Quality Improvement Trends in Healthcare
QUESTION 1
1. Which group has little impact on quality in healthcare?
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Payers and purchasers |
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Individual patients |
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Regulators |
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Professional organizations |
1.5 points
QUESTION 2
1. In recent years, what factor has made the focus on quality improvement efforts in ambulatory care easier?
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Laws requiring a focus on ambulatory care settings |
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Uptake of electronic health records (EHR) in the ambulatory care setting |
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Openness to quality from staff |
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Value-based purchasing arrangements |
1.5 points
QUESTION 3
1. Why have health systems been slow to adopt electronic health records (EHR) despite their value in improving healthcare quality?
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Professional disagreement on their value |
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Skepticism on the impact on quality |
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Cost and complexity |
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Lack of technical expertise |
1.5 points
QUESTION 4
1. Why have nursing homes been a significant focus of quality improvement efforts?
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The frailty and vulnerability of the population |
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Historic improvement in outcomes from prior efforts |
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Uptake of electronic health records (EHR) in the nursing home setting |
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Easy of access by quality improvement agencies |
1.5 points
QUESTION 5
1. Quality measures have four primary uses. Identify the one that falls outside one of these uses.
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Internal quality monitoring and improvement |
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Organizational marketing plans |
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Basis for incentive payments to improve care |
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Public reporting and accreditation |
1.5 points
QUESTION 6
1. FMEA is a tool that has been applied in healthcare settings. What does it stand for?
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Failed modality end analysis |
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Failure mode and effects analysis |
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Failed medical ending analysis |
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Failure modules and error analysis |
1.5 points
QUESTION 7
1. Which of the following has not been identified by researchers as a barrier to reporting errors?
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Lack of familiarity with reporting process |
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Uncertainty of what should be reported |
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Avoidance of the administrative hassle |
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Fear of punitive action |
1.5 points
QUESTION 8
1. When is punitive action not necessarily appropriate?
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When a person knowingly takes an action that could cause harm |
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When the result of the behavior leads to patient death |
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When the behavior is considered criminal or negligent |
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When a person knowingly violates an established procedure |
1.5 points
QUESTION 9
1. What field of medicine has a low reporting rate of errors despite being a large portion of medical care delivered?
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Hospitals |
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Pharmacies |
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Primary care |
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Cardiologists |
1.5 points
QUESTION 10
1. What is an execution error?
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Putting the patient at risk through a lack of planning |
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The execution of a plan is carried out |
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When a treatment plan is prepared incorrectly |
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When a plan is correct but not carried out as intended |
1.5 points
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