Management And Communication

Question 1

A root cause analysis RCA is a process to identify…

Answer 1

The basic or determining factors of an event.

Takes a retrospective look at adverse outcomes determines what happened why it happened and what can be done to prevent in the future

Question 2

The leader ship and program management domain of the infection preventionist competency model stress is what

Answer 2

collaboration, followership, program management, critical thinking , and communication

Question 3

The type of leader who sets goals articulates clear expectations and provides constructive feedback is referred to as a

Answer 3

Transactional leader

Question 4

Blank is a technique to compare best practices with the current process and determine the steps to take to move from a current state to a desired state

Answer 4

Gap analysis

Question 5

Process measures focus on

Answer 5

The steps in a process that lead to a specific outcome. Used to evaluate compliance with desired care or support practices.

Question 6

The vision statement is

Answer 6

The “what”. The picture of the future that the infection preventionist wants to create

Question 7

Blank answers the question why does the program exist?

Answer 7

The mission statement. It Defines the common purpose focus in context for department activities. Allows the group to set boundaries.

Question 8

What is used to answer the question how does the infection prevention a control program want to act Consistent with our mission along the path towards achieving our vision?

Answer 8

The core values

Question 9

According to the joint commission a sentinel event is;

Answer 9

An unexpected occurrence involving death or serious physical or physiological injury. They require immediate investigation and response. Attached to the medication error or any major permanent loss of function are both sentinel events

Question 10

Legitimate power refers to

Answer 10

 The perception of the leader has a right to exercise influence because of their title or position within the organization. Refers to the ability to administer to another certain feelings or obligation or the notion of responsibility

Question 11

The failure mode effect analysis FMA is

Answer 11

Proactive preventative approach to identify potential failures and opportunities for error.

Question 12

The strengths weaknesses opportunities and threats model

Answer 12

Points out what the organization should plan for and how to use resources to guide efforts. To investigate public health issues and improve health outcomes

Question 13

What quality approach focuses on Precision and accuracy that leads to data driven decisions

Answer 13

Six sigma

Question 14

The lean approach focuses on

Answer 14

Speed efficiency and the elimination of waste

Question 15

Fishbone diagram

Answer 15

Show the cause of a certain event. Take an event or piece of information and work backwards to determine causes. Usually grouped into major categories to event identify sources of variation

Question 16

A Run chart is

Answer 16

A graphic that displays observed data in a time sequence

Question 17

A blank is used to determine whether or not a process is in a state of statistical control

Answer 17

Process control chart

Question 18

Statistical process control charts

Answer 18

Monitor process of care
Indicate the presents of variation (but do not eliminate it)
Monitor outcomes

Question 19

Process is considered out of control if

Answer 19

Single point outside of control limits

2 of 3 successive points on same side and 2 SD from it

4 of 5 on same side and 1 SD from it

8 in a row on same side. Or 10/11, 12/14 or 16/20

Question 20

A measure that is based on a definition that can easily be understood and applied in a facility is an effective type of ———— measure

Answer 20

Performance measure

Performance measures should be evidence-based well defined clinically important for patients and broadly applicable to different types of facilities

Question 21

The annual evaluation of the infection prevention and control program should include

Answer 21

The achievements and activities of the program

Stress the value of the program to the organization

Question 22

The ————is a structure communication method that solicits opinions from panel of experts who answer questionnaires into our more rounds.

Answer 22

Delphi technique

Question 23

After implementing a new educational program on safe injection practices the IP is notified of a potential outbreak issue of a nurse using medication file for more than one patient. What quality tool would be most useful to investigate this incident

Answer 23

RCA root cause analysis.

RCA’s take a look at adverse outcomes and determine what happened why it happened and what an organization can do to prevent it in the future

Question 24

What is the purpose of a cost benefit analysis CBA

Answer 24

Technique that is used to determine options that provide the best approach for adoption and practice in terms of benefit such as labor time and cost savings. All measures expressed in monetary terms

Question 25

The model of improvement is a 2 part model designed to accelerate improvement for process and outcomes. What are the key component areas of the model?

Answer 25

Setting aims, establishing measure, selecting changes. | Plan-do-study-act (PDSA)

Question 26

What is the Mode in the Failure Mode and Effective Analysis?

Answer 26

A mode is the way or manner in which something such as a failure can happen. The way of using a system or process- a way a thing is done

Question 27

———— factors examine the relationship between people, tools, and systems the interact with

Answer 27

Human. Goal is to minimize errors by focusing on improving efficiency, creativity, productivity and job satisfaction

Question 28

Blank are small autonomous groups of employees who determine, plan; and manage their daily activities with little to no supervision

Answer 28

Self-managed

Question 29

Capital expenses include

Answer 29

Business expenses for fixed assets such as buildings or equipment

Question 30

Operating expenses include

Answer 30

Rent, utilities, insurance, etc.

Question 31

A work breakdown structure…

Answer 31

The decomposition of a project into smaller components. Provides framework for cost estimating and control as well as guidance for schedule development and control

Question 32

Human factor engineering

Answer 32

Research in human characteristics and is concerned with the design of tools, machines and systems that take into account human capabilities and limitations

Question 33

3 principle goals for infection prevention and control program

Answer 33

Protect the patient Protect staff, visitors, and all in environment Cost effectively accomplish 1 and 2

Question 34

Cost effectiveness analysis studies

Answer 34

Compare products or interventions with different costs and the potential outcome for care. Can be expressed as number of cases prevented, number of lives saved, etc

Question 35

Cost utility analysis studies

Answer 35

Adjust the benefits of a specific intervention in terms of a health preference score like quality life years gained (QALYs)

Question 36

Cost benefit analysis

Answer 36

Looks at outcomes only in terms of cost