Nurse Executive Test Patient Safety & Care Quality

Question 1

Which organization publishes the annual National Patient Safety Goals that accredited hospitals must implement?

Accepted Answer

The Joint Commission (TJC)

Answer

Agency for Healthcare Research and Quality (AHRQ)

Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

Institute for Healthcare Improvement (IHI)

Question 2

A 'Never Event' in healthcare is best defined as:

Accepted Answer

A serious, largely preventable adverse event that should never occur in a healthcare setting

Answer

A patient complaint that was never formally addressed

Answer

A medication error that caused no patient harm

Answer

An incident that was never reported to regulatory agencies

Question 3

The 'Swiss Cheese Model' of patient safety, commonly used to explain how errors cause harm, was developed by:

Accepted Answer

James Reason

Answer

Dr. Lucian Leape

Answer

Dr. Peter Pronovost

Answer

Florence Nightingale

Question 4

Which quality improvement methodology uses the DMAIC framework (Define, Measure, Analyze, Improve, Control) to reduce process variation?

Accepted Answer

Six Sigma

Answer

Plan-Do-Study-Act (PDSA)

Answer

Lean methodology

Answer

Root Cause Analysis (RCA)

Question 5

A Failure Mode and Effects Analysis (FMEA) is best described as:

Accepted Answer

A proactive risk assessment tool that identifies potential process failures before they occur

Answer

A retrospective review of adverse events that have already caused patient harm

Answer

A method for determining disciplinary action after a medication error

Answer

A mandatory regulatory report submitted after a sentinel event

Question 6

Which of the following is a core principle of a High Reliability Organization (HRO) as applied to healthcare?

Accepted Answer

Maintaining a preoccupation with failure and sensitivity to operations

Answer

Assuming errors are inevitable and therefore uncontrollable

Answer

Prioritizing operational efficiency over safety to meet financial benchmarks

Answer

Relying on individual clinical expertise rather than standardized team protocols

Question 7

Which metric is used to compare a hospital's actual number of healthcare-associated infections to the predicted number based on national baseline data?

Accepted Answer

Standardized Infection Ratio (SIR)

Answer

Net Promoter Score (NPS)

Answer

Case Mix Index (CMI)

Answer

Length of Stay (LOS) variance