1. What does CPOE stand for?
A. Clinical Physician Order Entry
B. Computerized Provider Order Entry
C. Central Patient Order Entry
D. Computerized Patient Order Execution
Answer:B
2. Which of the following is a sentinel event?
A. Patient falls without injury
B. Medication dose delayed by 10 minutes
C. Wrong-site surgery
D. Delayed lab results
Answer:C
3. Which model explains how multiple small failures align to cause harm?
A. Pareto Chart
B. Fishbone Diagram
C. Swiss Cheese Model
D. Control Chart
Answer:C
4. In Donabedian’s framework, which is a structural measure?
A. Mortality rate
B. Nurse-to-patient ratio
C. Waiting time
D. Patient satisfaction
Answer:B
5. Which tool is used for root cause analysis?
A. SBAR
B. PDSA cycle
C. Ishikawa diagram
D. Global Trigger Tool
Answer:C
6. What does SBAR stand for?
A. Situation, Background, Assessment, Recommendation
B. Safety, Behavior, Analysis, Reporting
C. System, Baseline, Audit, Response
D. Situation, Behavior, Action, Report
Answer:A
7. What is e‑iatrogenesis?
A. Infections from IV lines
B. Adverse effects from technology
C. Errors due to overuse of antibiotics
D. Misinterpretation of lab tests
Answer:B
8. Alert fatigue occurs when:
A. Too many alarms are ignored
B. One alert always indicates harm
C. EHR crashes frequently
D. Staff fall asleep during night shifts
Answer:A
9. For infection control, standard practice treats body fluids as:
A. Always safe
B. Always infectious
C. Infectious only if visibly soiled
D. Infectious only with confirmed disease
Answer:B
10. A “near miss” is defined as:
A. A minor injury occurred
B. An event that did not reach the patient
C. A sentinel event
D. A wrong diagnosis
Answer:B
11. Which agency runs MedWatch?
A. CDC
B. AHRQ
C. FDA
D. ONC
Answer:C
12. Which is NOT one of the six domains of quality per NAM?
A. Safe
B. Stylish
C. Equitable
D. Timely
Answer:B
13. Global Trigger Tool is used to:
A. Monitor financial performance
B. Detect adverse events in records
C. Train new staff
D. Design new facilities
Answer:B
14. What does PDSA stand for in QI?
A. Plan, Do, Study, Act
B. Prepare, Do, Score, Audit
C. Plan, Develop, Study, Assess
D. Prepare, Do, Solve, Act
Answer:A
15. Medication reconciliation is vital during:
A. Patient discharge
B. When ordering lab tests
C. During cafeteria visits
D. Surgical procedures
Answer:A
16. Underuse in healthcare refers to:
A. Performing unnecessary tests
B. Failing to deliver beneficial care
C. Using expired supplies
D. Overloaded staff schedules
Answer:B
17. Overuse in healthcare refers to:
A. Patient refusal of services
B. Skipping needed vaccines
C. Ordering tests with no benefit
D. Conserving supplies
Answer:C
18. What is a Pareto chart used for?
A. Root cause analysis
B. Statistical control
C. Highlighting the most frequent causes
D. Time management
Answer:C
19. Which technology matches patient, drug, and nurse?
A. eMAR with barcode
B. CPOE
C. Clinical decision support
D. EHR server backup
Answer:A
20. Which organization accredits U.S. hospitals?
A. LeapFrog
B. The Joint Commission
C. MedWatch
D. HealthGrades
Answer:B
21. A “just culture” promotes:
A. No reporting of errors
B. Punishing all staff
C. Learning from mistakes without blame
D. Staying silent about incidents
Answer:C
22. Which is a common cause of diagnostic error?
A. Proper documentation
B. Cognitive biases
C. Following protocols
D. Overstaffing
Answer:B
23. Which safety barrier is organizational?
A. Alarm limit
B. Staffing ratio
C. Syringe design
D. Drug labeling
Answer:B
24. Which acronym refers to a quality improvement methodology?
A. RCA
B. FMEA
C. MRI
D. PACS
Answer:B
25. FMEA focuses on:
A. Financial audits
