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Quality Management Preparation

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1) Which of the following is not the dimension of quality of care defined by the Institute of Medicine?

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2) Gathering data to assess the changes affect on the process is part of which stage of QI cycle?

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3) …. The leader of a quality improvement team needs to deal effectively with a conflict between two units, it is best to appoint which of the following to its membership?

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4) A measure of how well resources are used to achieve a goal.

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5) Use of performance information to determine whether an acceptable level of quality has been achieved

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6) ……are process of care

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7) A key focus of quality improvement is to ………of the system and clinical processes

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8) The process of checking the actual performance with the standard performance is associated with….?

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9) Quality management involves three things people do almost every day

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10) Measures used to determine an organization’s performance over time; also called performance measures

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11) ….. is about making organizations perform for their stakeholders from improving products, services, systems and processes, to making sure that the whole organisation is fit and effective?

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12) The patient cost-to-charge ratio…..

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13) They provide care that does not vary in quality because of a person’s characteristics?

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14) According to the Institute of Medicine, quality of care is: desired health outcomes are consistent with current professional knowledge current professional knowledge

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15) ………is a broad philosophy to reduce cost, eliminate variability, and improve customer satisfaction through improved design and better management strategy

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16) Products, services, or information flowing into a process?

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17) Which of the following is not a basic component of descriptive statistics?

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18) Use the when you want to compare means for two data sets that are independent from each other?

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19) Process Control and Regulatory is a part of…

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20) …… are the people responsible for supervising the use of an organization’s resources to meet the goals?

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21) ………… is a systems thinking multimethod ology that seeks to combine methods and practices from various systems thinking schools?

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22) The total patient time in the clinic from walk-in to walkout

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23) A …… is used to compare two things. For instance, the nurse-to-patient ratio reports the number of hospital patients cared for by each nurse

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24) Not providing a health service that might have been medically beneficial

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25) Analysing performance of various processes and improving them repeatedly to achieve quality objectives

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26) Data describing the delivery of healthcare services

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27) Building ………at every level, from the top tiers of organisations, such as the boards of acute trusts or primary care networks, through to front-line staff.

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28) Independently gathering evidence in a systematic and transparent way to provide confidence that a system is meeting internal or external standards?

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29) Which of the following is not considered a performance measure? a home health care patient

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30) The patient wait time in the emergency department is….

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31) The number written above the line in a common fraction to indicate the number of parts of the whole is…

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32) A subgroup of respondents derived from the target population Defects

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33) Analyzing data to determine whether the changes were effective is part of which stage of QI cycle?

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34) Quantitative tools used to evaluate an element of patient care

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35) A methodical procedure used to identify factors that cause errors and then reduce or minimize them?

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36) Quality improvement can deliver sustained improvements not only in…….., but also in the lives of the people working in health

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37) Data describing organizational facilities, environment, equipment, policies, and procedures

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38) A bakery is supposed to produce cookies whose average weight after baking is 31 grams. To meet quality requirements, it has been decided that USL=35.0 grams and LSL=28.0 grams. The process standard deviation is 0.8grams and the process centerline is set at 31 grams. The company requires a capability index of at least 1.33

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39) They use their resources responsibly and efficiently, providing fair access to all, and according to need of their populations?

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40) …. What sampling technique involves selecting the medical record of every fifth patient undergoing Percutaneous Coronary Intervention (PCI)?

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41) Planning and making changes to current practices to achieve better performance

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42) Which of the following are key components of a Total Quality Management system?

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43) ……is the number written below the line in a common fraction that indicates the number of parts into, which one whole is divided

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44) Charts used by improvement teams to organize ideas and issues, gain a better understanding of a problem, and brainstorm potential solutions

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45) .……is β€œa philosophy or an approach to management that can be characterized by its principles, practices, and techniques

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46) Which one piece of information is the most usefull to describe the gender of population that is served in an anticoagulation monitoring service clinic??

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47) ………is achieved by continual improvement in terms of customers’ expectations. The aim of continuous quality improvement is to meet the customer, not just the competition?

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48) Quality assurance is related to ……

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49) Providing services based on evidence that produce a clear benefit?

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50) A way of doing business that continuously improves products and services to achieve better performance

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51) Continuous quality improvement (CQI) is a philosophy assumes that:

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52) The process of identifying the scope for process improvement is associated with …

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53) Individuals and organizations that pay for healthcare services directly or indirectly

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54) It is important to allow enough time to design an improvement intervention and plan its delivery?

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55) Hundreds of measures can be used to evaluate healthcare performance. These measures are grouped into three categories:

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56) Caring. Staff involve and treat people with compassion, dignity and respect?

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57) Establishing effective leadership for ……

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58) Performance expectations established by individuals or groups

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59) One crucial elements of or steps in a quality improvement system is Staff, doctors, nurse

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60) a …… for change in identified (forming the team, agreeing on the problem, selecting valid measures, and making ideas for improvement)

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61) ……………. are used to identify all possible causes of an effect (a problem or an objective).

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62) Implement the changes on a small scale?

