IHI QI 101, IHI QI 102, QI 103: Testing and
Measuring Changes with PDSA
Cycles :O, QI 104, NUR 455 IHI QI 105:
Leading Quality Improvement Exam
1) In regard to health disparities around the world, which of the following statements is
most true?
a) Inequitable medical care is the primary driver of health disparities.
b) Where a child is born significantly affects his or her life expectancy.
c) The root causes of health disparities are complex.
d) B and C - Answers -d) B and C
2) Which of the following is a trend in modern health care across industrialized nations?
a) Providers are becoming more specialized.
b) The disease burden is shifting toward acute conditions.
c) There is growing demand for complicated procedures.
d) A and C - Answers -d) A and C
3) Which of the following statements is true:
a) During the past 15 years, the cost of care has been a growing problem for many
developed nations.
b) During the past 15 years, most countries around the world have used similar
approaches to improve health care quality and access.
c) Among industrialized nations, there is a perfect correlation between quality rankings
and the number of dollars spent on health care.
d) All of the above - Answers -a) During the past 15 years, the cost of care has been a
growing problem for many developed nations.
4) Which of the following countries has had a relatively inexpensive universal health
insurance system for more than 50 years?
a) Chile
b) Germany
c) Japan
d) The US - Answers -c) Japan
5) Which of the following statements is a reason for improving the US health care
system?
a) The US has fallen behind in biomedical innovation.
, b) The US lacks the means to measure health care quality and access.
c) The US government and citizens alike are struggling to afford the cost of care.
d) All of the above - Answers -c) The US government and citizens alike are struggling
to afford the cost of care.
1) Why was it important for the Institute of Medicine (IOM) to develop its six aims for
health care?
a) So that accreditation organizations would be better able to evaluate hospitals
b) So that health care organizations would have a better idea of what they needed to
improve
c) So that lawmakers could focus their attention upon specific areas when working on
health care reform
d) All of the above - Answers -b) So that health care organizations would have a better
idea of what they needed to improve
Michael S., a 49-year-old factory worker, is brought to the hospital after developing
chest pain at work. He is quickly diagnosed with an acute myocardial infarction (heart
attack). However, he waits almost two hours to get to the catheterization lab and have
his blocked coronary artery opened. Ultimately, he suffers permanent damage to his
heart.
2) Which of the IOM aims has this hospital FAILED to meet?
a) Equitable
b) Safe
c) Effective
d) Efficient
e) Timely
f) Patient-centered - Answers -e) timely
3) The hospital where Michael is recovering reviews its patient satisfaction survey
results in order to improve its care and patient outcomes. Leaders poring over the data
note that 90 to 100 percent of patients rate staff as "excellent" in the following
categories: listening, answering questions, being friendly and courteous, and giving
good advice based on specific needs and preferences. Which aim is the hospital
generally achieving?
a) Equitable
b) Safe
c) Effective
d) Efficient
e) Timely
f) Patient-centered - Answers -f) patient-centered
4) Which of the following improvement efforts is the best example of increasing the
effectiveness of care?
a) Decreasing adverse drug events by having a pharmacist on rounds in the intensive
care unit
, b) Shortening wait times at a clinic by allowing patients to self-register on a computer in
the waiting room
c) Improving the percent of clinic patients achieving their goal blood pressure by
instituting a series of reminders for providers about evidence-based processes
d) Instituting quarterly focus groups of patients seen in the emergency department to
better identify patient concerns - Answers -c) Improving the percent of clinic patients
achieving their goal blood pressure by instituting a series of reminders for providers
about evidence-based processes
5) Which of the following improvement efforts is the best example of increasing the
equity of care?
a) Decreasing adverse drug events by having a pharmacist on rounds in the intensive
care unit
b) Shortening wait times at a clinic by allowing patients to self-register on a computer in
the waiting room
c) Instituting quarterly focus groups of patients seen in the emergency department to
better identify patient concerns
d) Through staff development and weekly feedback, equalizing the likelihood that a
patient will receive pain medication regardless of race, ethnicity, or education - Answers
-d) Through staff development and weekly feedback, equalizing the likelihood that a
patient will receive pain medication regardless of race, ethnicity, or education
1) Which of the following is a basic principle of improvement?
a) Improvement must come from the bottom up — not the top down.
b) Every system is perfectly designed to get the results it gets.
c) Data should always drive improvement.
d) When examining a complex system, consider all the parts separately. - Answers -b)
Every system is perfectly designed to get the results it gets.
2) Using Deming's System of Profound Knowledge is helpful in quality improvement
because:
a) It's a systematic set of procedures for implementing improvement.
b) It can help break down complex quality issues into smaller, more understandable
parts.
c) It can help figure out who is to blame after an error.
d) It's a helpful way to secure funding from external sources for planned improvements.
- Answers -b) It can help break down complex quality issues into smaller, more
understandable parts.
Transcendental Nursing Home is working on decreasing its rates of catheter-associated
urinary tract infections (UTIs) among its residents. While reviewing data, the
improvement team notices that the UTI rate on Floor 3 is half that of the rest of the
floors. They decide to visit the unit and find out what it is doing differently.
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