FRACGP Quality Assurance and Improvement 3

Question 1

A GP practice wants to reduce the rate of patients lost to follow-up after an abnormal Pap smear result. Which QI approach is MOST appropriate as a first step?

Accepted Answer

Conduct a baseline audit to quantify the current problem

Answer

Immediately implement a new recall system

Answer

Survey patients about their satisfaction

Answer

Request a practice visit from the accreditation body

Question 2

Which of the following BEST describes 'clinical governance' in general practice?

Accepted Answer

A framework through which health organizations are accountable for continuously improving quality and safeguarding standards of care

Answer

The administrative management of practice finances

Answer

The process of credentialing new clinical staff

Answer

The legal framework for mandatory reporting obligations

Question 3

When conducting peer review in general practice, the primary purpose is to:

Accepted Answer

Support reflective practice and continuous professional development

Answer

Identify underperforming practitioners for disciplinary action

Answer

Fulfill medical indemnity requirements

Answer

Satisfy AHPRA registration requirements

Question 4

A practice implements a new electronic reminder system for cervical screening. After 6 months, screening rates have not improved. According to quality improvement principles, the NEXT step is:

Accepted Answer

Analyze the system to understand why the change did not produce improvement

Answer

Abandon the reminder system and try a different approach

Answer

Report the failure to the practice's accreditation body

Answer

Increase the frequency of reminders without further analysis

Question 5

Which of the following is an example of a 'structure' measure in the Donabedian model of healthcare quality?

Accepted Answer

Availability of spirometry equipment in the practice

Answer

Proportion of diabetic patients with HbA1c below 53 mmol/mol

Answer

Time from referral to specialist appointment

Answer

Patient-reported satisfaction with GP communication

Question 6

The concept of 'safety culture' in a GP practice is BEST demonstrated by:

Accepted Answer

Staff feeling safe to report errors and near misses without fear of blame

Answer

Zero incidents being reported over a 12-month period

Answer

The practice manager reviewing all incident reports personally

Answer

Annual mandatory safety training for all staff

Question 7

In continuous quality improvement (CQI), 'special cause variation' differs from 'common cause variation' in that it:

Accepted Answer

Signals an unusual event or factor outside the normal process

Answer

Is always more harmful to patient outcomes

Answer

Represents predictable fluctuation inherent to the process

Answer

Requires no action from the quality improvement team