Ambulatory Care Test Ambulatory Care Quality and Safety Improvement 3

Question 1

Which element is most critical to include when designing a safe health information technology (HIT) system for ambulatory care?

Accepted Answer

Usability testing with end users before full deployment

Answer

Usability testing before deployment identifies workflow mismatches and alert fatigue risks that can lead to EHR-related safety events.

Question 2

A practice manager reviews data showing 18% of patients do not show for scheduled appointments. The FIRST step in a quality improvement effort should be:

Accepted Answer

Measure and stratify no-show rates by provider, day, and patient demographics to understand patterns

Answer

Before selecting an intervention, you must understand the distribution and drivers of no-shows through data stratification.

Question 3

In ambulatory care, 'failure mode and effects analysis' (FMEA) is best used to:

Accepted Answer

Prospectively identify and prioritize potential process failures before they cause harm

Answer

FMEA is a proactive risk assessment tool that identifies failure modes and their potential severity before a safety event occurs.

Question 4

A patient safety officer notes that staff rarely report errors in the electronic reporting system. The most likely organizational barrier is:

Accepted Answer

Fear of punitive consequences and a blame-focused culture

Answer

A punitive culture where staff fear blame is the primary reason underreporting occurs; psychological safety is essential for a functioning safety reporting system.

Question 5

Which approach best supports equitable quality improvement in ambulatory care?

Accepted Answer

Stratifying quality measure data by race, ethnicity, and socioeconomic status to identify and address disparities

Answer

Stratifying data by race, ethnicity, and social determinants reveals hidden disparities so that targeted interventions can address equity gaps.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Ambulatory Care Quality and Safety Improvement 3