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Objectives for Quality Assurance in Healthcare and Phlebotomy

Total questions: 90

Worksheet time: 45mins

Name
Class
Date
1.

Basic knowledge of terminology for national organizations, agencies, and regulations that support quality assurance in healthcare is demonstrated by understanding which of the following?

a)

The roles of organizations like The Joint Commission, CMS, and FDA in healthcare quality assurance

b)

The history of ancient medical practices

c)

The process of pharmaceutical sales

d)

The structure of hospital cafeterias

2.

Quality and performance improvement measurements in phlebotomy involve which of the following?

a)

Monitoring accuracy of specimen collection, implementing a QA program, and applying QC to areas like labeling and equipment maintenance.

b)

Focusing only on speed of blood draws without documentation.

c)

Ignoring errors as long as the patient is comfortable.

d)

Relying solely on patient feedback for quality assessment.

3.

Demonstrate knowledge of the legal aspects associated with phlebotomy procedures by defining legal terminology and describing situations that may have legal ramifications.

a)

Demonstrating knowledge of the legal aspects associated with phlebotomy procedures involves defining legal terminology and describing situations that may have legal ramifications.

b)

Demonstrating knowledge of the legal aspects associated with phlebotomy procedures involves only knowing how to draw blood.

c)

Demonstrating knowledge of the legal aspects associated with phlebotomy procedures means ignoring legal terminology.

d)

Demonstrating knowledge of the legal aspects associated with phlebotomy procedures is not necessary for phlebotomists.

4.

Fill in the blank: ______ is the degree of excellence of something.

a)

Quality

b)

Quantity

c)

Speed

d)

Color

5.

Fill in the blank: ______ includes all the activities and programs in place to guarantee the excellence of patient care.

a)

Quality assurance (QA)

b)

Inventory management

c)

Financial auditing

d)

Patient billing

6.

Fill in the blank: ______ is a system put in place to improve quality by continuous monitoring and analyzing all processes and identifying those in need of improvement.

a)

Continuous quality improvement (CQI) program

b)

Incident reporting system

c)

Employee recognition program

d)

Resource allocation plan

7.

Fill in the blank: The Joint Commission (TJC) is an __________, not-for-profit organization.

a)

Independent

b)

Government

c)

Private

d)

Commercial

8.

Fill in the blank: The Joint Commission (TJC) is the oldest and largest __________ standards-setting body in the nation.

a)

healthcare

b)

educational

c)

financial

d)

transportation

9.

Fill in the blank: The Joint Commission (TJC) establishes standards for operation of __________ and other health-related facilities and services.

a)

hospitals

b)

pharmacies

c)

insurance companies

d)

medical schools

10.

Fill in the blank: The Joint Commission (TJC) seeks to improve healthcare for the public through __________.

a)

evaluation

b)

advertising

c)

competition

d)

privatization

11.

Fill in the blank: The Joint Commission (TJC) focuses on improving safety for __________ and residents.

a)

patients

b)

employees

c)

visitors

d)

contractors

12.

When was the Survey Analysis for Evaluating Risk (SAFER™) implemented?

a)

2017

b)

2015

c)

2019

d)

2021

13.

What does the SAFER™ Matrix™ illustrate?

a)

The likelihood of harm because of an area of noncompliance.

b)

The number of staff required for compliance.

c)

The cost of implementing safety measures.

d)

The duration of compliance audits.

14.

Which of the following is a function of the Office of Quality Monitoring?

a)

Provide visual representation of survey results

b)

Evaluate and track complaints from patients, families, & employees

c)

Help HCOs prioritize corrective actions

d)

Illustrate likelihood of harm

15.

The Survey Analysis for Evaluating Risk (SAFER™) helps HCOs prioritize and focus corrective actions.

a)

True

b)

False

16.

What is a sentinel event (SE) according to The Joint Commission (TJC)?

a)

A) A routine safety check

b)

B) A patient safety event that results in death, permanent harm, or severe temporary harm

c)

C) A financial audit

d)

D) A staff meeting

17.

What is one purpose of the Sentinel Event (SE) policy by The Joint Commission (TJC)?

a)

To increase paperwork

b)

To help organizations identify safety issues and prevent them

c)

To hire more staff

d)

To reduce costs

18.

If a sentinel event occurs, what is the first step an organization is required to take according to The Joint Commission (TJC)?

a)

Perform a thorough & credible root-cause analysis

b)

Notify the media about the event

c)

Discharge the patient immediately

d)

Report the event to the police

19.