B. Failure risk prioritization
C. Physical assessments
D. Ethical reviews
Answer:B
26. Which is true about CPOE?
A. It increases handwritten orders
B. Reduces medication errors
C. Eliminates all errors
D. Discourages standard dosing
Answer:B
27. Medication barcoding reduces errors by checking:
A. Drug allergies
B. Nurse credentials
C. Patient–drug match
D. Lab test results
Answer:C
28. What is a control chart used for?
A. Track process variation over time
B. Measure patient satisfaction
C. Determine budget deficits
D. Plan room schedules
Answer:A
29. Which entity funds health IT standards (e.g., EHR)?
A. CDC
B. ONC
C. AMA
D. AATB
Answer:B
30. Global Trigger Tools detect events in:
A. Real-time patient monitoring
B. Hospital records retrospectively
C. Public health data
D. Pharmacy orders
Answer:B
31. Which is NOT part of “value” in healthcare?
A. Quality outcomes
B. Cost-efficiency
C. Patient happiness
D. Building aesthetics
Answer:C
32. Which is a psychological harm type?
A. Medication overdose
B. Surgical site infection
C. Anxiety from misdiagnosis
D. Falls in the hospital
Answer:C
33. Which describes eMAR?
A. Digital medication administration record
B. Imaging repository
C. Financial ledger
D. Nurse scheduler
Answer:A
34. Alert fatigue is a type of:
A. EHR glitch
B. Burnout
C. Cognitive overload
D. Improper dosing
Answer:B
35. Which is required during transfers?
A. Barcode scans
B. Medication reconciliation
C. Delay in discharge
D. Surgical time‑out
Answer:B
36. Which is true of a “never event”?
A. Common and minor
B. Serious but preventable
C. Unavoidable in all hospitals
D. Trivial and non-reportable
Answer:B
37. Which is an example of misuse?
A. Missing a vaccine
B. Giving antibiotics for viral cold
C. Not washing hands
D. Misinterpreting lab results
Answer:B
38. Cognitive aid in clinical decision support often is:
A. Historical library
B. Automated alert/reminder
C. Infrared sensor
D. Paper checklist
Answer:B
39. Which chart helps prioritize improvement efforts?
A. Run Chart
B. Fishbone Diagram
C. Pareto Chart
D. Balance Sheet
Answer:C
40. Which term refers to self-report of errors?
A. EHR audit
B. Safety reporting system
C. Financial disclosure
D. Staff log
Answer:
41. What is a fishbone diagram used for?
A. Timeline mapping
B. Root cause analysis
C. Statistical sampling
D. Staff feedback
Answer:B
42. Which group issues “never events”?
A. LeapFrog
B. Joint Commission
C. FDA
D. AMA
Answer:B
43. Which is a clinical decision support tool?
A. Barcode scanner
B. Alert for drug interaction
C. Nurse shift planner
D. Operating table
Answer:B
44. Which is true about under-reporting of errors?
A. Unrelated to culture
B. Encouraged by blame culture
C. Always leads to litigation
D. Results from too many reports
Answer:B
45. What’s a primary reason for missed care?
A. Staff overstaffing
B. Lack of communication
C. Too many resources
D. Short lunch breaks
Answer:B
46. Which step follows “Study” in PDSA?
A. Solve
B. Act
C. Analyze
D. Assign
Answer:B
47. Which is NOT a function of root cause analysis?
A. Identify underlying causes
B. Blame individuals
C. Outline preventive actions
D. Improve processes
Answer:B
48. Which of the following is an example of technology-related error?
A. Lab break during power outage
B. Wrong dose due to dropdown menu
C. Infection from unclean instruments
D. Misfiled paper chart
Answer:B
49. Which quality domain deals with fairness?
A. Timeliness
B. Effectiveness
C. Equity
D. Efficiency
Answer:C
50. Which term describes care variation without clinical reason?
A. Waste
B. Misuse
C. Overuse
D. Variation-free standardized care
Answer:C
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