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63) Choose a problem, and write a statement to describe it?

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64) Identifying and describing data that need to be collected to determine whether changes produced desired results is part of which stage of QI cycle?

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65) What is the first step in a control process?

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66) According to the Institute of Medicine, how many dimension of quality of care are there?

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67) .…………are used to plot five to ten performance measures for an interval of time, along with performance expectations

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68) Which of the following is not suitable data for quality measurement?

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69) When a manager monitors the work performance of workers in his department to determine if the quality of their work is ‘up to standard’, this manager is engaging in which function?

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70) Meaningful quality process measures must be?

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71) Which is less relevant in the formulation of monitoring framework?

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72) …….is its ability to satisfy the needs and expectations of the customer

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73) In any organization, the technique of quality improvement that is used the most is……

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74) ………is one that meets a personal need or provides some benefit?

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75) Health care systems across the UK are also looking at the environmental impact of the services they provide as part of their efforts to ……..

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76) Which of the following best describes the nature of quality measurement?

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77) A long-term, integrated whole-system approach is needed to ensure sustained improvements in …………….

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78) Using a systematic approach involving specific methods and tools to continuously improve the quality of care and outcomes for patients and service users?

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79) …….is developing a theory of change?

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80) Who is responsible for quality improvement in healthcare?

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81) …… results from the most efficient expenditure of resources to achieve an established high level of clinical quality?

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82) ……….is the most prominent approach to quality management systems.

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83) Graphic representations of a process

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84) Which of the following best describes movement as waste?

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85) Where was Total Quality Management first developed?

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86) …. Incorrect diagnoses, medical errors, and other sources of avoidable complications?

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87) …. Research, Quality Assessment and Quality Improvement?

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88) …… Identify an opportunity and plan for change

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89) To ensure………, the steps perpetually cycle and repeat

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90) Of a quality improvement perspective, the most desirable state is when?

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91) Implementing quality improvement to reduce complications from surgery can be done in

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92) The benefit of available resources and avoiding waste

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93) Your community hospital has coordinated with local municipality authority to convert a busy intersection to a roundabout (i.e., traffic circle) to alleviate long standing condestion, but after completion it was realized that large fire trucks cannot fit through the new configuration. This is an example of?

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94) ………. tool helps an improvement team dig deeper into the causes of problems by successively asking what and why until all aspects of the situation are reviewed and the underlying contributing factors are considered.

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95) Comparing results of QI with expectations is part of which stage of the QI cycle?

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96) Data describing the results of healthcare services?

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97) Avoiding harm to people from care that is intended to help them?

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98) A radiologist waiting for a patient to be brought into the exam room

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99) Quality Improvement had its beginnings in what area?

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100) The ability to influence a group toward the achievement of goals

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101) Learn more about the problem by gathering performance data

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102) ………conducted using step by-step proceed.

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103) A leadership style that is said to motivate employees, and that optimizes the introduction of change

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104) …………..negatively impact the company’s image when reported to the public?

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105) ……are structure of care provision

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106) Care should be provided promptly when the patient needs it

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107) A self-assessment and external assessment process used by healthcare organizations to assess their level of performance in relation to established standards and implement ways to continuously improve

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108) Products, services, or information produced by a process?

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109) Which of the following should not be included in the planning stage of Quality Improvement cycle?

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110) Writing down details related to objectives of QI cycle, process of changes and plans for implementation is part of which of the following in QI cycle?

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111) Develop a solution for the problem and a plan for implementing the solution

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112) The goal of performance improvement is to ……from recurring, not just clean up the mess after something undesirable happens.

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113) …. is about making healthcare safe, effective, patient-centred, timely, efficient and equitable.

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114) When is it appropriate to collect and use data? questions questions questions research questions

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115) Events, actions, or things that can cause harm

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116) Visible and focused leadership, for example, in an NHS trust, at board level, accompanied by effective governance and management processes that ensure all improvement activities are aligned with the organisation’s vision

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117) .….. define customers and how to meet their needs

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118) Collection of information for the purpose of understanding current performance and seeing how performance changes or improves over time

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119) vital elements of any attempt to improve performance or quality and are needed to assess the impact against set objectives?

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120) …….. ensuring that health and care services are appropriately resourced to deliver an agreed standard of quality.

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121) Care intended to help patients should not harm them.

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122) Which of the following is associated with defining of product or service features and specifications?

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123) Outcomes are …… (Measuring and evaluating results before and after intervention)

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124) …… Implement the change on a small scale

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125) Groups that contract with the centers for Medicare & Medicaid Services to monitor the appropriateness, effectiveness, and quality of care provided to Medicare and Medicaid beneficiaries?

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126) Participants …… the change (Implementing potential solutions in a small subset)

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127) Levels of performance excellence that organizations must attain to become credentialed by a competent authority

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128) Which of the activities below does not fall under quality assessment? communities

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129) What statistics you can compare patient stay cost for two .

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130) Performance improvement projects should be …….

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131) Graphs used to show the center, dispersion, and shape of the distribution of a collection of performance data

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132) …is one that meets or exceeds expectations. Expectations can change, so quality must be continuously improved.

