HSM390

Which statement would be appropriate for a manager to make to someone when using CQI?

"Quality control wants to help improve unit performance."

What level of risk in a medical setting is an unrealistic goal?

0%

A study of Intermountain Health Care found that which aspect of the US health care system most impeded the implementation of CQI?

Complexity

What has changed the physician-patient relationship most since the middle of the 20th century?

Diversification of types of providers

True or False? A control chart and a process behavior chart are diametrically different things.

False

True or False? A run chart requires a sophisticated knowledge of mathematics.

False

True or False? Deming's System of Profound Knowledge has variation as one of five key parts.

False

True or False? Hospitals using CQI adopt methods first pioneered by Deming in India.

False

True or False? If staff at your hospital have too many duties for efficient work, you need to work on mura.

False

True or False? Implementation is largely independent of how open an organization's culture is to change.

False

True or False? Innovation-specific capacity is part of the delivery system for the implementation of innovation.

False

True or False? It is possible to design a work system in a hospital which cannot fail.

False

True or False? The Institute of Medicine has found the quality of health care in the United States to be fairly uniform.

False

Which shows the correct order of operations in a Six Sigma process?

Measure, Analyze, Improve, Control

Which would be an example of the kind of information recently added to the Donabedian model?

Measures of patient satisfaction

True or False? A stressor which only affects a diabetic patient's blood sugar about once a month would be a special cause of variation.

True

True or False? An MRSA infection acquired in a local hospital which could have been avoided will not be compensated by an insurer as a never event.

True

True or False? An example of an XmR chart would be one showing the average daily time to bring a patient from an ambulance into the ER plotted against the date, over a period of 3 months.

True

True or False? Implementation science is all about improving how ideas and processes are accepted and used, implemented.

True

True or False? In implementation, acceptability revolves around perception.

True

True or False? LMS Theory includes the concept that value is defined by the customer.

True

True or False? Nurses have abundant valuable knowledge about their activities for the CQI process.

True

True or False? Office staff in a large physicians' practice should be involved in the CQI process.

True

True or False? Optimizing the delivery of health care is a major reason for using CQI in the US health system.

True

True or False? Population health analytics can be used to help reduce variation and improve overall quality of healthcare.

True

True or False? Posting a list of best practices in a pubic place would be an example of leader standard work.

True

True or False? Recent increased use of CQI in US health care results, in part, from the Affordable Care Act.

True

True or False? Solving quality problems requires buy-in from all affected levels on the organizational chart.

True

True or False? The Institute of Medicine has found the quality of health care in the United States to be fairly uniform.

True

True or False? The installation stage of implementation involves work to prepare the organization for change.

True

True or False? The way in which CQI empowers employees can help motivate them to assist in the process.

True

True or False? What was added to the Triple Aim to make the Quadruple Aim was a focus on improving the lives of clinicians and staff.

True

True or False? XmR charts are non-parametric.

True

The "Sigma" in "Six Sigma" represents

Variation

Lean Management requires a new

Vocabulary

Which question moves a process from improvement to implementation?

What change can we make that will result in improvement?

If you are a middle manager, repeated problems with quality at the level of nursing may

be hidden from view

Social marketing is marketing meant to change

behavior

Social marketing techniques benefit

both individual and society

The long-term goal for social marketing of the use of surgical checklists in a hospital would be

complete compliance with their use.

Event classification includes categorizing

contributors

What most influences the flow of patients through a patient care process?

critical resources

Which implementation process relies on data-driven processes?

cycles

Which part of a Lean Management System sits at its heart?

discipline

Profound knowledge in management requires

knowledge about variation

If you want to innovate in the hospital which you manage, you should

lead by example

What is the third leading cause of death?

medical errors

When a doctor asks a patient to choose an antibiotic based on past experience with that class of drugs, this is an example of what level of patient involvement?

micro

Which level of HFACS is most general?

organization influences

When using CQI in healthcare, engaging consumers needs to involve

patients and families

Which aspect of the marketing mix is addressed when a new kind of vascular scan is advertised on billboards?

product

Which would be an addition to the structure of CQI?

relying on top-down design

The culture of excellence which CQI aims to foster resembles a

safety culture

If a patient is injured when a surgeon inadvertently leaves a surgical sponge inside the thoracic cavity, this is

skill based

Statistically controlled variation of processes is also called

statistical process control.

