امتحان الجودة الصحية Welcome to your ادارة الجودة الصحية الاسم الثلاثي بالانكليزية Email 1. total quality management philosophy assumes thata) Most problems with service delivery result from systems difficultiesb) 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.2. 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.3. Scatter Diagrams; Graphs pairs of numerical data, one variable on each axis, to look for a relationship.a) Trueb) false4. 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 firstA. 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 processes5. The best tool to display stability of nosocomial infection rates over time is aa) Run chart.B) Histogram.C) Pareto chart.D) Control chart.6. Measuring the time it takes a nurse to perform a procedure addresses which of the following aspects of care?A. monitoringB. processC. outcomeD. structure7. Quality improvement initiative progress is best evaluated by which of the following?a) Team leaderb) Senior leadershipc) Plan, Do, Check, Act, processd) Nominal group technique8. Which of the following tools should be used to record patient and practitioner-specific data?A) flowchartB) GraphsC) HistogramD) Check sheet9. The primary reason healthcare organizations use benchmarking is toA.Comply with accreditation standards.B.Improve performance.C.Decrease risk to the organization.D.Provide risk adjustment.10. People often use the acronym “SMART” to refer to the characteristics of good performance indicators.a) Trueb) false11. Which of the following is an essential component in a performance improvement report?A.governing body approvalB.data analysis and displayC.individual performance reviewD.team composition and attendance12. Common variation: variation that may not be possible to correct (random variation, random noise)a) Trueb) false13. In evaluating "long waiting times," a healthcare quality professional best demonstrates components related to staffing, methods, measures, materials, and equipment utilizingA) A run chart.B) A histogram.C) A pie chart.D) An Ishikawa diagram.14. People often use the acronym “SMART” to refer to the characteristics of good performance indicators. SMART refer to:a) Specific, Measurable, Achievable, Relevant, Time-boundb) Specific, Meaningful, Achievable, Relevant, Tested.c) Specific, Measurable, Accountable, Relevant, Time-boundd) Specific, Measurable, Achievable, Restricted, Time-bound15. Generic KPIs; are related to a specific service user population and measure particular aspects of care related to those service users.a) Trueb) false16. 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.17. 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.18. Benchmarking is based on identifying which of the following?a) Best practices.b) Competition.c) Deficiencies.d) Patient safety.19. When developing department-specific performance measures and indicators, the quality manager as a consultant shoulda) 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.20. 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 toA.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.21. After brainstorming, which of the following should a quality improvement team use to identify items that need immediate attention?a) Histogramb) Multi-votingc) cost benefit analysisd) Flow chart22. 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.23. -------------- is a free-flowing generation of ideasa) Brainstormingb) Histogramc) Check sheetd) Cause and effect diagram24. 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.25. A chief quality officer has the responsibility for education and implementation of a quality improvement process. To affect cultural change, the chief quality officer musta) Believe the costs are justified by the benefitsb) Be a visible participant in the processc) Receive quarterly reports.d) Limit training to managers and supervisors.26. Applying the Pareto Principle in quality improvement isa) Prioritizing process issues.b) Tracking and measuring process effectiveness.c) Providing meaningful data to support strategic objectives.d) Prioritizing patient outcome issues.27. MOI “institution of medicine” defines quality health care as health care that is "...accessible, effective, safe, accountable, and fair...."a) Trueb) False28. The most commonly used graph for showing frequency distributions, or how often each different value in a set of data occurs isa) Histogramb) Check sheetc) Cause and effect diagramd) All of above29. The "appropriateness" of care isa) 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.30. Which of the following quality improvement principles is most important for management to emphasize?A.staff orientationB.customers' expectationsC.quarterly statistical reportsD.team selection31. Dashboards are one example of a method for presenting information to inform decision-making.a) Trueb) false32. Using the 80/20 rule, 80% of organizational problems are issues related to:a) Systems.b) Education.c) Performanced) Staffing.33. That dimension of quality/performance that is dependent upon evaluation by the recipientsAnd/or observers of care isa) respect/caring.b) Safety.c) Continuity.d) Availability.34. KPIs facilitate the capture of healthcare trends as a quantitative measure of quality.a) Trueb) false35. Evaluating the time it takes a nurse to perform a procedure is known as which type of measure?A.balancingB.processC.outcomeD.structure36. Quality improvement initiative progress is best evaluated by which of the following?A.team leaderB.senior leadershipC.PDCA processD.nominal group technique37. 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/caringb) Respect/caring and competencyc) Effectiveness and respect/caringd) Continuity and competency38. The MDS should not incorporate into a data dictionary to ensure the data is clearly defined and values are agreed.a) Trueb) false39. Scatter Diagrams; Graphs pairs of numerical data, one variable on each axis, to look for a relationshipa) Trueb) False40. A medication is ordered for a diabetic patient. Its capacity to improve health status, as a dimension of quality or performance, is itsa) Effectiveness.b) Potential.c) Appropriateness.d) Efficacy.Time is Up!