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NAHQ Certified Professional in Healthcare Quality Examination 認定 CPHQ 試験問題 (Q231-Q236):


質問 # 231
For which incident would a process improvement manager be required to perform a root cause analysis (RCA)?

  • A. Incorrect critical care patient transported to radiology.

  • B. Admitting a visitor who fell on hospital grounds.

  • C. Wrong prescription given to a discharged patient with diabetes.

  • D. Procedure performed on the wrong knee.


正解:D

 

質問 # 232
Which ofthe following should be a part of an organization's program of continuous readiness for accreditation?

  • A. Perform periodic audits to ensure standards for accreditation are met.

  • B. Schedule the accreditation survey when the organization's CEO Is available.

  • C. Maintain detailed agendas for environment of care rounding.

  • D. Conduct quarterly training on accreditation standards.


正解:A

解説:
An organization's program of continuous readiness for accreditation should include a variety of activities to ensure that the organization is always prepared for an accreditation survey. One of these activities is performing periodic audits to ensure that the standards for accreditation are being met. These audits can help identify areas of non-compliance and provide an opportunity for improvement before an accreditation survey. This approach ensures that the organization is not only prepared for the survey but is also committed to continuous quality improvement, which is a key aspect of accreditation. References: 1

 

質問 # 233
Based on the data below, which unit should the quality Improvement coordinator focus on?


  • A. Unit C

  • B. Unit D

  • C. Unit B

  • D. Unit A


正解:C

解説:
* Based on the data below, which shows the percentage of patients who acquired a hospital-associated infection (HAI) in each unit, the quality improvement coordinator should focus on Unit C, which has the highest rate of HAI among the four units.
* A hospital-associated infection (HAI) is an infection that patients get during or after receiving health care in a hospital or other health care facility. HAIs can cause serious complications, increase morbidity and mortality, prolong hospital stays, and increase health care costs. Therefore, preventing and reducing HAIs is a key quality and safety goal for health care organizations.
* A quality improvement coordinator is a professional who develops and implements quality improvement initiatives, monitors and evaluates quality performance, and provides education and support to staff and leaders on quality methods and tools. One of their responsibilities is to identify and prioritize areas for improvement based on data analysis and evidence-based practices.
* To determine which unit should be the focus of quality improvement efforts, the quality improvement coordinator can use a data analysis tool such as a Pareto chart, which shows the frequency or impact of different factors or causes in descending order, along with a cumulative line that indicates the percentage of the total. A Pareto chart can help identify the most significant issues or opportunities for improvement, based on the 80/20 rule, which states that 80% of the effects come from 20% of the causes.
* Using the data below, a Pareto chart can be created as follows:
Table
Unit
HAI Rate (%)
A
5
B
7
C
12
D
4
* The Pareto chart shows that Unit C has the highest HAI rate (12%), followed by Unit B (7%), Unit A
* (5%), and Unit D (4%). The cumulative line shows that Unit C alone accounts for 40% of the total HAI rate, and Units C and B together account for 63.3% of the total HAI rate. Therefore, according to the Pareto principle, the quality improvementcoordinator should focus on Unit C, as it represents the most significant problem area and the greatest opportunity for improvement.
* The quality improvement coordinator can then conduct a root cause analysis to identify the possible factors or causes that contribute to the high HAI rate in Unit C, such as staff compliance, infection control practices, patient characteristics, environmental factors, etc. A root cause analysis can be facilitated by using a visual tool such as a fishbone diagram, which organizes possible factors into categories, such as people, process, equipment, environment, etc. The quality improvement coordinator can also collect and compare data from other units or sources to identify gaps and best practices.
* Based on the root cause analysis, the quality improvement coordinator can then develop and implement an action plan to address the identified causes and improve the HAI rate in Unit C. The action plan should include specific, measurable, achievable, relevant, and time-bound (SMART) goals, interventions, and indicators. The quality improvement coordinator can also involve the staff and leaders of Unit C in the planning and implementation process, to ensure their engagement and ownership of the improvement efforts.
* The quality improvement coordinator should also monitor and evaluate the progress and outcomes of the action plan, using data collection and analysis tools such as run charts, control charts, or statistical process control (SPC), which can show the variation and trends in the HAI rate over time. The quality improvement coordinator should also provide feedback and recognition to the staff and leaders of Unit C, and make adjustments to the action plan as needed, based on the data and evidence.
References:
* NAHQ HQ Principles, Module 2: Data Management, Lesson 2.3: Data Analysis Tools, Topic 2.3.1:
Pareto Chart, Topic 2.3.2: Fishbone Diagram
* NAHQ Learning Lab: The Role of the Healthcare Quality Professional in Population Health Management, Module 3: Data Collection and Analysis, Slide 16: Pareto Chart, Slide 18: Fishbone Diagram
* NAHQ Journal for Healthcare Quality, Volume 42, Issue 5, September/October 2020, Article:
Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic, Page 283: Figure 1. Pareto Chart of COVID-19 Cases by State as of June 30, 2020
* NAHQ News and Media, News: Shaping the Future of the Healthcare Quality Profession, Paragraph 5:
The Role of the Quality Improvement Coordinator
* NAHQ Resources, Healthcare Quality Solutions: Ready Your Workforce for Quality, Page 5: The Role of the Quality Improvement Coordinator

