Next Quality Assurance and Improvement 2

Question 1

A nurse notices a near-miss event where a patient almost received the wrong blood type. What is the MOST appropriate first action?

Accepted Answer

Report the event through the facility's incident reporting system

Answer

Near-miss events must be reported through formal incident reporting systems to enable analysis and prevention of future errors.

Question 2

Which quality improvement model uses Plan, Do, Study, Act cycles to test changes on a small scale before full implementation?

Accepted Answer

PDSA cycle

Answer

The PDSA (Plan-Do-Study-Act) cycle is an iterative improvement model designed to test changes incrementally before broader implementation.

Question 3

A hospital's fall rate is above the national benchmark. Which data is MOST important to collect first when beginning a quality improvement project?

Accepted Answer

Baseline fall rate data and contributing factors

Answer

Collecting baseline data and identifying contributing factors is the essential first step in any quality improvement initiative.

Question 4

The Joint Commission's Sentinel Event policy requires hospitals to perform which type of analysis after a serious adverse event?

Accepted Answer

Root cause analysis

Answer

The Joint Commission requires a root cause analysis (RCA) after sentinel events to identify underlying system factors that contributed to the event.

Question 5

A quality improvement team wants to identify all possible causes of medication errors. Which tool is BEST suited for this purpose?

Accepted Answer

Fishbone (Ishikawa) diagram

Answer

The fishbone diagram (cause-and-effect diagram) systematically categorizes potential causes of a problem to identify root contributors.

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