CPHQ Quiz 4

Question 1 of 140

1. Question

According to the Institute of Medicine, which of the following is NOT one of the domains of
quality care?

Government regulation

Customization

Safety

Interventions consistent with the latest medical findings

Question 2 of 140

2. Question

In a successful lean healthcare facility, the largest costs related to quality will be incurred by…

Preventive efforts

Internal failures

Assessment programs

External failures

Question 3 of 140

3. Question

What is the best explanation for the relatively slow introduction of lean practices into medical
laboratories?
a. The variability and complexity of the samples in a laboratory is much higher than in

manufacturing environment

Scientists are less receptive to the core principles of lean

Medical laboratories function differently than factories

Medical research is mostly funded by the government

Question 4 of 140

4. Question

Which of the following is vastly different from the others?

SIPOC

DMAIC

PDCA

PDSA

Question 5 of 140

5. Question

In the perfect lean enterprise, delivery to the customer is…

Instantaneous

Rapid

Customizable

Optional

Question 6 of 140

6. Question

A hospital-wide set of professional standards is important because it…

Reduces the waste of time and resources

Eliminates bottlenecks

Encourages duplication

Minimizes the need for communication

Question 7 of 140

7. Question

The process chain in a laboratory is particularly subject to…

Variability

Delay

Disorganization

Conflict

Question 8 of 140

8. Question

Which of the following is NOT one of the typical questions in a force-field analysis?

“What do you hope to accomplish in the meeting?”

“What was bad about the meeting?”

“What was good about the meeting?”

“How can we improve meetings in the future?”

Question 9 of 140

9. Question

Hospitals that implement computerized provider order entry (CPOE) almost always see a
decline in…

Medication errors

Diagnostic errors

Adverse events

Latent errors

Question 10 of 140

10. Question

In a traditional meeting, the timekeeper and the minute-taker roles are…

Filled by different people every time

Filled by the same person

Filled by the same two people in each meeting

Filled by employees who are not required to participate in the meeting

Question 11 of 140

11. Question

When establishing a clinical-governance training program for the directorate, it is useful to…

Align the subject matter with the specific tasks of the audience

Eschew case studies

Emphasize the basic concepts of clinical governance

Customize instruction for each person

Question 12 of 140

12. Question

The protocol for ordering a medication should be…

The same every time

Customizable

Adaptable to verbal or written situations

Dependent on inventory

Question 13 of 140

13. Question

In a typical hospital, approximately what percentage of errors is reported?

Less than 5

Between 25 and 50

75

Between 80 and 90

Question 14 of 140

14. Question

During the periods with the highest incoming workload, a laboratory that has not implemented
lean practices is likely to have…

Substandard lead time performance

Diminished productivity

False positives

Selective engagement errors

Question 15 of 140

15. Question

During a meeting, the facilitator must intervene several times to stop disputes between
participants. Is this appropriate?

Yes, but the facilitator should stay in the background unless the progress of the meeting is threatened

Yes, the facilitator should rule in favour of one participant

No, the facilitator should never intrude upon a meeting

No, the facilitator should leave this duty to the chairperson

Question 16 of 140

16. Question

One consequence of the implementation of Lean Six Sigma practices in a hospital will be…

Reduction in inventory

The creation of systems for verifying orders

Reduction in staff

Reduction in manufacturing costs

Question 17 of 140

17. Question

The general intent of the PDSA cycle is to…

Optimize a process

Reduce bottlenecks

Incorporate new technology

Automate processes

Question 18 of 140

18. Question

One characteristic of the SOAP model for medical records is…

The inclusion of both subjective and objective data

The lack of a prognosis

The focus on therapeutic intervention

The absence of a differential diagnosis

Question 19 of 140

19. Question

After numerous staff meetings, a hospital administrator notices that one of his subordinates is
an excellent content leader. Which of the following would the subordinate be most likely to do?

Suggest amendments to the meeting agenda

Establish a tone of collegiality

Enforce rules of conduct during the meeting

Introduce new tools for examining data

Question 20 of 140

20. Question

As part of the implementation of lean practices, a laboratory categorizes activities as either
“value-add” or “non-value-add.” What should be done with “non-value-add” activities?

