A multi-hospital system is implementing a standardized electronic health record (EHR). The quality leadership team wants to ensure that the new system supports high-reliability principles. Which EHR functionality is most critical for promoting the high-reliability characteristic of 'deference to expertise'?
A quality analyst is tasked with monitoring the monthly rate of central line-associated bloodstream infections (CLABSIs) per 1,000 central line days. The number of central line days varies significantly from month to month. Which statistical process control (SPC) chart is the most appropriate tool for this analysis?
A hospital's patient safety committee is reviewing its event analysis process. They want to shift from a reactive to a proactive approach for identifying risks in a new, complex process for administering chemotherapy in an outpatient clinic. Which quality tool should be prioritized for this purpose?
A new Quality Director is presenting a proposal for a system-wide patient safety initiative to the hospital's Board of Directors. To align the initiative with the organization's strategic goals and gain their support, the director's presentation should primarily focus on which of the following?
True or False: Under the CMS Hospital Readmissions Reduction Program (HRRP), penalties are applied by reducing payments for all Medicare admissions, not just for the specific conditions being measured.
A rural hospital is struggling to provide consistent, evidence-based care for complex pediatric cases due to a lack of on-site specialists. To improve the quality and safety of care for this population, which strategy would be the most effective and feasible to implement?
A performance improvement team is conducting a Failure Mode and Effects Analysis (FMEA). After identifying potential failure modes, they calculate the Risk Priority Number (RPN) for each. What is the primary purpose of the RPN?
A hospital is preparing for a survey from an accrediting body. The quality professional is coaching frontline staff on how to respond to questions during a patient tracer activity. Which instruction is most appropriate? (Select TWO)
A quality council is reviewing data on patient falls. A run chart shows a stable process with no evidence of special cause variation, but the average fall rate remains above the national benchmark. What is the most appropriate next step for the team?
A hospital performance improvement team wants to understand the primary reasons for delays in discharging patients from the medical-surgical unit. They have brainstormed a long list of potential causes. Which quality tool would be most effective for organizing these potential causes into logical categories to facilitate further analysis?