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Which of the following action plans is the first step in correcting inappropriate blood usage in an emergency department? A. in-service on ordering blood usage for the physicians B. elimination of wasted blood C. improvements in documentation D. development of a new procurement procedure - ANSWER A. in-service on ordering blood usage for the physicians Which of the following is most appropriate in preparation for an external survey of a healthcare facility? A. Assign key staff to answer all questions. B. Ask department heads to prepare a presentation for the survey team. C. Educate staff about the types of questions they may be asked. D. Set up teams to make a good showing for the survey. - ANSWER C. Educate staff about the types of questions they may be asked. The following table shows the percentage of hospital-acquired pressure ulcers: Which of the following should the healthcare quality professional do next? A. Implement a new pressure ulcer protocol. B. Re-educate staff. C. Continue to track and trend the data. D. Conduct a focused analysis of pressure ulcer cases - ANSWER D. Conduct a focused analysis of pressure ulcer cases Leadership can best integrate performance improvement within an organization through:A. multidisciplinary teams. B. newsletters. C. focus groups. D. seminars. - ANSWER A. multidisciplinary teams (best integrate performance improvement by promoting an interdisciplinary approach to the process and including multiple subject matter experts.) A medication error occurred and resulted in a severe adverse outcome. In addition to informing the patient and/or family, a healthcare quality professional should: A. perform a regression analysis. B. implement new technology. C. reassign the employees involved. D. conduct a root cause analysis. - ANSWER D. conduct a root cause analysis. (exploration of system and process issues should be the primary function of a root cause analysis) The primary purpose of an organization's quality improvement (QI) strategic plan is to: A. determine accountability for outcomes. B. assess improvement opportunities. C. define the future direction for quality. D. explain the purpose of performance teams - ANSWER C. define the future direction for quality. (This is a function of having a QI strategic plan.) Which of the following are the first steps when preparing for an initial accreditation or certification surveyof an organization? A. Review the standards and determine readiness. B. Appoint a survey coordinator and prepare a survey agenda. C. Hire a consultant and conduct a mock survey. D. Assess staff knowledge and plan staff training. - ANSWER A. Review the standards and determine readiness. (These actions are part of the gap analysis, which establishes a good baseline to determine where to focus and how to prioritize efforts.)
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