Quality Improvement & Audits Flashcards
7 cards from real DHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Improvement & Audits flashcards as text
During a DHA infection control audit, a surveyor finds that hand hygiene compliance is 55%. Which improvement strategy is most evidence-based?
Answer: Install additional alcohol-based hand rub dispensers at point of care and provide multimodal education
WHO's multimodal hand hygiene improvement strategy — including system change, training, evaluation, reminders, and institutional safety climate — is the gold standard.
A 'near miss' in patient safety reporting is defined as:
Answer: An unplanned event that did not reach the patient but could have caused harm
A near miss is an error or unsafe condition that was caught before reaching the patient, providing a learning opportunity without causing harm.
Which of the following BEST describes the purpose of a balanced scorecard in healthcare quality management?
Answer: To monitor performance across financial, patient, process, and learning dimensions simultaneously
The balanced scorecard provides a multi-dimensional view of organizational performance across financial, customer (patient), internal process, and learning/growth perspectives.
In Lean methodology applied to healthcare, 'waste' (muda) includes all EXCEPT:
Answer: Evidence-based clinical decision-making
Evidence-based clinical decision-making adds value and is never classified as waste; Lean targets non-value-adding activities like unnecessary transport, waiting, and overproduction.
A quality indicator shows a hospital's 30-day readmission rate is 18%. This is an example of:
Answer: An outcome indicator
Readmission rate measures a result of care delivered, making it an outcome indicator reflecting the quality of treatment and discharge planning.
When conducting a failure mode and effects analysis (FMEA) in a DHA facility, the Risk Priority Number (RPN) is calculated as:
Answer: Severity × Occurrence × Detectability
RPN = Severity × Occurrence × Detectability, with each factor scored 1–10; higher RPN indicates higher priority failure modes requiring immediate intervention.
According to DHA quality standards, a 'sentinel event' requires which type of review?
Answer: Root cause analysis (RCA) completed within the required timeframe
Sentinel events — unexpected deaths or serious harm — mandate a thorough root cause analysis to identify system failures and implement preventive actions.