ABOG Quality Assurance & Compliance 2

Question 1

Which organization publishes the National Patient Safety Goals (NPSGs) relevant to obstetric units?

Accepted Answer

The Joint Commission

Answer

The Joint Commission publishes annual National Patient Safety Goals that accredited hospitals, including those with obstetric units, must implement.

Question 2

A hospital's obstetric unit wants to reduce its cesarean delivery rate. Which quality metric is most commonly tracked for this purpose?

Accepted Answer

NTSV cesarean rate

Answer

The Nulliparous, Term, Singleton, Vertex (NTSV) cesarean rate is the primary benchmark used nationally to monitor and reduce unnecessary cesarean deliveries.

Question 3

Under the Emergency Medical Treatment and Labor Act (EMTALA), what is required when a pregnant patient presents to the emergency department in active labor?

Accepted Answer

Stabilization and delivery at that facility unless transfer is appropriate

Answer

EMTALA requires hospitals to provide stabilizing treatment, which for a patient in active labor includes delivery, before any transfer.

Question 4

Which process improvement methodology uses Define, Measure, Analyze, Improve, and Control (DMAIC) phases?

Accepted Answer

Six Sigma

Answer

Six Sigma uses the DMAIC framework to reduce process variation and defects, and is frequently applied in healthcare quality improvement.

Question 5

A quality review finds that oxytocin administration errors are occurring on the labor floor. What is the BEST first step in a systems-based approach?

Accepted Answer

Conduct a root cause analysis to identify contributing factors

Answer

A root cause analysis identifies systemic contributing factors rather than placing blame on individuals, which is the foundation of a just culture approach to safety.

(ABOG) American Board of Obstetrics & Gynecology Practice Test

(ABOG) American Board of Obstetrics & Gynecology Practice Test

ABOG Quality Assurance & Compliance 2