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133) Which statement by a healthcare professional shows the best understanding of QI? others involved in health care that leads to better health outcomes, better system performance and better professional development.”

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134) The organization’s billing database is an administrative file often used to gather performance data

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135) A measure expressed as a ………. is generally more useful than a measure expressed as an absolute number

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136) …. Which one piece of information is the most usefull to describe the age of population that is served in an anticoagulation monitoring service clinic??

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137) To realize the benefits of quality health care, health services must be

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138) A dichotomous response scale

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139) ………..supporting efforts to develop whole-system approaches to improvement.

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140) …… Use data to analyze the results of the change and determine whether it made a difference

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141) Participants …… on the Results (Reviewing the results and deciding what tests of change to try next)

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142) ……. must provide a good or service desired by its customers?

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143) Which statement best describes quality improvement?

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144) Improvement teams can use a ………… (sometimes called a selection or prioritization matrix) to systematically identify, analyze, and rate the strength of relationships between sets of information.

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145) ………is about giving the people closest to issues affecting care quality the time, permission, skills and resources.

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146) The first step in problem solving is to

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147) The best possible care should be provided to everyone, regardless of age, sex, race, financial status, or any other demographic variable

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148) An analysis that delves into problem causes by successively asking what and why until all aspects of the situation, process, or service are reviewed and contributing factors are considered

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149) The Shewhart performance improvement model

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150) Which phrase is not related to quality improvement?

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151) …. Published articles information in scientific journals is set in the following sequence?

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152) Formal discussions between two parties in which information is exchanged?

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153) In health care, systematic quality improvement approaches such as Lean (see Section 4) have been used to…….

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154) A measure of the middle or expected value of a data set

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155) The Deming performance improvement model

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156) Application of statistical methods to identify and control performance

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157) Doing something that doesn’t add value (e.g., performing unnecessary tests to prevent a lawsuit for malpractice)

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158) Provision of a health service that is more likely to harm than benefit the patient

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159) ….. are Aspects of patient outcome

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160) The relationship between cost and quality is

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161) Use of authority inherent in designated formal rank to obtain compliance from organizational members

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162) Which of the following is considered as waste?

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163) ………… can lead to lower health care costs?

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164) Products and services that process customers view as unnecessary (e.g., making a copy of the patient’s insurance card at each clinic visit)

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165) An ………, sometimes called an arithmetic mean, is the sum of a set of quantities divided by the number of quantities in the set

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166) Analysing performance of various processes and improving them repeatedly to achieve quality objectives?

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167) …… shows how often each different value in a set of data occurs

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168) It is important to know about ……….. for quality planning?

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169) Management is………………………?

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170) Care should be based on scientific knowledge and provided to patients who could benefit. Care should not be provided to patients unlikely to benefit from it. In other words, underuse and overuse should be avoided

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171) Data describing the extent to which current best evidence is used in making decisions about patient care?

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172) Which statement below best describes quality assessment? low-performing health care providers, organizations, or communities. implementation of quality measurement activities, and monitoring of quality information over time

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173) Several systematic performance improvement models have been created for use in healthcare as well as other industries. All these models incorporate similar steps: improvements, and measure success improvements

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174) Creating governance arrangements and processes to identify ………that require investigation and improvement

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175) Avoiding harm to people for whom the care is intended

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176) Two concepts of descriptive statistics that are essential for identifying opportunities for performance improvement are?

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177) Treatment results are found in patient records

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178) ……is defined as a formalized system that documents processes, procedures, and responsibilities for achieving quality policies and objectives. Standard deviation

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179) Care should be based on scientific knowledge and provided to patients who could benefit.

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180) Analyze data to determine whether the changes were effective?

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181) Minimum acceptable levels of quality

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182) Which of the following scenarios does not represent timeliness of care?

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183) ……. are organizational assets and include people and raw material.

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184) Developing …….to identify and implement new evidence-based interventions, innovations and technologies, with the ability to adapt these to local context

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185) Evaluation activities aimed at ensuring compliance with minimum quality standards

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186) The Model for Improvement focuses on what three areas?

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187) Graphs used to show the relative size of different categories of a variable, on which each category or value of the variable is represented by a bar, usually with a gap between the bars; also called bar charts

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188) Graphs used to show the correlation between two characteristics or variables

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189) Which of the following objectives is not time-bound? health facilities will have reached 5000. increase by 25%

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190) The objectives of the improvement project?

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191) A performance improvement approach aimed at eliminating waste; also called …

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192) Quality improvement program focuses on?

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193) Quality management is a method for?

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194) Incorrect diagnoses, medical errors, and other sources of avoidable complications

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195) Data describing the results of healthcare services

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196) ……is the combination of the quality of a product and the cost at which that level of quality is achieved?

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197) Action designed to lower the risk of failure

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198) Graphs in which each unit of data is represented as a pie-shaped piece of a circle

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199) …. It is important to know about

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200) Which of the following does not constitute patient-centered care? family planning

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