If a sentinel event occurs, what is the second step an organization is required to take according to The Joint Commission (TJC)?

a)

Develop appropriate action plan

b)

Notify the media

c)

Discharge the patient

d)

Ignore the event

20.

If a sentinel event occurs, what is the third step an organization is required to take according to The Joint Commission (TJC)?

a)

Implement improvements to reduce risk

b)

Notify the media about the event

c)

Discharge the patient involved

d)

Terminate the staff responsible

21.

If a sentinel event occurs, what is the fourth step an organization is required to take according to The Joint Commission (TJC)?

a)

Monitor improvements to determine if they are effective

b)

Report the event to the media

c)

Discharge the patient involved

d)

Ignore the event if no harm was done

22.

According to the National Patient Safety Goals (NPSGs) for 2018 by The Joint Commission (TJC), what is one of the goals? Fill in the blank: ________ patients correctly.

a)

Identify

b)

Discharge

c)

Medicate

d)

Transport

23.

According to the National Patient Safety Goals (NPSGs) for 2018 by The Joint Commission (TJC), what is one of the goals? Fill in the blank: Improve staff ________.

a)

communication

b)

nutrition

c)

mobility

d)

attendance

24.

According to the National Patient Safety Goals (NPSGs) for 2018 by The Joint Commission (TJC), what is one of the goals? Fill in the blank: Prevent ________.

a)

infection

b)

falls

c)

medication errors

d)

pressure ulcers

25.

Which of the following is part of the overall CQI requirements according to the National Patient Safety Goals (NPSGs) by The Joint Commission (TJC)?

a)

Patient Safety Goals

b)

Financial Audits

c)

Marketing Strategies

d)

Equipment Maintenance

26.

Who oversees the National Patient Safety Goals (NPSGs) according to The Joint Commission (TJC)?

a)

Safety panel, physicians, nurses, risk managers, and other healthcare professionals

b)

Only hospital administrators

c)

Only patients

d)

Only government officials

27.

What does the Clinical Laboratory Improvement Amendments of 1988 (CLIA) establish for all laboratories?

a)

Financial standards

b)

Quality standards

c)

Marketing standards

d)

Environmental standards

28.

Which of the following is NOT addressed by CLIA standards?

a)

Quality assurance

b)

Quality control

c)

Laboratory marketing

d)

Proficiency testing

29.

Fill in the blank: CLIA standards address quality assurance, quality control, proficiency testing, laboratory records, and ________ qualifications.

a)

personnel

b)

equipment

c)

location

d)

budget

30.

Specimen collection is an important part of CLIA inspections.

a)

True

b)

False

31.

Which federal body passed the regulations for CLIA?

a)

The Supreme Court

b)

Congress

c)

The President

d)

The FDA

32.

Which of the following is a standard addressed by CLIA?

a)

Laboratory records

b)

Laboratory marketing

c)

Laboratory construction

d)

Laboratory advertising

33.

Which organization requires all its members to be board-certified pathologists?

a)

College of American Pathologists (CAP)

b)

American Medical Association

c)

National Institutes of Health

d)

Centers for Disease Control and Prevention

34.

Which of the following is offered by the College of American Pathologists (CAP)?

a)

Proficiency testing and continuous lab inspection

b)

Medical school accreditation

c)

Hospital construction approval

d)

Pharmaceutical regulation

35.

The College of American Pathologists (CAP) is designed for ________ services only.

a)

pathology/lab

b)

radiology

c)

surgical

d)

pharmacy

36.

The College of American Pathologists (CAP) meets Medicare/Medicaid standards.

a)

True

b)

False

37.

Which organization grants reciprocity to CAP for laboratory inspection?

a)

TJC

b)

FDA

c)

CDC

d)

NIH

38.

What does the CAP require in an employee’s personnel file to confirm qualification for assigned responsibilities?

a)

Documentation that the employee is qualified to perform the responsibilities for which he or she is assigned.

b)

A copy of the employee’s birth certificate.

c)

A list of the employee’s previous job titles only.

d)

A record of the employee’s attendance at company events.

39.

What type of organization is the Clinical and Laboratory Standards Institute (CLSI)?

a)

For-profit, local organization

b)

Global, nonprofit, standards-developing organization

c)

Government-only agency

d)

Private laboratory

40.

Who are the representatives in the Clinical and Laboratory Standards Institute (CLSI)?

a)

Only government officials

b)

Only industry professionals

c)

Representatives from the profession, industry, and government

d)

Only laboratory staff

41.

