امتحان الجودة الصحية Welcome to your ادارة الجودة الصحية الاسم الثلاثي بالانكليزية Email 1. Common variation: variation that may not be possible to correct (random variation, random noise) a) True b) false2. MOI “institution of medicine” defines quality health care as health care that is "...accessible, effective, safe, accountable, and fair...." a) True b) False3. Using the 80/20 rule, 80% of organizational problems are issues related to: a) Systems. b) Education. c) Performance d) Staffing.4. A chief quality officer has the responsibility for education and implementation of a quality improvement process. To affect cultural change, the chief quality officer must a) Believe the costs are justified by the benefits b) Be a visible participant in the process c) Receive quarterly reports. d) Limit training to managers and supervisors.5. After brainstorming, which of the following should a quality improvement team use to identify items that need immediate attention? a) Histogram b) Multi-voting c) cost benefit analysis d) Flow chart6. Applying the Pareto Principle in quality improvement is a) Prioritizing process issues. b) Tracking and measuring process effectiveness. c) Providing meaningful data to support strategic objectives. d) Prioritizing patient outcome issues.7. Quality improvement initiative progress is best evaluated by which of the following? a) Team leader b) Senior leadership c) Plan, Do, Check, Act, process d) Nominal group technique8. In evaluating "long waiting times," a healthcare quality professional best demonstrates components related to staffing, methods, measures, materials, and equipment utilizing A) A run chart. B) A histogram. C) A pie chart. D) An Ishikawa diagram.9. People often use the acronym “SMART” to refer to the characteristics of good performance indicators. SMART refer to: a) Specific, Measurable, Achievable, Relevant, Time-bound b) Specific, Meaningful, Achievable, Relevant, Tested. c) Specific, Measurable, Accountable, Relevant, Time-bound d) Specific, Measurable, Achievable, Restricted, Time-bound10. The MDS should not incorporate into a data dictionary to ensure the data is clearly defined and values are agreed. a) True b) false11. The primary reason healthcare organizations use benchmarking is to A.Comply with accreditation standards. B.Improve performance. C.Decrease risk to the organization. D.Provide risk adjustment.12. Scatter Diagrams; Graphs pairs of numerical data, one variable on each axis, to look for a relationship. a) True b) false13. Which of the following tools should be used to record patient and practitioner-specific data? A) flowchart B) Graphs C) Histogram D) Check sheet14. The most commonly used graph for showing frequency distributions, or how often each different value in a set of data occurs is a) Histogram b) Check sheet c) Cause and effect diagram d) All of above15. Evaluating the time it takes a nurse to perform a procedure is known as which type of measure? A.balancing B.process C.outcome D.structure16. Which of the following is NOT an example of a structural indicator? a) Proportion of specialties to the doctors. b) Having access to frequently utilize radiologic equipment. c) Proportion of diabetic patients given regular foot care. d) All of the above. e) None of the above.17. A medication is ordered for a diabetic patient. Its capacity to improve health status, as a dimension of quality or performance, is its a) Effectiveness. b) Potential. c) Appropriateness. d) Efficacy.18. KPIs facilitate the capture of healthcare trends as a quantitative measure of quality. a) True b) false19. Dashboards are one example of a method for presenting information to inform decision-making. a) True b) false20. Scatter Diagrams; Graphs pairs of numerical data, one variable on each axis, to look for a relationship a) True b) False21. The "appropriateness" of care is a) Primarily a focus of utilization management. b) A key dimension of quality care. c) Equivalent to "case management." d) The degree to which healthcare services are coherent & unbroken.22. When developing department-specific performance measures and indicators, the quality manager as a consultant should a) Conduct a literature search and select quality indicators. b) Ensure that the numerator and denominator are clearly defined. c) Prioritize the quality indicators for selection by the department leader. d) Review the mission statement and seek physician input.23. In regards of quality, which of the following is true about indicators? a) Indicator are direct measure of quality. b) Indicator provide a quantitative basis to a chive an improvement in care. c) Indicators are based on opinion, not standards of care. d) Indicators can be good regardless of ability to predict outcomes. e) All of the above.24. Measuring the time it takes a nurse to perform a procedure addresses which of the following aspects of care? A. monitoring B. process C. outcome D. structure25. A team has identified a process for improvement, selected examples of best practice performers, visited those sites, gathered all necessary data, and compiled the results. The most effective next step for the team is to A.Identify the next process to benchmark. B.Implement change at the team's site. C.Compare the results to historical data. D.Make the results public for others to use for benchmarking.26. An ideal indicator has which of the following properties? a) It’s based on agreed definitions, and described exclusively and exhaustively. b) It’s valid and reliable. c) Its permits useful comparisons. d) It detects few false positive and false negatives. e) All of the above. f) None of the above.27. Quality improvement initiative progress is best evaluated by which of the following? A.team leader B.senior leadership C.PDCA process D.nominal group technique28. Which of the following is an example of a generic indicator? a) Proportion of patients who develop failed back syndrome after back surgery. b) Proportion of specialists to other doctors. c) Proportion of patients with myocardial infarction who receive a beta-blocker with in 24hours. d) All of the above.29. Two surveys were completed in a healthcare facility that showed conflicting results concerning patient satisfaction with food services. The two surveys were independently designed and distributed by different departments within the facility. The healthcare quality professional should first A. set up a quality improvement team to improve food service. B. distribute the surveys to obtain a larger sample size. C. design, distribute, and analyze a new survey instrument. D. meet with the departments to review the survey processes30. Which of the following quality improvement principles is most important for management to emphasize? A.staff orientation B.customers' expectations C.quarterly statistical reports D.team selection31. -------------- is a free-flowing generation of ideas a) Brainstorming b) Histogram c) Check sheet d) Cause and effect diagram32. A process indicator is defined as one that measures: A) A steeps carried out to provide care or service. B) Significant events that require further investigation. C) Unexpected or negative variations. D) The appropriateness of procedure or treatment.33. Generic KPIs; are related to a specific service user population and measure particular aspects of care related to those service users. a) True b) false34. total quality management philosophy assumes that a) Most problems with service delivery result from systems difficulties b) Frequent inspection is necessary to improve quality. c) Most problems with service delivery result from difficulties with individuals. d) Top management leadership in quality activities disenfranchises employees.35. Benchmarking is based on identifying which of the following? a) Best practices. b) Competition. c) Deficiencies. d) Patient safety.36. People often use the acronym “SMART” to refer to the characteristics of good performance indicators. a) True b) false37. Which of the following is an essential component in a performance improvement report? A.governing body approval B.data analysis and display C.individual performance review D.team composition and attendance38. If, in the continuous quality improvement process, we increase our emphasis on customer satisfaction and outcomes of care, which two dimensions of quality/performance must be incorporated into all quality management activities? a) Availability and respect/caring b) Respect/caring and competency c) Effectiveness and respect/caring d) Continuity and competency39. That dimension of quality/performance that is dependent upon evaluation by the recipientsAnd/or observers of care is a) respect/caring. b) Safety. c) Continuity. d) Availability.40. The best tool to display stability of nosocomial infection rates over time is a a) Run chart. B) Histogram. C) Pareto chart. D) Control chart.Time is Up!