Quality Assurance and Improvement Flashcards
7 cards from real FRACGP 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 Assurance and Improvement flashcards as text
Under the RACGP Standards, a general practice must have a documented process for managing patient feedback and complaints. The PRIMARY reason for this requirement is:
Answer: To use feedback as a driver for systematic quality improvement
The RACGP requires a complaints process primarily so that patient feedback is systematically used to identify and address gaps in care quality.
Which of the following BEST illustrates a 'process' measure in the Donabedian quality framework?
Answer: Proportion of eligible patients who received a cardiovascular risk assessment
Process measures capture what is done to patients during care delivery (e.g., whether a recommended assessment was performed), distinct from structure (inputs) or outcomes (results).
A practice adopts a new chronic disease management template. After 3 months, staff report it is too cumbersome and is not being consistently used. According to change management principles, this MOST likely reflects:
Answer: A failure to involve end-users in the design and testing of the change
Sustainable change requires co-design with end-users; excluding staff from the design phase is a common reason why new tools are abandoned in practice.
In population health management within general practice, 'disease registers' are PRIMARILY used to:
Answer: Proactively identify and manage patients with specific conditions at a population level
Disease registers enable proactive, population-level management by identifying all patients with a condition so that care gaps can be systematically addressed.
Which of the following BEST describes 'high reliability' in the context of a general practice?
Answer: A culture and set of processes that prevent harm even in complex, high-risk situations
High reliability organizations maintain safety and quality consistently despite complexity and risk, through proactive systems, culture, and leadership.
A GP practice wants to improve its immunization rates. Using an improvement framework, the MOST effective change concept would be:
Answer: Removing steps in the process by offering opportunistic vaccination at any visit
Removing process barriers (e.g., offering vaccination opportunistically) is more reliably effective than relying on patient education or communication alone.
In the context of quality improvement, 'spread' refers to:
Answer: Replicating a successful change tested in one area across the broader organization or system
Spread is the deliberate strategy of taking a proven change from a small test setting and implementing it more widely to achieve system-level improvement.