AHIC Quality Improvement 5

Question 1

Which concept describes the spread of a QI improvement from one unit or department to other parts of an organization?

Accepted Answer

Spread

Answer

Scaling

Answer

Diffusion

Answer

Replication

Question 2

A QI team reviewing EHR audit logs notices that nurses frequently document vital signs in free-text comments rather than structured fields. This behavior MOST likely indicates:

Accepted Answer

Workflow or usability issues with the structured data entry fields

Answer

Poor clinical training on vital sign interpretation

Answer

A policy violation requiring immediate disciplinary action

Answer

Successful adoption of the documentation standard

Question 3

The SQUIRE 2.0 guidelines are used to:

Accepted Answer

Guide the reporting of healthcare quality improvement studies in peer-reviewed publications

Answer

Standardize patient safety event reporting to state health departments

Answer

Set minimum EHR data quality standards for QI data extraction

Answer

Provide a framework for root cause analysis documentation

Question 4

Which Lean concept refers to creating a smooth, continuous flow of work by pulling work based on downstream demand rather than pushing work through the system?

Accepted Answer

Just-in-time (JIT) with pull systems

Answer

Batch processing with push systems

Answer

5S workplace organization

Answer

Standard work documentation

Question 5

A hospital is benchmarking its surgical site infection (SSI) rates. The most appropriate external benchmark source for US hospitals would be:

Accepted Answer

CDC National Healthcare Safety Network (NHSN) data

Answer

Internal historical data from the past two years

Answer

State health department minimum thresholds

Answer

Individual hospital's peer-reviewed publications

Question 6

During a root cause analysis (RCA) of a wrong-patient medication error, the team identifies that the look-alike name alert in the EHR was being ignored due to alert fatigue. What category of contributing factor does this represent?

Accepted Answer

Human factors and technology design

Answer

Equipment failure

Answer

Policy non-compliance

Answer

Inadequate staffing

Question 7

Which NQF concept ensures that a quality measure is worth the cost and burden of measurement by evaluating if the measure addresses an important gap in care?

Accepted Answer

Importance to measure and report

Answer

Scientific acceptability

Answer

Feasibility

Answer

Usability and use