ch12 Flashcards
The abbreviation QCM stands for:
Quality Cost Management
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
Quality Communication
TQM healthcare team member’s responsibilities may include all of the following EXCEPT:
Monitoring processes
Ensuring patient satisfaction
Monitoring patient vital signs
Documenting processes
Monitoring patient vital signs
A system used to measure and manage the cost of quality is referred to as:
Quality Cost Management
highest level of quality oversight?
Total Quality Management
Which of the following is a system of quality objectives and the methods used to monitor the achievement of those objectives?
Quality Management System
Which of the following is a system of activities which assess operational processes for the delivery of services?
Quality Assurance
Which of the following is a system of activities that ensure that specific steps in a process meet acceptable standards?
Quality Control
Which of the following is the accrediting agency that performs inspections by observing procedures to ensure compliance with the laboratory’s SOP?
College of American Pathologists
What is the term for an activity that ensures test results obtained will yield the same or similar results if the test is repeated?
Validation
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
When selecting the proper blood tube to use
All quality control tests for each analyte tested on each instrument should be documented onto:
Quality Control log sheets
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
Recording minimum and maximum temperatures
A Levey-Jennings chart is:
A graph showing acceptable limits for QC
Results showing an upward or downward progression are referred to as a/an:
Trend
A sudden jump in results that continue at the higher or lower level are referred to as a/an:
Shift
Differences in trends and shifts that may be due to performance among staff members are known as:
Systematic errors
Errors that occur with no predictable pattern are:
random errors
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
Replacing a machine with a newer model
Quality control documentation may include recording all of the following EXCEPT:
Room temperature
Incubator temperature
Refrigerator temperature
Outdoor temperature
Outdoor temperature
Fixing problems that have occurred is known as:
Corrective action
Determining ways to prevent errors from happening in the future is known as:
Preventive action
An external analysis of routine samples in order to evaluate the performance of a laboratory and its personnel is:
Proficiency Testing
Observing staff performing activities and determining adherence to policies and procedures is known as:
Competency Assessment
Which of the following terms refers to examining records for processes and procedures that were performed?
Audit
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
Performing controls on the glucometer
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
Patient illness
How is the quality control of the centrifuges performed?
By checking the speed calibration and rotations per minute
How is the quality control of incubators and water baths performed?
By recording temperatures to determine if the instrument is at the correct temperature prior to use
How is the quality control of refrigerators and freezers performed?
By recording minimum and maximum temperatures on a daily basis
How is quality control for patient identification performed?
Using a two-identifier system to ensure the correct patient is being drawn
How do you ensure quality control of specimen labeling?
Review of labels to determine if the required information is on the tube to ensure correct patient identification
What is the definition of turnaround time?
The time between placing the test order to receiving results
For the most accurate results, what is the best time of day to draw plasma cortisol levels?
Between 7:00 A.M and 9:00 A.M.
What does the abbreviation SOP stand for?
Standard operating procedure
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?
Notify the ordering practitioner immediately
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
Continue using machine or system
QAPI is also called:
CQI
The purpose of documenting problems is
to identify areas where improvements need to be made.