They should be minimized or, if possible, eliminated

They should be eliminated

They should be combined

They should be synchronized

Question 21 of 140

21. Question

A hospital uses infusion pumps to deliver intravenous medications. However, these pumps
occasionally malfunction, so a nurse is assigned to periodically monitor their operation. Is this a
good strategy?

No, because it depends on the vigilance of one employee

No, because it will distract the nurse from her other duties

Yes, because it makes one person directly responsible

Yes, because it gives the nurse a clear directive

Question 22 of 140

22. Question

One way to create useful alignment in an organization is to…

Base the assessment of each department on the same set of performance dimensions

Have each employee report to a single manager

Eliminate adverse drug events

. Organize interdepartmental meetings

Question 23 of 140

23. Question

If an at-risk patient is left unattended and has an adverse response to medication, this is known
as a(n)…

Sentinel event

Initiator

Latent outcome

Slip

Question 24 of 140

24. Question

The minimum practical lead time for an analytical laboratory is…

The release constraint test time for the microbiology lab

Greater than the release constraint test time for the microbiology lab

Less than the release constraint test time for the microbiology lab

Unrelated to the release constraint test time for the microbiology lab

Question 25 of 140

25. Question

Team paralysis is NOT a common result of…

Rigid adherence to meeting protocol

Lack of familiarity with subject matter

The failure to build consensus

An overabundance of options

Question 26 of 140

26. Question

A hospital’s automated pharmacy program will not fill a prescription unless the patient’s allergy
information has been entered. This is an example of…

Constraint

Natural mapping

Affordance

Standardization

Question 27 of 140

27. Question

One disadvantage of using separate scorecards for financial and customer satisfaction data is
that…

Administrators are likely to overvalue the financial information

Employees will become confused

There is likely to be more resource waste

It requires special training

Question 28 of 140

28. Question

A hospital administrator wants to determine how changes in resource allocation would affect
total profit. By manipulating a variable, for instance the number of nurses assigned to a floor of the
hospital, the administrator can calculate the difference in profit. The administrator is performing
a…

Sensitivity analysis

Risk analysis

Force field analysis

Decision analysis

Question 29 of 140

29. Question

A quality improvement team wants to construct a simple chart that will depict how
institutional spending and time are applied to a set of basic tasks. This chart will take the form of
a…

T-shaped matrix

L-shaped matrix

X-shaped matrix

Y-shaped matrix

Question 30 of 140

30. Question

At present, the best way to improve the delivery of accurate and useful information about
medication would be to…

Create a universal database of patient records

Improve the time it takes pharmacies to deliver medicine

Give patients access to their lab reports

Encourage pharmacists to visit nursing stations regularly

Question 31 of 140

31. Question

Which component of decision-making typically receives much less time than it deserves?

Framing

Gathering information

Drawing conclusions

Voting

Question 32 of 140

32. Question

A health care facility has eleven wheelchairs. The likelihood that a wheelchair will be available
when needed can be calculated with a(n)…

Binomial distribution

Multinomial distribution

Factorial

Effects analysis

Question 33 of 140

33. Question

At the beginning of a planning meeting, the participants are asked to make a list of their
priorities. These lists are then compiled, and an overall list of priorities is created. This process is
known as…

Nominal group technique

Diversion and conversion

Force field analysis

Multi-voting

Question 34 of 140

34. Question

Employee incentive programs should emphasize…

Adherence to established protocols

Excellent results

Improved cost savings

Reduction in adverse events

Question 35 of 140

35. Question

Which of the following diagrams is appropriate for categorizing the needs of customers?

Kano model

Histogram

Flow chart

Matrix diagram

Question 36 of 140

36. Question

Root cause analyses most often reveal that mistakes are the result of…

A series of small errors

A single miscalculation

A culture of incompetence

Bad actors

Question 37 of 140

37. Question

Which of the following is the strongest basis for practice?

Systematic reviews of randomized clinical trials

Descriptive studies

Qualitative studies

Opinion leaders

Question 38 of 140

38. Question

Which of the following is NOT one of the types of quality problems identified by the Institute of
Medicine’s National Roundtable on Health Care Quality?

Misuse

Abuse

Overuse

Underuse

Question 39 of 140

39. Question

In behavioural health, the most important sentinel event for root cause analysis is…

Discharge

Death

Recovery

Medication error

Question 40 of 140

40. Question

When is the best time to discuss the results of a meeting exit survey?

