Quality Assurance and Improvement Flashcards
7 cards from real PCE 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 Assurance and Improvement flashcards as text
Which accreditation body sets standards for physiotherapy service quality in US healthcare organizations?
Answer: The Joint Commission (TJC)
The Joint Commission accredits and certifies healthcare organizations, including those providing physiotherapy services, based on quality and safety standards.
A clinic conducts a peer review of physiotherapy charts. A peer reviewer discovers that treatment rationale is routinely missing from progress notes. This finding is BEST classified as:
Answer: A documentation quality gap requiring a corrective action plan
Missing clinical rationale is a systematic documentation quality gap that should trigger a structured corrective action plan to address root causes.
In quality improvement science, 'spread' refers to:
Answer: Scaling a tested improvement to other units, sites, or populations after success
Spread in QI means taking a successful change that was tested and proven in one area and systematically applying it across a broader context.
Which of the following is an example of an OUTCOME measure rather than a process or structural measure?
Answer: Mean change in Numeric Pain Rating Scale from admission to discharge
Outcome measures capture the result of care on the patient's health status, such as a change in pain score from admission to discharge.
A physiotherapist working in an outpatient clinic is asked to participate in a morbidity and mortality (M&M) review. The PRIMARY purpose of M&M reviews in quality improvement is to:
Answer: Learn from adverse events to prevent future occurrences through systems thinking
M&M reviews use a non-punitive, systems-focused approach to understand why adverse events occurred and develop preventive strategies.
Which of the following BEST describes the role of a physiotherapist in a continuous quality improvement (CQI) culture?
Answer: Actively identifying inefficiencies, collecting data, and proposing solutions at the front line
CQI culture empowers front-line clinicians to continuously identify problems, measure performance, and test solutions as part of daily practice.
A physiotherapy manager wants to assess whether a recently introduced group exercise class improves patient adherence compared to individual sessions. Which study design is MOST appropriate for this QI question?
Answer: Pre-post comparison with control group using existing clinical data
A pre-post comparison with a concurrent control group using available clinical data is a practical and appropriate QI design when a full RCT is not feasible.