CPHRM Quality Improvement 4

Question 1

A hospital implements a central line insertion checklist and sees CLABSIs drop from 4.2 to 0.8 per 1,000 line-days. This improvement is BEST attributed to which type of intervention?

Accepted Answer

Process standardization using evidence-based practice

Answer

Standardizing the insertion process through a checklist is a process improvement intervention grounded in evidence-based practice that reduces variation and prevents infections.

Question 2

Which measure is considered an 'outcome measure' in the Donabedian quality framework?

Accepted Answer

Hospital-acquired pressure injury prevalence rate

Answer

Outcome measures reflect the end results of care on patients' health status, such as complication rates, mortality, or adverse event rates.

Question 3

When analyzing a medication error involving a look-alike/sound-alike drug, the quality improvement team should focus PRIMARILY on:

Accepted Answer

Redesigning the system to prevent future errors of the same type

Answer

A systems approach recognizes that errors result from system failures rather than individual negligence, and focuses on redesigning processes to make errors less likely.

Question 4

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures:

Accepted Answer

Patients' perspectives on their hospital care experience

Answer

HCAHPS is a standardized survey that publicly reports patients' perspectives on hospital care, including communication, responsiveness, and cleanliness.

Question 5

A 'near miss' event in patient safety is BEST defined as:

Accepted Answer

An error that was caught and corrected before reaching the patient

Answer

A near miss is an unsafe condition or unplanned event that did not reach the patient but had the potential to cause harm if not intercepted.

CPHRM Exam Practice Test

CPHRM Exam Practice Test

CPHRM Quality Improvement 4