ABA Quality Assurance & Continuous Improvement 3

Question 1

Which quality improvement methodology uses 'Define, Measure, Analyze, Improve, Control' (DMAIC) as its core framework?

Accepted Answer

Six Sigma

Answer

Six Sigma uses the DMAIC framework to reduce process variation and defects toward a target of 3.4 defects per million opportunities.

Question 2

A fishbone (Ishikawa) diagram is used in QI to:

Accepted Answer

Categorize and visualize potential causes of a problem

Answer

Fishbone diagrams organize potential causes into categories (e.g., people, process, equipment) to systematically identify root causes.

Question 3

When evaluating anesthesia quality, 'risk-adjusted' outcome data is important because:

Accepted Answer

It accounts for differences in patient complexity when comparing providers or institutions

Answer

Risk adjustment controls for patient case-mix differences, allowing fair comparisons of outcomes across providers or facilities.

Question 4

In a quality improvement project targeting PONV reduction, which outcome measure is MOST directly relevant?

Accepted Answer

PACU rescue antiemetic administration rate

Answer

Rescue antiemetic rate in the PACU directly measures the burden of PONV and the effectiveness of prophylactic strategies.

Question 5

The concept of 'high reliability organization' (HRO) in healthcare emphasizes:

Accepted Answer

Preoccupation with failure and collective mindfulness to prevent errors

Answer

HROs proactively search for vulnerabilities and near-misses, fostering a culture of safety before errors cause harm.

(ABA) ASA (American Society of Anesthesiologists) Board Certification Practice Test