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Quality Management Preparation

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

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

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

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

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

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

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

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

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

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

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

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

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

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14) ………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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15) 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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16) Which of the following are key components of a Total Quality Management system?

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

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18) Which statement best describes quality improvement?

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

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

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21) 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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22) A dichotomous response scale

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23) Performance expectations established by individuals or groups

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24) The relationship between cost and quality is

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

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

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

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

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

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

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32) Application of statistical methods to identify and control performance

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

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

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

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

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

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

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39) Management is………………………?

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

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41) Meaningful quality process measures must be?

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

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43) ………. 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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44) Avoiding harm to people from care that is intended to help them?

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45) Graphic representations of a process

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

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

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

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

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

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

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

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

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54) Data describing the results of healthcare services?

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

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56) …. 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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57) Creating governance arrangements and processes to identify ………that require investigation and improvement

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

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

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60) …… Implement the change on a small scale

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

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

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63) …… Identify an opportunity and plan for change

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

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

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

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68) 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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69) To ensure………, the steps perpetually cycle and repeat

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

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71) The benefit of available resources and avoiding waste

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

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

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75) 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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76) ….. 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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77) They use their resources responsibly and efficiently, providing fair access to all, and according to need of their populations?

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

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

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

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

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

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83) ……are structure of care provision

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

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85) Quality improvement program focuses on?

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

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

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

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

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

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

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

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

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94) Treatment results are found in patient records

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

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96) The first step in problem solving is to

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

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98) Process Control and Regulatory is a part of…

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99) 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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100) Which of the following is considered as waste?

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101) 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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102) ……are process of care

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103) Where was Total Quality Management first developed?

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104) Minimum acceptable levels of quality

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

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

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107) 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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108) 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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109) Which of the activities below does not fall under quality assessment? communities

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110) 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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111) Products, services, or information flowing into a process?

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112) 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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113) Quality management is a method for?

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

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

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

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119) Quality assurance is related to ……

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

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121) Data describing the results of healthcare services

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122) 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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123) The objectives of the improvement project?

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124) The Deming performance improvement model

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

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

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127) The Shewhart performance improvement model

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

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

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

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

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

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

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135) Which phrase is not related to quality improvement?

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

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

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

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

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

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142) 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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143) 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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144) 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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145) …. 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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146) They provide care that does not vary in quality because of a person’s characteristics?

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

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

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

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

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

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

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

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

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157) Quality Improvement had its beginnings in what area?

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

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

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

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

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163) Performance improvement projects should be …….

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164) 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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165) …. It is important to know about

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

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

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168) Who is responsible for quality improvement in healthcare?

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

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170) 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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171) .….. define customers and how to meet their needs

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

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

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174) Implement the changes on a small scale?

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

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

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

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

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180) Data describing the delivery of healthcare services

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

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

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

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

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185) 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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186) Products, services, or information produced by a process?

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

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

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

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

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191) Learn more about the problem by gathering performance data

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192) Establishing effective leadership for ……

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

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194) Action designed to lower the risk of failure

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

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

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

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199) ….. are Aspects of patient outcome

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

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