What is the mission of the Clinical and Laboratory Standards Institute (CLSI)?

a)

To fund laboratory research

b)

To develop and promote best practices in clinical and laboratory testing

c)

To regulate hospital staff

d)

To sell laboratory equipment

42.

The Clinical and Laboratory Standards Institute (CLSI) develops voluntary guidelines and standards for all areas of the _____

a)

laboratory

b)

hospital

c)

pharmacy

d)

surgery

43.

Fill in the blank: The National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) is an authority on ________ quality.

a)

educational

b)

clinical

c)

technical

d)

financial

44.

Fill in the blank: The National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) is an autonomous ________ organization.

a)

nonprofit

b)

government

c)

for-profit

d)

educational

45.

Fill in the blank: The National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) provides accreditation & approval of ________ educational programs.

a)

clinical laboratory sciences

b)

veterinary medicine

c)

engineering

d)

business administration

46.

Fill in the blank: The accreditation process of NAACLS involves external ________ review of the program.

a)

peer

b)

financial

c)

student

d)

internal

47.

Fill in the blank: The phlebotomy program review by NAACLS is designed to improve student outcomes and maintain ________ education.

a)

quality

b)

temporary

c)

expensive

d)

limited

48.

Fill in the blank: The International Organization for Standardization (ISO) is an __________, non-governmental organization.

a)

independent

b)

international

c)

intergovernmental

d)

industrial

49.

Fill in the blank: The International Organization for Standardization (ISO) develops __________ international standards across industries.

a)

voluntary

b)

mandatory

c)

temporary

d)

regional

50.

Fill in the blank: The International Organization for Standardization (ISO) offers strategic tools for businesses to ensure __________ & reliability of products.

a)

quality

b)

profitability

c)

popularity

d)

speed

51.

Which of the following is a QA process in phlebotomy?

a)

Failure Modes & Effects Analysis (FMEA)

b)

Blood Typing

c)

Venipuncture

d)

Hematocrit Measurement

52.

Which of the following is a QA process in phlebotomy?

a)

Six Sigma

b)

Blood Glucose Test

c)

Platelet Count

d)

Blood Culture

53.

Which of the following is a QA process in phlebotomy?

a)

Lean Methodology

b)

Blood Pressure Measurement

c)

Urinalysis

d)

Coagulation Test

54.

Which of the following is a QA process in phlebotomy?

a)

Root-Cause Analysis (RCA)

b)

Blood Smear

c)

Crossmatching

d)

Blood Donation

55.

Which of the following is NOT a characteristic that quality indicators must have in phlebotomy?

a)

A) Measurable

b)

B) Well defined

c)

C) Subjective

d)

D) Specific

56.

Fill in the blank: Quality indicators must be ________ to monitor all aspects of patient care.

a)

measurable

b)

subjective

c)

random

d)

invisible

57.

Which of the following is a requirement for quality indicators in phlebotomy?

a)

Vague

b)

Objective

c)

Irrelevant

d)

Random

58.

Fill in the blank: Quality indicators must be clearly related to an important aspect of ________.

a)

care

b)

finance

c)

marketing

d)

technology

59.

Which of the following statements is true about quality indicators in phlebotomy?

a)

They should be well defined.

b)

They should be ambiguous.

c)

They should be unrelated to patient care.

d)

They should be random.

60.

What is the definition of 'Threshold value' in the context of Quality Assurance in Phlebotomy?

a)

A level of acceptable practice beyond which quality patient care cannot be assured.

b)

A value indicating the maximum blood volume that can be drawn from a patient.

c)

A standard time limit for processing blood samples in the laboratory.

d)

A minimum number of phlebotomy procedures required for certification.

61.

What should happen if the threshold is exceeded in Quality Assurance in Phlebotomy? Fill in the blank: Exceeding threshold should _________.

a)

Trigger evaluation that collects data from patient records, laboratory results, incident reports, patient satisfaction reports, and direct patient observation.

b)

Result in immediate termination of all staff involved.

c)

Lead to automatic approval of all future procedures.

d)

Be ignored if no complaints are received.

62.

What does CAPA stand for in the context of Quality Assurance in Phlebotomy?

a)

Corrective action preventative action

b)

Certified and Professional Accreditation

c)

Clinical Assessment and Patient Analysis

d)

Continuous Audit and Process Adjustment

63.

Fill in the blank: Both ______ & outcomes must be reviewed to improve outcome in phlebotomy quality assurance.

a)

process

b)

equipment

c)

location

d)

patient

64.

