Quality Review and Accountability Flashcards
7 cards from real CPHQ practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Review and Accountability flashcards as text
Which of the following BEST describes the purpose of a Failure Mode and Effects Analysis (FMEA)?
Answer: Prospectively identifying potential process failures before they cause harm
FMEA is a proactive risk assessment tool used to identify and prioritize potential failure points in a process before patient harm occurs.
A quality coordinator is preparing a report for the board of directors on patient safety culture. Which validated tool is MOST appropriate to measure safety culture?
Answer: AHRQ Hospital Survey on Patient Safety Culture (HSOPS)
The AHRQ HSOPS is the validated, widely-used instrument for measuring staff perceptions of patient safety culture in hospitals.
The Ongoing Professional Practice Evaluation (OPPE) process differs from FPPE in that OPPE is:
Answer: A continuous, periodic review of all practitioners' performance
OPPE is a routine, continuous monitoring process for all credentialed practitioners, while FPPE is triggered by specific concerns.
A patient grievance is defined by CMS as a formal written complaint or a complaint that is NOT resolved at the time it is submitted. Who is responsible for reviewing and responding to patient grievances?
Answer: The Patient Grievance Committee or its designee
CMS requires hospitals to have a grievance process with a designated committee or individual responsible for reviewing and responding to formal grievances.
Which statistical concept describes the degree to which a measurement tool consistently produces the same results under the same conditions?
Answer: Reliability
Reliability refers to the consistency and reproducibility of a measurement instrument across repeated applications.
A quality professional notices that surgical site infection rates dropped after a new preoperative checklist was introduced. To confirm causation rather than correlation, the BEST next step is:
Answer: Conduct a controlled study with a comparison group
Establishing causation requires a controlled comparison — a study with a control group or time-series analysis can rule out confounding factors.
Which federal law requires hospitals to report adverse events related to medical devices to the FDA?
Answer: The Safe Medical Devices Act (SMDA)
The Safe Medical Devices Act requires hospitals to report serious device-related injuries and deaths to the FDA and the device manufacturer.