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

In QI terminology, 'spread' refers to intentionally taking a tested and proven improvement and implementing it in additional settings, units, or populations beyond the original test site.

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

Workarounds like free-text documentation typically indicate that the structured workflow does not align with clinical workflows, pointing to usability or design issues that should be addressed rather than blamed on individual users.

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

SQUIRE (Standards for QUality Improvement Reporting Excellence) 2.0 provides guidelines for reporting healthcare QI work in scientific publications, ensuring sufficient detail for others to assess and replicate the work.

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

Just-in-time with pull systems ensures work or supplies are provided exactly when needed based on actual downstream demand, reducing inventory, wait times, and overproduction.

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

The CDC's NHSN provides standardized, nationally aggregated infection data that hospitals can use to benchmark their SSI rates against risk-stratified national data using standardized definitions.

(AHIC) AMIA Health Informatics Certification Practice Test

(AHIC) AMIA Health Informatics Certification Practice Test

AHIC Quality Improvement 5