 

質問 # 234
For example, if you are using a survey to gather patient satisfaction feedback by email, you would not send a survey to ever y patient. You would start by sending surveys to roughly 50 percent of the patients and see how many are returned. This limited survey allows you to determine the response rate. Assume that
25 percent of these patients return the surveys.
The next task is to determine how representative of the total population these respondents are. To test this question, you need to develop a profile of the total population. Typically, this profile is based on standard demographics such as gender, age, type of visit, payer class, and whether the respondent is a new or returning patient. If the distribution of these characteristics in the sample is similar (within 5 percent) to that found in the total population, you can be comfort able that your sample is reasonably representative of the population. If the characteristics of the sample and the population show considerable variation, however, you should adjust your sampling plan.
This example clarifies that:

  • A. Sampling is probably the most important thing you can do to reduce the amount of time and resources spent on data collection

  • B. A well-drawn sample, therefore, should be representative of the larger population

  • C. Sampling consists of series of compromises and tradeoffs

  • D. The basic purpose of sampling is to be able to draw a limited number of observations


正解:B

 

質問 # 235
A hospital received 50 Incident reports describing falls that occurred within aone-monthperiod. Which of the following actions should be taken?

  • A. Separate incident reports based on injury status.

  • B. Review the Incident reports to Identify contributing factors.

  • C. Ensure that each Incident report is correctly linked to the appropriate patient health record.

  • D. Compare details from the Incident reports against the current fall prevention procedures.


正解:B

解説:
When a hospital receives incident reports describing falls, it is crucial to review these reports to identify contributing factors1. This process is part of 'Incident Reporting in Healthcare,' which aims to highlight an emerging problem in a non-blaming way to root out the cause of the error or the contributing factors1. By identifying these factors, the hospital can take appropriate measures to prevent future incidents and improve patient safety1.
While options A, B, and C are also important steps in managing incident reports, option D is the most immediate and crucial action. Comparing details from the incident reports against current fall prevention procedures (option A) and ensuring each report is correctly linked to the appropriate patient health record (option B) are steps that can be taken after the initial review. Separating incident reports based on injury status (option C) can be part of the analysis process after identifying contributing factors.
References:
https://www.quasrapp.com/blog/incident-reporting-in-healthcare/

 

質問 # 236
......

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弊社のCPHQ試験トレントを購入する意思がある場合は、更新システムを楽しむ権利があることは間違いありません、我々は弊社の商品を選ぶお客様に責任を持っています、CPHQ模擬試験は、緊急の課題に対処するための最適な選択および有用なツールとなります。

しかし、働いている皆様は多くの時間と精力を使って試験を準備することができません、ここで無料にPassTestが提供したNAHQのCPHQ試験の部分練習問題と解答をダウンロードできて、一度PassTestを選ばれば、弊社は全力に貴方達の合格を頑張ります。

P.S.PassTestがGoogle Driveで共有している無料の2024 NAHQ CPHQダンプ:https://drive.google.com/open?id=1S--5eJDroUA_pQNDOlHN8rjEUhpcZg_4

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