Quality Control & Assurance Flashcards
7 cards from real Registered Dietitian Nutritionist 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 dietitian discovers that a specific brand of infant formula has been mixed at the wrong concentration for two days in a neonatal ICU. This event should FIRST be reported as:
Answer: A sentinel event requiring immediate root cause analysis
Incorrect formula concentration in a neonatal ICU is a serious safety event that meets the threshold for a sentinel event, requiring immediate root cause analysis.
Which of the following BEST describes the purpose of a Pareto chart in foodservice quality improvement?
Answer: To identify which problems account for the majority of complaints or defects
A Pareto chart applies the 80/20 rule by ranking problems in descending frequency, allowing teams to focus on the few causes responsible for most defects.
During a Joint Commission survey, a surveyor asks how the nutrition department monitors the quality of its nutrition care services. Which document would BEST demonstrate a systematic quality monitoring program?
Answer: A performance improvement plan with measurable indicators, data, and action taken
A performance improvement plan that includes indicators, collected data, analysis, and actions taken demonstrates a systematic, ongoing quality monitoring process.
A hospital dietitian is reviewing adverse events and finds a pattern of hypoglycemia in patients receiving parenteral nutrition. Using Six Sigma terminology, what is this pattern called?
Answer: A defect
In Six Sigma, a defect is any output that fails to meet customer or patient requirements, such as hypoglycemia caused by an incorrect PN formulation.
A foodservice manager implements temperature logs at every step of the meal delivery process. This is an example of which HACCP principle?
Answer: Establishing monitoring procedures
Establishing monitoring procedures (Principle 4) defines how and when CCPs will be monitored, such as using temperature logs at each delivery step.
A clinical nutrition manager uses a fishbone (Ishikawa) diagram to investigate why patients are not receiving nutrition consults within 48 hours. The major 'bones' of the diagram should represent:
Answer: Categories of potential causes such as people, processes, equipment, and environment
A fishbone diagram organizes potential causes into major categories (e.g., people, methods, machines, environment) branching from the central problem statement.
When a dietitian documents that a patient's albumin level improved from 2.5 g/dL to 3.8 g/dL after 30 days of nutrition intervention, this is an example of which type of quality measure?
Answer: Outcome measure
Outcome measures capture the actual results of care delivered, such as changes in clinical biomarkers following an intervention.
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