Immediately upon receiving the responses

At the beginning of the next meeting

Via email in the interim before the next meeting

These results should not be discussed

Question 41 of 140

41. Question

A simple but effective way for managers to obtain the support of team members is to…

Threaten punishment

Ask for it

Mandate it

Ignore the team members

Question 42 of 140

42. Question

When is the best time for chairing during a meeting?

One hour beforehand

At the beginning

In the middle

At the end

Question 43 of 140

43. Question

A presentation on the basic structures and processes of clinical governance would be most
useful…

For small teams of employees

For the organization as a whole

For the directorate

For individual employees

Question 44 of 140

44. Question

The definitive proof of the success of a regulation program is…

Fewer complaints from customers

A decreased need for inspections

A boost in employee morale

An increase in throughput

Question 45 of 140

45. Question

A meeting of department managers is discussing the catering service and menu for a hospital wide
special occasion. This decision should be made by…

Building a consensus

Voting

Fiat

Brainstorming

Question 46 of 140

46. Question

Time available divided by time available and time required is the Six Sigma ratio for…

Productivity

Dependability

Customer satisfaction

Selectivity

Question 47 of 140

47. Question

When prescriptions are being prepared, the labelling process begins at the same time as the
medication is being packaged. However, the labelling does not take as long as the packaging. This
difference in time does not add to the overall duration of the prescription-filling process. This is an
example of…

Just-in-time manufacturing

Slack time

Mistake proofing

Inherent process variation

Question 48 of 140

48. Question

A behavioural health specialist notices a particularly high number of restraint deaths at a facility.
An analysis of the root causes of these events is most likely to indicate problems with…

Equipment

Staff orientation and training

Staffing levels

Alarm systems

Question 49 of 140

49. Question

A good meeting facilitator will…

Not need to ask very many questions

Focus on process rather than content

Refrain from offering suggestions

Focus on content rather than process

Question 50 of 140

50. Question

Individual instruction on clinical governance is most effective when…

It is delivered to a group

It is delivered before a performance review

It is combined with targeted training

It is targeted at new employees

Question 51 of 140

51. Question

When establishing an incentive program for employees, the critical-to-quality parameters
should be…

Agreed upon by all participants

Attainable and significant

Determined while the program is underway

Established by the senior administrator

Question 52 of 140

52. Question

The discharge department of a hospital is at optimal efficiency when it completes the discharge
process…

More often than customer requests occur

At about the same rate as customer requests occur

Less often than customer requests occur

Twice as fast as customer requests occur

Question 53 of 140

53. Question

The first and most important step in a disclosure conversation is…

Assessing the patient’s mood

Admitting error and apologizing

Discussing the root cause analysis

Compensating the patient

Question 54 of 140

54. Question

What are the three dimensions of quality in the most common framework for quality
assessment?

Service, process, and mortality

Structure, process, and outcomes

Population, structure, and satisfaction

Function, outcomes, and clinical status

Question 55 of 140

55. Question

A top-level administrator is asked by a lower-level manager to lead a meeting of new
employees. What should the administrator do first?

Review the notes from previous meetings

Discuss the meeting participants with the manager

Organize preliminary notes

Compose an introductory statement

Question 56 of 140

56. Question

Which of the following contracts would be most appropriate when remodelling an old wing of a
hospital?

Formal contract

Time and materials contract

Cost reimbursement contract

Fixed price contract

Question 57 of 140

57. Question

A set of key measures that is used to judge progress is known as a(n)…

Performance factor

Dashboard

Independent variable

Benchmark

Question 58 of 140

58. Question

The most common source of the goal statement for a tree diagram is…

An affinity diagram

The root cause identified by an interrelationship digraph

An assignment

A histogram

Question 59 of 140

59. Question

Over the past three decades, medical knowledge and technology have…

Expanded at a slow rate

Expanded at an exponential rate

Both expanded and declined at different times

Declined at a slow rate

Question 60 of 140

60. Question

In healthcare, the most common adjustment to the traditional balanced scorecard is the…

Focus on financial performance

Extra emphasis on patient results and customer satisfaction

Elimination of business operations

Use of advanced metrics

Question 61 of 140

61. Question

One difference between evidence-based practice and research utilization is that…

Research utilization takes into account the preferences of the patient

Research utilization relies on only one study

Evidence-based practice is based on tradition

Evidence-based practice incorporates the ideas of opinion leaders

Question 62 of 140

62. Question

In general, how many steps should a failure modes and effects analysis take in each direction?

