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NEW QUESTION # 263
The culture of safety survey data below is collected from perioperative services. Which action should the healthcare quality professional recommend?
Answer: D
Explanation:
The culture of safety survey data provides insights into the perceptions of perioperative staff regarding patient safety practices, scored on a scale (typically 1 to 5, where 5 is the highest). The scores are as follows: hospital management's prioritization of safety (4), reporting mistakes without fear (4.83), discussing error prevention (4.67), and interdepartmental information exchange (4.24). The lowest score is 4 for the item "The actions of hospital management show that patient safety is a top priority," indicating a relative weakness in visible leadership commitment to safety, which is a critical component of a strong safety culture.
According to NAHQ CPHQ study materials, a key principle of a culture of safety is the visible commitment of leadership to patient safety, as it sets the tone for the organization and influences staff behavior. The score of 4 suggests that while staff perceive some prioritization, there is room for improvement in how management demonstrates this commitment. Establishing a process for executive walk-arounds in the perioperative departments (B) directly addresses this gap by increasing leadership visibility, fostering open communication, and demonstrating that patient safety is a priority. Walk-arounds allow leaders to engage with staff, observe processes, and address safety concerns in real-time, which can improve perceptions of leadership commitment.
Implementing a leadership training series on Just Culture principles (A) is relevant for the high score of 4.83 in reporting without fear, but this area is already strong, and the survey does not indicate a punitive culture needing immediate focus. Developing team-based communication training (C) could address the score of 4.24 for interdepartmental information exchange, but this is not the lowest-scoring item, and communication issues are secondary to leadership visibility in this context. Educating staff on incident reporting (D) is unnecessary given the high score of 4.83 for reporting without fear, indicating staff are already comfortable with reporting.
NAHQ emphasizes addressing the weakest areas of a safety culture first, making leadership visibility the priority here, thus option B is the recommended action.
Reference: NAHQ CPHQ Study Guide, Patient Safety Section, "Culture of Safety and Leadership Engagement"; NAHQ CPHQ Practice Exam, Safety Culture Assessment and Interventions.
NEW QUESTION # 264
Which of the following Is an example of a population health strategy?
Answer: C
Explanation:
Population health strategies aim to improve the health outcomes of a group of individuals and reduce health disparities among populations1. They often involve collaboration across sectors, including healthcare, politics, charity, education, and business1. An employee wellness program is an example of a population health strategy because it targets a specific population (employees) and aims to improve their health outcomes. This can include initiatives to promote healthy behaviors, provide access to quality healthcare, and create a supportive work environment1.
Reference: https://www.healthcatalyst.com/insights/4-population-health-strategies-drive-improvement
NEW QUESTION # 265
A criterion is considered valid if it
Answer: B
Explanation:
A criterion is considered valid if it measures what it is intended to measure. Validity refers to the accuracy of a measure, meaning the criterion accurately reflects the concept or outcome it is supposed to assess.
For example, if a criterion is designed to measure patient satisfaction, it should accurately capture patients' perceptions of their care.
Consistently yields the same results (A): This describes reliability, not validity.
Does not change with changes in technology (B): This is not related to validity.
Is applicable to many groups and settings (C): This refers to generalizability, not validity.
Reference
NAHQ Body of Knowledge: Measurement Principles in Quality Improvement
NAHQ CPHQ Exam Preparation Materials: Validity and Reliability in Quality Measures
NEW QUESTION # 266
The chart above is used by a team to document process improvement results following an intervention that was implemented during the 20th week. Based on this chart, the team can conclude:
Answer: B
Explanation:
* Understanding the Control Chart ComponentsThis control chart shows the median delay over time (by week), with control limits (UCL - Upper Control Limit, LCL - Lower Control Limit) and a center line (CL) indicating the process average before the intervention. Control charts like this one are used to determine whether an intervention has led to a significant change in process performance.
* Analyzing the Data Before and After the Intervention
* From weeks 1 to 19, before the intervention, the process appears to fluctuate around the control limits, with several points near the upper control limit, indicating higher variation and a generally stable process around a higher median delay.
* After week 20, following the intervention, the data points show a clear shift downward, consistently staying below the previous control line (CL). The process median delay has notably reduced, and all data points fall within a new, lower range.
* Conclusion Based on the Control Chart
* The consistent reduction in median delay and the clustering of data points below the previous center line indicate a shift in performance rather than mere random variation. This type of change, sustained over multiple weeks, strongly suggests that the intervention had a substantial impact on reducing the delay.
* While there may also be a decrease in variation, the primary visible effect is a shift in performance toward lower median delay values.
* Rationale for Selecting Answer BThe correct answer is B. The intervention resulted in a shift in performance, as the chart shows a distinct change in the process level post-intervention, indicating an improvement.
References:
* NAHQ "Quality Improvement in Healthcare: Statistical Process Control"
* "Interpreting Control Charts for Process Improvement" (NAHQ, 2020)
NEW QUESTION # 267
Some argue that administrative data are less reliable than data gathered by chart review. However, administrative data can be just as reliable as data from chart review when they are properly cleaned and validated, the indicator definitions are clear and concise, and measures from the CR system were validated using approach/es:
Answer: C
NEW QUESTION # 268
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