FRACGP Quality Assurance and Improvement 4

Question 1

A GP notices that their practice has a higher-than-expected rate of hospital admissions for asthma compared to regional benchmarks. The MOST appropriate initial response is:

Accepted Answer

Conduct a case note audit of admitted asthma patients to identify modifiable factors

Answer

Assume the data is inaccurate and request a review of the methodology

Answer

Refer all asthma patients to a respiratory physician

Answer

Implement a new asthma action plan template immediately

Question 2

Which of the following BEST describes the purpose of the 'Act' phase in a PDSA cycle?

Accepted Answer

Deciding to adopt, adapt, or abandon the tested change based on learning

Answer

Documenting the change for accreditation purposes

Answer

Notifying the practice manager of the outcomes

Answer

Presenting results to the entire practice team

Question 3

Patient experience data is MOST useful in quality improvement when it is:

Accepted Answer

Linked to specific processes of care and used to drive targeted improvements

Answer

Used exclusively to assess GP satisfaction scores

Answer

Collected once during accreditation and reviewed annually

Answer

Reported anonymously to the Medical Board

Question 4

In quality improvement terminology, a 'near miss' is BEST defined as:

Accepted Answer

An error that was caught before it reached the patient

Answer

An adverse event that caused minor patient harm

Answer

A complaint lodged by a patient about their care

Answer

A deviation from standard practice that was not documented

Question 5

Which of the following is a key principle of the 'triple aim' framework in healthcare quality?

Accepted Answer

Improving patient experience, improving population health, and reducing per-capita cost

Answer

Maximizing revenue, minimizing costs, and improving clinician satisfaction

Answer

Achieving perfect safety, maximizing efficiency, and eliminating variation

Answer

Increasing GP autonomy, reducing bureaucracy, and improving access

Question 6

When using the '5 Whys' technique in root cause analysis, the goal is to:

Accepted Answer

Iteratively ask 'why' to drill down to the underlying systemic root cause

Answer

Identify five separate causes for a single incident

Answer

Determine which of five staff members was responsible for an error

Answer

Document five recommendations for a serious adverse event report

Question 7

A GP practice benchmarks its diabetes management outcomes against the National Diabetes Services Scheme data. This activity is an example of:

Accepted Answer

External benchmarking for quality improvement

Answer

Formative assessment

Answer

Summative peer review

Answer

Mandatory quality reporting to the Department of Health