One

Two

Five

Ten

Question 63 of 140

63. Question

Which of the following is NOT a goal of quality circles?

To improve customer relations

To develop new services

To improve job satisfaction

To maximize employee potential

Question 64 of 140

64. Question

Which of the following is NOT a primary goal of lean enterprise?

Improve quality

Stabilize total costs

Eliminate waste

Reduce lead time

Question 65 of 140

65. Question

A hospital experiences very infrequent problems with infusion equipment. The best statistical
distribution model for examining these errors would be the…

Binomial distribution

Poisson distribution

Normal distribution

Multinomial distribution

Question 66 of 140

66. Question

When assessing an emergency room, the best strategy for data collection is…

Cluster sampling

Continuous sampling

Matched random sampling

Accidental sampling

Question 67 of 140

67. Question

The most important characteristic of the controls in a case-control study is that they are…

Drawn from a random pool of patients

Identical to the cases in every respect except for the presence of the targeted condition

Available for frequent observation

Literate

Question 68 of 140

68. Question

One common problem in labs with low turnover is…

Excessive slack time

Narrow specialization by technicians

Failure to adapt

Confrontations between management and technicians

Question 69 of 140

69. Question

Frequent benchmarking is important in lean service because…

It boosts employee morale

It prevents an organization from failing to react to external changes

It eliminates employee waste

It reduces adverse drug events

Question 70 of 140

70. Question

Which of the following groups is least likely to report errors?

Primary care physicians

Support staff

Independent contractors

Nurses

Question 71 of 140

71. Question

Whenever possible, medication orders should be by…

Weight

Volume

Dose

Strength

Question 72 of 140

72. Question

A doctor fails to administer an indicated test, and the patient’s condition deteriorates to the
point that he must be admitted to an inpatient facility. This is an example of…

Preventive error

Treatment error

Diagnostic error

Communication error

Question 73 of 140

73. Question

Which of the following does NOT contribute to evidence-based practice in healthcare?

Clinical expertise

Evidence collected by expert panels

Tradition

Patient preferences

Question 74 of 140

74. Question

What is one disadvantage of the visioning strategy for setting goals?

It isolates team members

It tends to bring internal conflicts to the surface

The group must have at least six members for it to be feasible

It tends to reinforce group norms

Question 75 of 140

75. Question

Before conducting a safety audit in an emergency department, an administrator must first
obtain…

A list of the employees in that department.

A map of the department

A written set of safety standards

Statistics on adverse events

Question 76 of 140

76. Question

During a meeting, the facilitator notices that one of the participants is getting agitated. After the
meeting, what would be the best question for the facilitator to ask the participant?

“Why are you so angry?”

“What didn’t you like about the meeting?”

“Were you feeling irritated during the meeting?”

“Don’t you hate it when your co-workers act that way?”

Question 77 of 140

77. Question

A hospital manager notices that a significant proportion of medication errors in the facility
involve the same two drugs. What is the most likely cause of this?

The drugs are widely available

The drugs are made by the same company

The drugs come in similar packaging

The drugs are habit-forming

Question 78 of 140

78. Question

A whole systems approach to clinical governance is important because…

It isolates particular areas of concern

It can be administered within one week

Changes must be applied at all levels of the organization

Delays in service provision are rare

Question 79 of 140

79. Question

Because of a doctor’s poor handwriting, a prescription must be reworked before it leaves the
pharmacy. Which of the following is true?

The doctor should be reprimanded

The pharmacy should incorporate bar coding

The prescription should not count towards the pharmacy’s yield

The error should be reported to the FDA

Question 80 of 140

80. Question

A hospital manager finds that she is unable to effectively supervise all of the employees who
report directly to her. A reorganization of the hospital hierarchy should…

Eliminate some of the subordinate employees

Reallocate material resources

Minimize the manager’s span of control

Call for the hiring of another manager

Question 81 of 140

81. Question

An adverse drug reaction…

Decreases the efficacy of therapy

Increases the toxicity of other medication

Both A and B

A and/or B

Question 82 of 140

82. Question

In the lean enterprise model, what is the first step toward improving quality?

