Question # 1

The upper and lower limits on a control chart are: 

A. Used to display the distribution of data. 
B. The same as thresholds. 
C. Used to determine if the long-range average is changing. 
D. Statistically calculated from the related data. 

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Question # 2

An organization has identified an increase in safety events related to the treatment of patients who are unable to give consent. At the beginning of the improvement process, which of the following tools should the healthcare quality professional use to assist the team? 

A. flow chart 
B. stakeholder analysis 
C. PERT chart 
D. force field analysis 

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Question # 3

Which of the following approaches to training for a new quality and performance improvement initiative is most likely to succeed based on adult learning principles? 

A. Self-study course of online modules and quizzes 
B. Lecture series allowing for either in-person or virtual attendance 
C. Reading material assignment with attestation of completion 
D. Series of sessions with both classroom and simulation exercise time 

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Question # 4

A physician group with a patient population of 10,000 during the fourthquarter of a year reviewed 100 complaints regarding access to specialty care. During the fourth quarter of the next year, the patient population had grown to 60,000 with 360 complaints regarding access to specialty care. The group has a target goal of five complaints per 1,000 patients. Which of the following should a healthcare quality professional conclude based on the data? 

A. The rate of complaints has increased and has exceeded the target. 
B. The rate of complaints has decreased, and the target has been reached. 
C. The rate of complaints has increased, but remains within the target range. 
D. The rate of complaints has decreased, but the target has not been reached. 

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Question # 5

An acute care facility has established an outpatient heart failure clinic. Which of the following will best define the success of the program?

A. Decreased readmission rate 
B. Increased patient satisfaction 
C. Increased compliance with post-discharge plan 
D. Decreased serious adverse events 

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Question # 6

Which of the following is the most effective method to identify adverse events that cause harm to patients? 

A. benchmarking 
B. conducting a failure mode and effect analysis 
C. using patient satisfaction surveys 
D. employing tiiyu.fi tools 

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Question # 7

A patient safety manager provided training on hand hygiene guidelines. The clinical manager Is confident that staff are following the guidelines. Which of the following Is the best method to evaluate the current compliance with the guidelines? 

A. collection of bacterial hand cultures 
B. direct observation of staff 
C. calculation of Infection rates compared to a baseline 
D. a test with a passing score of 98% 

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Question # 8

A multi-disciplinary team meets with the goal of reducing Infections In an ambulatory surgery center The group Is struggling to gain focus and come to agreement completing an Ishlkawa diagram. What Is the most likely cause for this challenge? 

A. There are team members who are absent. 
B. The group has completed performing phase of development 
C. The charter did not provide a specific problem statement. 
D. The sponsor Is disengaged with the project 

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Question # 9

Which of the following Is true of a clinical pathway? 

A. depicted using a value stream map 
B. limited to one patient care setting 
C. used to reduce variations in care 
D. required for accountable care organizations 

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Question # 10

Which of the following is an example of addressing a social determinant of health to improve outcomes in patients with type 2 diabetes? 

A. Educating patients on blood sugar monitoring 
B. Addressing clinical risk factors for type 2 diabetes 
C. Targeting interventions to age groups with poor diabetes control 
D. Working with local food pantries to improve access to healthy foods 

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