AHIC Quality Improvement 4

Question 1

A QI team discovers that medication errors spike every Tuesday afternoon. Using the PDSA cycle, what is the appropriate FIRST step?

Accepted Answer

Plan a small test of change based on a theory about why Tuesdays are different

Answer

The PDSA cycle begins with the Plan phase, where the team identifies a theory about the problem, plans a specific change to test, and predicts what will happen.

Question 2

Which measure type directly assesses whether care processes are being performed correctly according to evidence-based guidelines?

Accepted Answer

Process measure

Answer

Process measures assess whether specific evidence-based steps in care delivery are being performed, such as the proportion of diabetic patients receiving annual foot exams.

Question 3

An informatics team implements a clinical decision support rule to reduce inappropriate opioid prescribing. Six months later, providers report alert fatigue. Which strategy BEST addresses this while maintaining safety?

Accepted Answer

Increase alert specificity by refining triggers to reduce non-actionable alerts

Answer

Increasing alert specificity—ensuring alerts fire only when clinically meaningful—reduces alert fatigue while preserving the safety benefit of CDS by eliminating low-value interruptions.

Question 4

The Quadruple Aim expands the Triple Aim by adding which fourth dimension?

Accepted Answer

Improving the work life and well-being of healthcare providers

Answer

The Quadruple Aim adds improving the work life and well-being of healthcare clinicians and staff to the original Triple Aim, recognizing that provider burnout undermines care quality.

Question 5

A hospital implements a new sepsis protocol. The QI team uses a run chart to monitor compliance over 16 weeks. How many consecutive data points above the median are required to signal a non-random shift using standard run chart rules?

Accepted Answer

8

Answer

Standard run chart rules signal a non-random shift when 8 or more consecutive data points fall on the same side of the median, indicating a meaningful change in the process.

(AHIC) AMIA Health Informatics Certification Practice Test

(AHIC) AMIA Health Informatics Certification Practice Test

AHIC Quality Improvement 4