Establishing performance metrics

Reviewing product design

Understanding the expectations of the customer

Identifying potential defects

Question 83 of 140

83. Question

A hospital manager operates on the assumption that his employees will thrive when they are
given responsibility and the opportunity to perform well. The manager’s beliefs are aligned with…

The theory of constraints

Theory X

Theory Y

Theory Z

Question 84 of 140

84. Question

When a hospital official notes that most errors are occurring at the “sharp end,” she means
that…

They involve surgical tools or knives

They occur in clusters

They occur during the interactions between caregivers and patients

They are more likely to occur during busy periods

Question 85 of 140

85. Question

Which of the following procedures is NOT a good way to mitigate injury?

Maintaining a ready supply of antidotes to high-risk medications

Simulation training

Programming equipment to shut off in the event of a crisis

Requiring employees to practice crisis response

Question 86 of 140

86. Question

A root cause analysis of inpatient suicides would be most likely to discover problems with…

Staffing levels

Staff orientation

The physical environment

The availability of information

Question 87 of 140

87. Question

A hospital’s medication system is vast, and various elements of it fall within the purview of
several different departments. One important step towards reducing errors in this system is to…

Make each department responsible for the system as a whole

Have each department use the same self-assessment tools

Give a single person responsibility for overseeing the entire system

Simplify it

Question 88 of 140

88. Question

According to JCAHO, the primary cause of wrong-site surgery errors is…

Unusual patient characteristics

The necessity of multiple surgeries

Communication failure

The presence of multiple surgeons

Question 89 of 140

89. Question

Which of the following is NOT mandatory in a generic dispensing program?

Active ingredient must be the same

Chemical composition must be the same

Salt form must be the same

Dosage form must be the same

Question 90 of 140

90. Question

If administrators are given a list of the variables that predict mortality for patients with a given
condition, they should be able to…

Reduce the number of deaths

Eliminate wasteful therapies

Create a formula for the risk of death for each patient

Reduce bottlenecks in the emergency room

Question 91 of 140

91. Question

Volatility in nursing workload is less likely to be reported than other sources of waste because…

Nurses are unlikely to complain

It can only be perceived through the use of advanced metrics

It is less observable

It takes place infrequently

Question 92 of 140

92. Question

One of the consequences of successful application of the theory of constraints is…

Major system changes

Fewer employees

The creation of new constraints

Capital improvements

Question 93 of 140

93. Question

Most quality problems in healthcare are the result of…

Lack of compassion

Lack of resources

Disorganization

Ignorance

Question 94 of 140

94. Question

The system limits of a process typically are based on the average and standard deviation of the…

Yield and error rate

Duration and validity

Yield and duration

Validity and yield

Question 95 of 140

95. Question

It has been determined that a hospital’s blood transfusions are 99.7 percent error-free. Which
function can be used to determine the number of blood transfusions that are likely to be performed
before an error is made?

Binomial distribution

Poisson distribution

Negative binomial distribution

Multinomial distribution

Question 96 of 140

96. Question

Which of the following is a reactive system?

Questionnaires

Market research

Information obtained from customer complaints

Interviews with customers

Question 97 of 140

97. Question

If the load and the mix of a testing laboratory are levelled, the result will be…

An increase in capacity

A reduction in cost

An increase in capacity and/or a reduction in cost

An increase in capacity or a reduction in cost

Question 98 of 140

98. Question

Team members begin to reach consensus on the rules for operation during the stage known
as…

Storming

Forming

Norming

Recognition

Question 99 of 140

99. Question

In the most efficient labs, each technician…

Can only complete a single task

. Performs every task

Can perform every task, but usually performs only one

Rotates between tasks on a daily basis

Question 100 of 140

100. Question

Why is it important to use customized benchmarks?

Administrators may not release comprehensive data

Customer satisfaction is the most important measure of success

External factors may differentiate otherwise similar organizations

Customization eliminates resource waste

Question 101 of 140

101. Question

Which of the following is NOT one of the four elements of a health service microsystem?

A clear and identifiable population of patients

An environment in which self-assessment information can be obtained

A broad collection of health-care providers, support personnel, and private contractors

Well though-out work processes

Question 102 of 140

102. Question

What is one advantage of a voluntary error reporting system over a mandatory error reporting
system?

