Quality Control & Assurance Flashcards
7 cards from real NP 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 Control & Assurance flashcards as text
A nurse practitioner's practice adopts a Lean QI approach. Which concept is Lean PRIMARILY focused on eliminating?
Answer: Waste in processes that does not add patient value
Lean methodology, derived from the Toyota Production System, targets elimination of waste (muda) in all forms to maximize patient value.
The National Committee for Quality Assurance (NCQA) uses which set of measures to evaluate health plan and provider quality performance?
Answer: HEDIS (Healthcare Effectiveness Data and Information Set)
HEDIS is NCQA's comprehensive set of standardized performance measures used to evaluate quality across health plans and provider organizations.
A safety culture survey reveals that staff fear punishment for reporting errors. Which concept does this MOST reflect?
Answer: Just culture deficit
A just culture distinguishes between human error, at-risk behavior, and reckless behavior, encouraging reporting without fear of unjust punishment.
During a QI project, a nurse practitioner tracks colorectal cancer screening rates monthly. This monitoring represents which type of measurement?
Answer: Process measure
Colorectal cancer screening rate is a process measure, tracking whether recommended care steps are being performed for eligible patients.
An NP-led QI project reduces time to antibiotic administration in pneumonia. However, the team notices increased nursing overtime costs. This overtime metric is an example of a:
Answer: Balancing measure
Balancing measures track unintended consequences of improvement efforts on other parts of the system to ensure the change doesn't cause new problems.
The Institute of Medicine's 'To Err is Human' report emphasized which primary approach to improving patient safety?
Answer: Redesigning systems to make errors harder to commit
'To Err is Human' called for systems-based approaches to safety, recognizing that most errors result from faulty systems, not careless individuals.
A nurse practitioner uses a fishbone (Ishikawa) diagram during a QI meeting. What is the PRIMARY use of this tool?
Answer: Identify and categorize root causes of a problem
A fishbone diagram organizes potential causes of a problem into categories (people, process, equipment, environment) to facilitate root cause analysis.