Fill in the blank: The process must be followed from ______ to finish in phlebotomy quality assurance.

a)

start

b)

middle

c)

pause

d)

break

65.

Fill in the blank: Measurement & evaluation must be ______ in phlebotomy quality assurance.

a)

standardized

b)

randomized

c)

optional

d)

subjective

66.

What does Quality Control (QC) use to ensure procedures are performed correctly in phlebotomy?

a)

Random checks

b)

Operational checks

c)

Visual checks

d)

No checks

67.

Which of the following is an area of phlebotomy subject to QA?

a)

Patient Preparation Procedures

b)

Patient Discharge Procedures

c)

Patient Diet Procedures

d)

Patient Exercise Procedures

68.

Which of the following is NOT a specimen collection procedure subject to QA?

a)

A) Patient identification

b)

B) Puncture devices

c)

C) Evacuated tubes

d)

D) Patient discharge

69.

Fill in the blank: The use of bar codes is associated with ________ in specimen collection procedures.

a)

Patient identification

b)

Temperature control

c)

Label color coding

d)

Specimen centrifugation

70.

Fill in the blank: Devices used to obtain blood samples in phlebotomy are called ________.

a)

Puncture devices

b)

Bandages

c)

Tourniquets

d)

Stethoscopes

71.

Fill in the blank: ________ are used to collect and store blood samples in phlebotomy.

a)

Evacuated tubes

b)

Petri dishes

c)

Test strips

d)

Beakers

72.

Fill in the blank: Proper ________ of specimens is crucial in phlebotomy QA.

a)

Labeling

b)

Storage

c)

Mixing

d)

Transport

73.

Fill in the blank: The method or ________ used in collecting blood specimens is important for QA in phlebotomy.

a)

Technique

b)

Temperature

c)

Color

d)

Volume

74.

Fill in the blank: ________ help determine the order in which specimens should be collected in phlebotomy.

a)

Collection priorities

b)

Patient allergies

c)

Tube color codes

d)

Patient age

75.

What is the term for checks that compare current laboratory results with previous results for the same patient in phlebotomy QA?

a)

Delta Checks

b)

Reference Ranges

c)

Critical Values

d)

Quality Controls

76.

What procedure is being demonstrated in the image related to phlebotomy QA?

a)

Patient identification using bar codes

b)

Centrifugation of blood samples

c)

Labeling tubes after collection

d)

Disposal of sharps

77.

What is the purpose of using bar codes on tubes, containers, and slides in phlebotomy?

a)

To track inventory

b)

For patient identification

c)

For decoration

d)

To indicate expiration date

78.

Fill in the blank: In phlebotomy, bar codes on tubes, containers, and slides are used for _____________.

a)

patient identification

b)

temperature control

c)

sterilization

d)

color coding

79.

Which of the following best describes the patient's record?

a)

A financial record of hospital expenses

b)

A chronologic documentation of medical care given

c)

A list of hospital staff

d)

A record of hospital meals

80.

Is the patient's record required by law for hospital patients?

a)

Yes

b)

No

81.

Every notation in the patient's record should be ________, precise, and complete.

a)

legible

b)

colorful

c)

ambiguous

d)

erased

82.

Which of the following is NOT a purpose of the patient's record?

a)

To aid practice of medicine

b)

To aid communications between healthcare providers

c)

To serve as a legal document

d)

To record hospital cafeteria menus

83.

One purpose of the patient's record is to aid the practice of _________

a)

medicine

b)

law

c)

engineering

d)

architecture

84.

The patient's record can serve as a legal document and may be used in court.

a)

True

b)

False

85.

The patient's record helps the hospital evaluate ________ outcomes.

a)

performance

b)

financial

c)

historical

d)

random

86.

Fill in the blank: Test catalogs and reference manuals detail how to prepare the patient to obtain a ________ sample.

a)

high-quality

b)

random

c)

contaminated

d)

expired

87.

Which of the following is NOT listed in test catalogs and reference manuals?

a)

CPT code

b)

Type of specimen

c)

Patient's insurance number

d)

Causes for specimen rejection

88.

Fill in the blank: The procedure manual states ________ & procedures for each test/practice.

a)

policies

b)

rules

c)

instructions

d)

guidelines

89.

The procedure manual must be available to all laboratory employees.

a)

True

b)

False

90.

Fill in the blank: The procedure manual must be updated at least ________.

a)

annually

b)

monthly

c)

every five years

d)

never

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