Mandatory systems are only targeted at very narrow areas of practice

Voluntary systems eliminate the need for communication between healthcare organizations

Voluntary systems elicit more reports from front-line practitioners

Mandatory systems discourage the reporting of non-fatal errors

Question 103 of 140

103. Question

The main difference between the Taguchi model of service provision and the traditional model
is that…

The Taguchi model identifies waste any time a process varies from its target

The traditional model is less forgiving of error

The Taguchi model is only applicable to manufacturing processes

The traditional model requires an organization with at least fifty employees

Question 104 of 140

104. Question

When a hospital administration decides on strategy, this information should be shared with…

Employees, patients, and the community

Employees only

Employees and patients only

No one

Question 105 of 140

105. Question

When conducting an audit of a large department, an administrator will likely apply the central
limit theorem. What does this mean?

She will average all of the data from the department

She will focus her efforts on the departmental leadership

She will assume that a sample is representative of the department as a whole

She will compare the department’s performance to ISO 9001 standards

Question 106 of 140

106. Question

A brief analysis of interventions for stroke is likely to be relatively unhelpful because…

Most stroke victims die

Stroke victims tend to be very old

Research has yet to discover an effective standard treatment

Strokes are likely to be accompanied by other conditions

Question 107 of 140

107. Question

It is easy to conduct a survey of medication-related errors because…

There are very few of them relative to other types of error

Deaths caused by such errors are rarely discovered

Such errors have small but noticeable effects on health care costs

Prescription-drug use is common and well documented

Question 108 of 140

108. Question

A delay in discharging patients is likely to cause recurrent bottlenecks in…

Admissions from the emergency room

The filling of prescriptions

Admissions from surgical wards

All of the above

Question 109 of 140

109. Question

Which of the following conditions should a quality assessment program NOT examine?

A condition that is thought to be treatable

A condition for which the treatment is susceptible to significant influence by health care providers

A condition that has cost-effective treatments

A rare condition that has a small effect on mortality or morbidity

Question 110 of 140

110. Question

Research suggests that the largest proportion of adverse events attributable to negligence occur
in the…

Post-trauma unit

Surgery unit

Maternity ward

Emergency room

Question 111 of 140

111. Question

Which of the following is the source of the most medication errors?

Orders that require lab results

High-risk orders

Automatic orders

Verbal orders

Question 112 of 140

112. Question

One advantage of the kaizen approach to DMAIC implementation is that…

It replicates the project-team approach

All of the team members are involved in all phases of the process

It can be performed while employees complete their normal tasks

It is accomplished in about a week

Question 113 of 140

113. Question

The practice of waiting for a certain number of samples before commencing a test run results
in…

Fewer bottlenecks

More bottlenecks

Shorter lead times

Longer lead times

Question 114 of 140

114. Question

Confronted by excessive WIP levels, many laboratories take the unhelpful step of…

Decreasing the number of test runs

Acquiring a larger laboratory

Hiring more employees

Installing new technology

Question 115 of 140

115. Question

Which of the following steps should be taken before QA activities begin?

Responsibility should be shared

The principals should be informed

Resources should be pooled

The scope of involvement should be identified

Question 116 of 140

116. Question

Because the hospital is busy, an anaesthesiologist is given less time than usual to examine the
infusion device that will be delivering medication to a patient during surgery. The machine
malfunctions and the doctors on hand must work feverishly to save the patient’s life. This is an
example of…

Active error

Equipment error

System error

Latent error

Question 117 of 140

117. Question

As much as possible, medications should be standardized. However, when this is impossible, it
is important to…

Assume that side-effects will occur

Warn clinicians about the potential for overdose

Only use them as a last resort

Differentiate them clearly

Question 118 of 140

118. Question

A hospital uses the same labels for all of its prescriptions, but these labels do not fit on the
smallest container, so employees must cut and paste the labels in a special way in order to fill the
prescription. This is an example of…

Overproduction

Queuing

Work-in-progress

Extra processing

Question 119 of 140

119. Question

Which of the following factors is NOT included in a calculation of risk priority number?

