ch12 Flashcards

1
Q

The abbreviation QCM stands for:

A

Quality Cost Management

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2
Q

The Clinical and Laboratory Standards Institute recognizes a hierarchy of processes that lead to the achievement of quality. These processes include all of the following EXCEPT:

Quality Assurance
Total Quality Management
Quality Management System
Quality Communication

A

Quality Communication

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3
Q

TQM healthcare team member’s responsibilities may include all of the following EXCEPT:

Monitoring processes
Ensuring patient satisfaction
Monitoring patient vital signs
Documenting processes

A

Monitoring patient vital signs

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4
Q

A system used to measure and manage the cost of quality is referred to as:

A

Quality Cost Management

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5
Q

highest level of quality oversight?

A

Total Quality Management

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6
Q

Which of the following is a system of quality objectives and the methods used to monitor the achievement of those objectives?

A

Quality Management System

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7
Q

Which of the following is a system of activities which assess operational processes for the delivery of services?

A

Quality Assurance

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8
Q

Which of the following is a system of activities that ensure that specific steps in a process meet acceptable standards?

A

Quality Control

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9
Q

Which of the following is the accrediting agency that performs inspections by observing procedures to ensure compliance with the laboratory’s SOP?

A

College of American Pathologists

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10
Q

What is the term for an activity that ensures test results obtained will yield the same or similar results if the test is repeated?

A

Validation

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11
Q

All of the following are examples of when a validation process is required EXCEPT:

When adopting the use of a new test
When purchasing a new instrument to perform the test
When selecting the proper blood tube to use
When a new lot of controls are put into use

A

When selecting the proper blood tube to use

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12
Q

All quality control tests for each analyte tested on each instrument should be documented onto:

A

Quality Control log sheets

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13
Q

Quality assessment and process improvement involves all of the following EXCEPT:

Reviewing documentation
Discovering weaknesses in a process
Making processes easier to perform
Recording minimum and maximum temperatures

A

Recording minimum and maximum temperatures

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14
Q

A Levey-Jennings chart is:

A

A graph showing acceptable limits for QC

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15
Q

Results showing an upward or downward progression are referred to as a/an:

A

Trend

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16
Q

A sudden jump in results that continue at the higher or lower level are referred to as a/an:

A

Shift

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17
Q

Differences in trends and shifts that may be due to performance among staff members are known as:

A

Systematic errors

18
Q

Errors that occur with no predictable pattern are:

A

random errors

19
Q

Which of the following is NOT likely to cause a random error?

Using outdated reagents
Operator procedural error
Equipment failure
Replacing a machine with a newer model

A

Replacing a machine with a newer model

20
Q

Quality control documentation may include recording all of the following EXCEPT:

Room temperature
Incubator temperature
Refrigerator temperature
Outdoor temperature

A

Outdoor temperature

21
Q

Fixing problems that have occurred is known as:

A

Corrective action

22
Q

Determining ways to prevent errors from happening in the future is known as:

A

Preventive action

23
Q

An external analysis of routine samples in order to evaluate the performance of a laboratory and its personnel is:

A

Proficiency Testing

24
Q

Observing staff performing activities and determining adherence to policies and procedures is known as:

A

Competency Assessment

25
Q

Which of the following terms refers to examining records for processes and procedures that were performed?

A

Audit

26
Q

Which of the following is NOT an example of a corrective action?

Performing controls on the glucometer
Turning up the setting on a refrigerator that is too cold
Discarding outdated reagents
Calling the manufacturer to correct an instrument problem

A

Performing controls on the glucometer

27
Q

Which of the following is NOT a reason a patient specimen must be recollected?

Blood clotted in tube
Blood hemolyzed
Insufficient amount of blood drawn
Patient illness

A

Patient illness

28
Q

How is the quality control of the centrifuges performed?

A

By checking the speed calibration and rotations per minute

29
Q

How is the quality control of incubators and water baths performed?

A

By recording temperatures to determine if the instrument is at the correct temperature prior to use

30
Q

How is the quality control of refrigerators and freezers performed?

A

By recording minimum and maximum temperatures on a daily basis

31
Q

How is quality control for patient identification performed?

A

Using a two-identifier system to ensure the correct patient is being drawn

32
Q

How do you ensure quality control of specimen labeling?

A

Review of labels to determine if the required information is on the tube to ensure correct patient identification

33
Q

What is the definition of turnaround time?

A

The time between placing the test order to receiving results

34
Q

For the most accurate results, what is the best time of day to draw plasma cortisol levels?

A

Between 7:00 A.M and 9:00 A.M.

35
Q

What does the abbreviation SOP stand for?

A

Standard operating procedure

36
Q

A patient is scheduled to have a timed lab test at 9:00 A.M., but does not arrive until 3:00 P.M. What should the phlebotomist do?

A

Notify the ordering practitioner immediately

37
Q

When performing controls and repeat failures occur, all of the following should be done EXCEPT:

Continue using machine or system
Calibration
Repair
Check expiration dates on reagents

A

Continue using machine or system

38
Q

QAPI is also called:

A

CQI

39
Q

The purpose of documenting problems is

A

to identify areas where improvements need to be made.

40
Q
A