Which is paid more attention to as part of TQM than CQI for healthcare?

time per unit production

True or False? 44,000-98,000 patients die each year due to care received for some medical condition rather than from the condition itself.

true

True or False? A diagram of how tools are laid out for tonsil surgery is a journey map.

true

True or False? A patient entering an ER seeking help creates a fiduciary duty.

true

True or False? Checklists are a common useful item in CQI.

true

True or False? If you are concerned that the opening of many new stores near your hospital is causing problems for quality care, use a SWOT analysis.

true

True or False? In a Haddon Matrix, the three phases are preinjury, injury, and postinjury.

true

True or False? Near misses occur 3-300 times more often than actual accidents.

true

True or False? Non-clinical staff should be included in CQI teams.

true

True or False? Organizational accidents are due to the effects of poor organizational culture.

true

True or False? Patients have especially pertinent input for QI involving safety issues.

true

True or False? Social marketing shares many features with commercial marketing.

true

True or False? Teams are important in all parts of healthcare.

true

True or False? The International Classification for Patient Safety includes detection as a high level class.

true

True or False? The role of the patient in CQI is not well understood.

true

True or False? WHO's ICPS is a linear hierarchical system.

true

True or False? When a patient is asked to serve on an international panel looking at safety in post-surgical care, that is macro-level involvement.

true

CQI processes in healthcare must include an understanding of

variability and predictability.

The impact of the internet on the amount of information available to patients has been

very large

Which CFIR domain involves adapting and tailoring?

Characteristics of the innovation

A culture of safety could be built in the absence of

Budget as the top priority

Which exposed very poor quality care in New Zealand?

Cartwright Inquiry

The concept of the lay expert largely arose with the rise of

HIV

Risk management involves which order of steps?

Identify, Analyze, Control

What would most help a QI team?

Interdisciplinary respect

The CQI process began in

Japan

Six Sigma management began at

Motorola

Which would best help a team reorganizing a hospital's ER?

Providing lots of time for the team to organize

If a group of physicians together study literature on reducing hospital-acquired bacterial infections, which part of a PDSA cycle is this?

S

A preventive services chart could become what for a small medical practice?

a distraction

A process flowchart allows one to see

a process diagrammed clearly as a string of well-defined steps.

What most directly helps make the financial case for using CQI in health care?

a reasonable return in a reasonable amount of time

The goal of a social marketing campaign aimed at promoting more frequent brushing of teeth is

improved oral hygiene-related behaviors.

The size of a QI team should be

about the size of the organization

In the Swiss Cheese Model, what lies closest to a mishap?

active failures

If a patient ends up with a damaged liver due to misadministration of medication resulting from poor management would be a(n)

adverse event

True or False? A patient injury which occurs when a nurse does not follow rules about cross-checking medications is knowledge-based

false

True or False? CQI is a management method, not a management philosophy.

false

True or False? Demin created the Systems Engineering Initiative for Patient Safety.

false

True or False? Having caregivers help decide how to safely provide care is an example of meso-level involvement.

false

True or False? In a hospital, QI teams need to focus on cost.

false

True or False? The M-APR Model looks at patient involvement in QI at all levels except macro-level.

false

True or False? The best person to lead a QI team is the latest hire, since that person will have the freshest perspective on the organization.

false

Which is true of only some black swan events?

financial effects

Which action would most help promote CQI in an organization using the work of early adopters within the organization?

have them present a seminar to other staff