Severity of possible adverse effects

Effectiveness of controls

Likelihood of an adverse effect

Cost of controls

Question 120 of 140

120. Question

A program for assessing the validity of rolled throughput yield calculation is called…

Composite clinical indication

Performance measure selection

Continuous quality management

Measurement systems analysis

Question 121 of 140

121. Question

One common model for administrative meetings is for small groups to discuss specific problems
and then join together in a…

Process intervention

Confab

Colloquium

Plenary

Question 122 of 140

122. Question

Why would a hospital include an APACHE III score on an analysis of the infection rate?

To indicate trends related to age

To link infection with socioeconomic status

To find areas of resource waste

To establish the general likelihood of infection for patients with various conditions

Question 123 of 140

123. Question

One important driver of customer dissatisfaction in health care over the past decade has been…

The introduction of online services

The lack of communication between physicians and patients

The rise in income inequality

The improvement of customer care in other service industries

Question 124 of 140

124. Question

Which of the following is most important?

. Patient satisfaction

Clinical satisfaction

Employee satisfaction

Patient, clinical, and employee satisfaction are equally important

Question 125 of 140

125. Question

In the optimal decision-making process, the most time will be devoted to…

Framing the question

Learning from feedback

Drawing conclusions

Gathering information

Question 126 of 140

126. Question

In lean enterprise, which is the worst type of waste?

Extra processing

Queuing

Transport

Overproduction

Question 127 of 140

127. Question

The frequency of errors in a particular process would best be displayed in a(n)…

Matrix diagram

Pareto chart

Affinity diagram

Histogram

Question 128 of 140

128. Question

An increase in chronic conditions is one consequence of…

More complicated intervention strategies

Advances in medical technology

Greater population density

Longer life expectancy

Question 129 of 140

129. Question

The “four bads” associated with drug-related morbidity are…

Bad drugs, bad doctors, bad pharmacists, and bad patients

Bad drugs, bad patients, bad luck, and bad doctors

Bad drugs, bad pharmacists, bad nurses, and bad luck

Bad drugs, bad patients, bad prescribing, and bad luck

Question 130 of 140

130. Question

Which of the following is NOT one of the basic components of an optimization model?

Constraints

Objective function

Variable inputs

Price information

Question 131 of 140

131. Question

Which of the following is a characteristic of a high-performing group?

More advocacy than inquiry

More internal than external focus

More scepticism than optimism

A blend of internal focus and external review

Question 132 of 140

132. Question

When developing quality standards, the best source of information is…

Trade publications

The facility scorecard

Prior performance measures

External benchmarking data

Question 133 of 140

133. Question

Which of the following is NOT one of the operational measurements emphasized by the theory
of constraints?

Throughput

Operating expense

Inventory

Net profit

Question 134 of 140

134. Question

The most common and effective style of checklist for hospital employees is…

Standardized and rarely updated

Requires detailed responses

Only required for new employees

Designed to prompt a response of “yes” to almost every question

Question 135 of 140

135. Question

A meeting facilitator notices that the team has a tendency towards groupthink. What is one
structural way to correct this problem?

Meet late in the day

Meet more often

Break the group down into smaller subgroups

Have comments submitted in writing

Question 136 of 140

136. Question

An administrative team is using an interrelationship digraph to examine the problem of
nursing workload volatility. What will the team do after making a list of the factors that influence
this issue?

Confer with an expert

Tabulate the data

Identify root causes

Draw relationship arrows between the factors

Question 137 of 140

137. Question

To deal with volatile workloads, a laboratory creates a fast track for samples that need to be
processed immediately. One common result of this strategy is that…

Average lead times will be reduced

The laboratory will stop having bottlenecks

Technicians will become confused

The portion of samples placed in the fast track will steadily increase

Question 138 of 140

138. Question

Research suggests that people make fewer errors when they…

Perform several tasks at once

Work creatively

Work individually

Work in a team

Question 139 of 140

139. Question

Hospitals pay special attention to blood transfusions because…

They are easy to monitor and verify

They are rare

They are responsible for the largest percentage of malpractice suits

They are complicated and dangerous

Question 140 of 140

140. Question

The main difference between a dashboard and a scorecard is that…

A dashboard is only to be viewed by senior administrators

A scorecard includes performance measures from multiple departments

A dashboard only includes one measure of performance

A scorecard describes past performance, while a dashboard depicts performance in real time

No. of Questions	Mark Of Each Question	Duration	Min Passing Percentage
140	1	120 min	60%

CPHQ Quiz 4

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