FRACGP Quality Assurance and Improvement 2

Question 1

In a clinical audit cycle, what is the correct sequence of steps?

Accepted Answer

Set standards, collect data, analyze, implement change, re-audit

Answer

Collect data, set standards, implement change, re-audit

Answer

Implement change, set standards, collect data, analyze

Answer

Analyze data, set standards, collect data, re-audit

Question 2

Which accreditation body sets standards for Australian general practice?

Accepted Answer

RACGP Standards for General Practices

Answer

Australian Commission on Safety and Quality in Health Care

Answer

National Safety and Quality Health Service Standards

Answer

Australian Health Practitioner Regulation Agency

Question 3

A significant event analysis (SEA) is BEST described as:

Accepted Answer

A structured reflective review of events that caused or could have caused harm

Answer

A punitive review of clinician errors

Answer

A formal complaint investigation process

Answer

A mandatory reporting mechanism to AHPRA

Question 4

Which tool is most appropriate for identifying the root cause of a recurrent medication error in a GP practice?

Accepted Answer

Fishbone (Ishikawa) diagram

Answer

Gantt chart

Answer

Run chart

Answer

Balanced scorecard

Question 5

In quality improvement, a 'run chart' is used to:

Accepted Answer

Display data over time to detect trends and patterns in a process

Answer

Compare performance against a national benchmark at a single point in time

Answer

Calculate the statistical significance of an intervention

Answer

Map patient flow through a clinical pathway

Question 6

The Model for Improvement (IHI framework) asks three fundamental questions. Which of the following is NOT one of them?

Accepted Answer

Who is responsible if the change fails?

Answer

What are we trying to accomplish?

Answer

How will we know that a change is an improvement?

Answer

What changes can we make that will result in improvement?

Question 7

In the PDSA cycle, the 'Study' phase involves:

Accepted Answer

Analyzing data and comparing results to predictions

Answer

Planning the change and predicting the outcome

Answer

Carrying out the planned change on a small scale

Answer

Deciding whether to adopt, adapt, or abandon the change