Deck 7: Quality and Performance Improvement Basics

Question 1

Avedis Donabedian defined health care quality as having which of the following components?

A) The social management of health and illness
B) The ethical principles that govern the conduct of affairs in general and the health care enterprise in particular
C) The quality of the nursing education
D) The amenities of care
E) Both the ethical principles that govern the conduct of affairs in general and the health care enterprise in particular and the amenities of care

Answer 1

E

Question 2

The term effectiveness of clinical care can be addressed with which of the following questions?

A) Are things done?
B) Are the right things done?
C) What are the right things to do?
D) Was the clinical procedure done correctly?
E) None of these is correct.

Answer 2

B

Question 3

"Failure to provide a service whose benefit is greater than its risk" is the definition of which of the following terms?

A) Abuse
B) Overuse
C) Misuse
D) Underuse
E) None of these is correct.

Answer 3

D

Question 4

"The right service is provided badly and an avoidable complication reduces the benefit the patient receives" is the definition of which of the following terms?

A) Abuse
B) Overuse
C) Underuse
D) Misuse
E) None of these is correct.

Question 5

Lean is an improvement methodology based on which of the following?

A) Reduction of defects
B) Reduction of waste
C) Reduction of fat
D) Reduction of variability

Question 6

Good measurement requires all of the following, except:

A) measurement variation.
B) rigorous definition of concept to be measured.
C) reliable measurement.
D) valid measurement.
E) Good measurement requires all of these.

Question 7

Statistical Process Control focuses on controlling:

A) inputs.
B) outcomes.
C) variation.
D) causes
E) None of these is correct.

Question 8

Which aspect of quality does CQI focus upon to improve quality?

A) Outcome
B) Structure
C) Process
D) Both outcome and structure
E) Both structure and process

Question 9

Within the FOCUS-PDCA model, the letter U represents:

A) flowcharting the process and documenting the sequence of activities.
B) determining the quality improvement process to implement.
C) organizing a team.
D) finding a process to improve.
E) identifying measures, collecting data, and analyzing them.

Question 10

______ employs a structured process called DMAIC, which stands for Define, Measure, Analyze, Improve, and Control.

A) Greenbelts R Us
B) Business Process Reengineering
C) FOCUS-PDCA
D) Six Sigma
E) Shewhart or Deming Cycle

Question 11

What do the four letters in the PDCA Model represent?

A) Plan-Design-Check-Act
B) Plan-Design-Control-Achieve
C) Plan-Drawn-Click-Act
D) Plan-Do-Check-Act
E) None of these is correct.

Question 12

In health care, the Lean methodology defines waste as which of the following?

A) Overproduction and inventory
B) Motion and transportation
C) Overprocessing and waiting
D) Defects and underutilization of staff
E) Overproduction, inventory, overprocessing, and waiting
F) All of these are correct.

Question 13

Which of the following quality improvement techniques helps to identify and organize the possible cause for a problem in a structured format?

A) Process analysis
B) Process mapping
C) Fishbone diagram
D) Data collection
E) Geographical mapping

Question 14

The Force Field Diagram is useful in which of the following?

A) Data analysis
B) Visual management
C) Change management
D) Root cause analysis
E) None of these is correct.

Question 15

Define complexity science and give an example.

Question 16

Define underutilization of staff and give an example.

Question 17

Define the following components of the five principles of high reliability, and provide an example of each: preoccupation with failure, reluctance to simplify, and sensitivity to operations.