In: Nursing
11) Doing a control chart first renders a run chart unnecessary.
Select one:
True
False
12) After a good process baseline is obtained, the next step for a
process improvement project should be
Select one:
a. getting 10 to 15 people together to do a flowchart of the process and how the work gets done.
b. getting 10-15 people together to brainstorm possible causes of the problem.
c. having a team vote on what they think the best solutions might be.
d. isolating the 20 percent of the process causing 80 percent of the problem.
13) When a "never event" occurs,
Select one:
a. there should be an immediate root cause analysis.
b. it is important to immediately find the incompetent person or people who allowed it to occur.
c. one should ask, "Was this a special cause or were we perfectly designed to have this happen?"
d. gather all the people involved and have them come up with an action plan to prevent it from ever happening again.
14) There is variation even when something is measured only once2
Select one:
True
False
15) One should put warning limits on control charts within the common cause limits to anticipate when a process might be shifting to undesirable performance.
Select one:
True
False
16) Goals are very useful in motivating and focusing good improvement work.
Select one:
True
False
17) You are testing a process intervention. What is the quickest way to determine whether it was effective?
Select one:
a. Control Chart
b. Run Chart
c. People telling you that "things seem better"
d. T-test of "before vs. after"
18) Which of the following is not true about customer satisfaction surveys?
Select one:
a. They are a great source of innovative ideas.
b. They can create a baseline of customer perception.
c. They can maybe be used to begin to isolate the 20 percent of the issues causing 80 percent of dissatisfaction.
d. They encourage tampering when used to reward or punish organizations.
19) Currently, provider profiles are being used for
Select one:
a. public report cards.
b. board certification.
c. credentialing.
d. pay-for-performance programs.
e. None of the above.
f. All of the above.
20) The goal of physician profiling is to improve performance through
Select one:
a. accountability and feedback.
b. decreasing variation through adherence to evidence-based standards of care.
c. exposing "bad apples."
d. All of the above
e. Both a and b
21) Benchmarking involves the comparison of physician performance to
Select one:
a. the physician's own past performance.
b. best practices and other physician comparisons.
c. government standards.
d. None of the above
22) Which of the following is a common criticism of physician profiles?
Select one:
a. Skepticism about data sources
b. Questions about the clinical relevance of some measures
c. Accountability for measures outside their control
d. Both a and b
e. All of the above
23) Physicians have wholeheartedly embraced the widespread use of physician profiles.
Select one:
True
False
24) Many physicians underrate their performance and are pleasantly surprised when they see their performance data.
Select one:
True
False
25) Physician profiles should only include conditions for which evidence-based guidelines exist.
Select one:
True
False
Question 11
Answer
True
Control charts and run charts are important tools in quality management that help recognise the trends or errors in the product or the process.
A control chart is an improved version of the run chart. Adding control limits to a run chart makes it a control chart. Control chart is more sensitive than the run chart. Hence run chart is unnecessary after doing the control chart.
Question 12
Answer
a. Getting 10 to 15 people together to do a flowchart of the process and how the work gets done.
Process improvement plays a important role in an organizations.
Process improvement efforts should follow systematic approaches that cohere to a methodology, where the specific approaches to achieve the task.
There are five steps are included in execution of process improvement. They are as follows:
1. First step is to formulate the process baseline and baseline comparison should be done
2. Second step is to Flow charting the best tool in documenting and better understanding of the process of the organization. Flow charting allows for the in detail description of process activities and events
3. Value stream mapping as a third step it provides information and picture of work flow and end to end process
4. Cause & effect analysis is a step of exploring the possible causes of all the problems
5. Hypothesis testing
Question 13
Answer
a. There should be an immediate root cause analysis
Never events are those untoward events that are very serious, largely preventable, and for the purpose of public accountability it is a concern to both the public and health care providers.
Whenever there is such never events happens immediately we should do a root cause analysis. Root cause analysis is the most widely used retrospective method to identify the underlying problems that increases the likelihood of errors.
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