CHL Healthcare Quality Management 2

Question 1

Which of the following best describes the purpose of a root cause analysis (RCA) in healthcare?

Accepted Answer

To identify the fundamental system-level factors that contributed to an adverse event

Answer

To assign blame to the staff member responsible for an error

Answer

To document the financial cost of a sentinel event

Answer

To determine whether a patient can file a lawsuit

Question 2

A hospital's infection control team uses a run chart to monitor central-line associated bloodstream infection (CLABSI) rates over 12 months. What is the primary value of this tool?

Accepted Answer

It reveals trends and shifts in performance over time

Answer

It calculates the statistical significance of rate changes

Answer

It displays the distribution of infection types by pathogen

Answer

It compares the hospital's rate to national benchmarks

Question 3

In the context of the IHI Triple Aim, which combination of goals is correct?

Accepted Answer

Improve population health, enhance patient experience, reduce per-capita cost

Answer

Reduce cost, improve staff satisfaction, improve patient outcomes

Answer

Increase revenue, reduce readmissions, improve safety culture

Answer

Improve access, reduce wait times, increase market share

Question 4

Which accreditation standard requires hospitals to conduct proactive risk assessments using a Failure Mode and Effects Analysis (FMEA)?

Accepted Answer

The Joint Commission Leadership chapter

Answer

CMS Conditions of Participation

Answer

The Joint Commission National Patient Safety Goals

Answer

NCQA HEDIS requirements

Question 5

A quality director wants to determine if a recent improvement in patient satisfaction scores is statistically meaningful or due to normal variation. Which tool is most appropriate?

Accepted Answer

Control chart with control limits

Answer

Pareto chart

Answer

Cause-and-effect diagram

Answer

Flowchart

Question 6

Which data type is collected when a nurse records whether a patient received a VTE prophylaxis order within 24 hours of admission (yes/no)?

Accepted Answer

Attribute (discrete) data

Answer

Continuous data

Answer

Ordinal data

Answer

Ratio data

Question 7

A healthcare leader implements bedside shift report to reduce communication failures. This intervention is best aligned with which patient safety concept?

Accepted Answer

Handoff communication and care transitions

Answer

Crew resource management

Answer

High reliability organization principles

Answer

Just Culture framework