Deck 12: Quality of Care: From Quality Assurance and Improvement to Cultures of Patient Safety

Question 1

What was eliminated from the Canadian Council on Health Services Accreditation (CCHSA) Survey Standards in the early 1990s?

A)A quality improvement focus
B)Facility-wide integration of processes
C)Separate standards for departments providing patient care
D)Methods for identifying unsafe practice by health care providers

Answer 1

Separate standards for departments providing patient care

Question 2

Which one of the following is a modern example of a quality-monitoring instrument?

A)A chart audit
B)A workload measurement tool
C)A Pareto chart for delay in patient transfer
D)A performance appraisal process

Answer 2

A Pareto chart for delay in patient transfer

Question 3

Approximately 50% to 70% of the time spent on a quality improvement process is focused on which following activity?

A)Identifying the problem
B)Collecting and analyzing data
C)Devising resolution options
D)Developing cyclic evaluation schemes

Answer 3

Collecting and analyzing data

Question 4

Which following quality management tool would be the most appropriate for displaying data over time-for example, showing the length of time a non-emergent patient waits to see a nurse in the emergency area?

A)A flow chart
B)A histogram
C)A run chart
D)A check sheet

Question 5

The first documented study in health care and nursing is attributed to which following person?

A)Jean Watson
B)Virginia Henderson
C)Florence Nightingale
D)Sister Mary Dorothy Ross

Question 6

Which type of validity was established with the majority of instruments that were developed to measure quality assurance?

A)Face validity
B)Content validity
C)Concurrent validity
D)Predictive validity

Question 7

Which one of the following is a limitation of most quality assurance programs?

A)The high validity of the instruments used for evaluation.
B)The retrospective focus on achievement of standards.
C)The need to achieve predetermined standards in the clinical setting.
D)The acceptable reliability of the instruments used for assessment.

Question 8

Which statement is true regarding the public perception of health care?

A)Health care is considered to be a right.
B)Health care is believed to be accessible to all.
C)Health care is considered to be a privilege.
D)Health care providers provide minimal care.

Question 9

Historically, quality assurance in health care was defined as being which one of the following?

A)Media campaigns targeting satisfied patients
B)Self-regulating activities of various professions
C)Actions designed to improve processes and outcomes
D)Increasing attentiveness and responsiveness to those receiving care

Question 10

Which of the following reflects a "process" standard in the proposed levels for assessing quality?

A)Nursing activities
B)Environmental characteristics
C)Anticipated results of the care provided
D)Philosophy and mission of the institution

Question 11

What is the goal of methods used to standardize the process of continuous quality improvement?

A)Detection of errors
B)Prevention of errors
C)Identification of people problems
D)Evaluation of organizational functioning

Question 12

Which committee became responsible for accrediting hospitals, beginning in 1958?

A)Commission for the Study of Hospitals
B)Joint Committee on Accreditation of Hospitals
C)Canadian Council on Hospital Services Accreditation
D)Canadian Association of Hospital Accreditation Board

Question 13

Which one of the following is an associated domain of outcomes measurement?

A)Nursing care plans
B)Nursing care pathways
C)Evidence-informed best practice guidelines
D)Professional association standards of practice

Question 14

Which of the following is the common denominator of all quality assurance programs?

A)Process
B)Outcome
C)Standards
D)Structure

Question 15

For which percentage of the time were critical standards expected to be achieved in quality assurance programs, in relation to the level established by the program directors?

A)50%
B)75%
C)90%
D)100%