's body. This statistical event would be counted in the a) net death rate b) gross death rate c) net autopsy rate d) hospital autopsy rate

d) hospital autopsy rate

All of the following items mean the same thing, except a) inpatient service day b) daily inpatient census c) daily census d) inpatient census

d) inpatient census