USC Pediatric Residency Quality Improvement Program Self-Assessment Quiz

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Resident First and Last Name *

1. Have you had previous experience in quality improvement (QI)? *

Yes

2. How many formal quality improvement projects have you participated in? *

Zero

One

Two

Three

Four or More

3. In general, on a scale of 0 to 10, how comfortable are you in your ability to design and implement a QI project? *

Not at all comfortable

Very comfortable

4. A PDSA cycle is a structured trial of a process change used in quality improvement projects. What does each letter in the mnemonic "PDSA" stand for? *

5. Use the following scenario to answer questions A-C:

As a nurse manager of a medicine unit in an academic hospital, you’re aware that your unit has a high rate of patient readmissions. In fact, 36 percent of the patients discharged from your unit are readmitted to the hospital within 30 days. After reviewing the literature, you become aware that this rate is quite high compared to national standards. Working with other members of your unit, you develop a plan to call patients on the phone within 48 hours of discharge, with the aim of cutting readmission rates to 18 percent.

A. What would you identify as the "outcome measure" for the project? *

(Choose only one)

Average length of stay

The cost of labor associated with the calls

Rate of job satisfaction of those on the unit making the calls

Percent of patients that are readmitted to the hospital

I don't know

Required

B. Which of the following is an example of a "process measure" that you may collect as part of this improvement effort? *

(Choose only one)

The rate of patients being readmitted within 30 days

The reasons for readmission to the hospital

The percent of patients receiving a call within 48 hours of discharge

The cost of the labor associated with the calls

I don't know

Required

C. Why might you consider collecting balancing measures? *

(Choose only one)

To show that you met your aim

To make sure you are able to publish your study

To demonstrate to your hospital board that you were justified in using resources for this project

To make sure you did not unintentionally damage other aspects of the unit's work

I don't know

Required

6. On a scale of 0 to 10, how comfortable are you in your ability to implement a structured plan to test a change? *

Not at all comfortable

Very comfortable

7. On a scale of 0 to 10, how comfortable are you in your ability to write a clear AIM statement? *

Not at all comfortable

Very comfortable

8. On a scale of 0 to 10, how comfortable are you in your ability to formulate an "outcome measure" for a QI project? *

Not at all comfortable

Very comfortable

9. On a scale of 0 to 10, how comfortable are you in your ability to formulate a "process measure" for a QI project? *

Not at all comfortable

Very comfortable

10. On a scale of 0 to 10, how comfortable are you in your ability to formulate a "balancing measure" for a QI project? *

Not at all comfortable

Very comfortable

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