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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q188-Q193):
NEW QUESTION # 188
Over the past 2 months, a trend has been detected in medication errors. The preferred method of presenting data to the nursing Quality Council will identify the nurse by
Answer: B
Explanation:
To present data on medication errors to the nursing Quality Council while maintaining confidentiality and avoiding a blame culture, the preferred method is to use a coding system with the key attached to the report.
This approach allows the council to analyze the data and trends without immediately identifying individual nurses, promoting a focus on system improvements rather than individual blame.
* Initials (B): While this can provide some confidentiality, it might still allow for easy identification of staff.
* Name (C): Using names would likely discourage reporting and is contrary to a non-punitive approach to quality improvement.
References
* NAHQ Body of Knowledge: Confidential Reporting and Non-Punitive Cultures in Quality Improvement
* NAHQ CPHQ Exam Preparation Materials: Data Presentation and Confidentiality in Quality Councils
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NEW QUESTION # 189
The chart below reflects the 12-week period following implementation of a new electronic health record (EHR) at an outpatient clinic.
Based on the information above, which of the following conclusions can be drawn?
Answer: C
Explanation:
Implementing a new electronic health record (EHR) system in an outpatient clinic often introduces challenges that impact patient safety and workflow. NAHQ CPHQ study materials emphasize that post-implementation evaluation should focus on identifying barriers to effective use, as these can undermine the system's benefits, such as improved medication safety and care coordination. Common metrics in such evaluations include system-related medication errors, help desk calls, downtime events, overrides, workarounds, and staff complaints, which reflect user experience and system performance.
Since the chart is not provided, I'll base the answer on typical CPHQ scenarios for EHR implementation. The options suggest the chart includes data on e-prescribing stability, system-related medication errors, help desk calls, downtime events, overrides, workarounds, and complaints. Option D, "Overrides, workarounds, and complaints indicate there are underlyingbarriers to use," aligns with a common finding in EHR post- implementation reviews. Overrides (e.g., bypassing alerts), workarounds (e.g., using paper notes instead of the EHR), and complaints typically signal usability issues, such as a poorly designed interface, inadequate training, or system inefficiencies. These barriers can lead to errors, staff frustration, and reduced patient safety, requiring targeted interventions like workflow redesign or additional support.
Option A, "While e-prescribing processes are now stable, additional training is needed to improve staff competency," assumes e-prescribing stability, which may not be supported without specific chart data showing consistent performance (e.g., no recent errors). It also assumes training is the primary issue, which isn't directly indicated without evidence of competency gaps. Option B, "There is a strong positive correlation between system-related med errors and help desk calls," requires specific data showing a statistical correlation (e.g., both metrics trending together), which cannot be confirmed without the chart. Option C, "Minimal IT- related med errors and downtime events indicate that the system has improved patient safety," assumes low error and downtime rates, but the presence of overrides, workarounds, and complaints (implied by option D) suggests ongoing safety risks, contradicting this conclusion. NAHQ emphasizes identifying and addressing barriers to EHR adoption to ensure patient safety, making option D the most likely conclusion based on typical post-implementation challenges.
Reference: NAHQ CPHQ Study Guide, Patient Safety Section, "EHR Implementation and Patient Safety"; NAHQ CPHQ Practice Exam, Post-Implementation Evaluation of Health IT Systems.
NEW QUESTION # 190
In reviewing information offered by the Agency for Healthcare Research and Quality (AHRQ), the quality improvement (QI) specialist recognizes that the three broad aims pursued by the National Quality Strategy are
Answer: A
Explanation:
The three broad aimspursued by the National Quality Strategy (NQS), as recognized by the Agency for Healthcare Research and Quality (AHRQ), are better care, healthy people/healthy communities, and affordable care. These aims reflect a comprehensive approach to improving healthcare by focusing on enhancing the overall quality of care, improving the health of populations, and reducing the cost of care to ensure it is affordable for all.
Reduce medical waste, use Lean, and achieve equity and better access to care (A): These are important goals, but they do not summarize the NQS's broad aims.
Reduce complications, reduce readmissions, and improve health outcomes (B): These are specific targets within the broader framework but not the three broad aims.
Triple aim, reduce utilization, and affordable care (D): The triple aim concept is related, but it is not identical to the three broad aims of the NQS.
References
NAHQ Body of Knowledge: National Quality Strategy and Healthcare Improvement NAHQ CPHQ Exam Preparation Materials: Understanding National Quality Initiatives
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NEW QUESTION # 191
To effectively communicate performance indicator results, information should be disseminated to the
Answer: D
NEW QUESTION # 192
Which of the following is the relationship between clinical outcomes and patient satisfaction? Besides measuring
morbidity and mortality, this management takes into account the quality of healthcare received from the patient's
perspective.
Answer: B
NEW QUESTION # 193
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