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Monday, November 26, 2012

A Quality Quiz





Later this week I begin my rotation of Quality Management for medical laboratory residents to provide this group with some foundational information on laboratory Quality.  For those who are not used to medical laboratory jargon, medical laboratory residents are pathologists-in-training.  These are the people who in 5 or 6 years will be the people running sections of medical laboratories in and in 10 years, many will be running their own medical laboratories.   If we can introduce them to Quality Management principles now, there is some hope that some of them will develop and pursue an interest and make Quality part of their active career. 



My seminar series is a total of 6 hours over about a month, so it is fair concentrated.  I cover issues like error, and Quality Management and Standards and Accreditation and Proficiency and Competency as well as Culture of Quality. 



My standard approach is to give a Pre-test, then give the course and then give a Post-Test to see if the information has been acquired. 



Without giving the answers, I am offering access to the Quiz questions. 



For those that are interested, I will release the results later.

My apologies for the formating.  The Quiz did not carry over as well as I would like, but I think you can still get the idea.




1:         What is the approximate proportion of laboratory tests that is associated with some form of error?

1 in 100:           o                               

1 in 200:           o

1 in 500:           o                               

1 in 1000:         o

                        1 in 3000:         o

2:         What is the approximate proportion of laboratory tests that is associated with some form of significant error that is associated with harm or inconvenience to a patient?

1 in 100:           o                                           

1 in 200:           o

1 in 500:           o                                           

1 in 1000:         o

                        1 in 3000:         o



3:         Which of the following best describes the W. Edwards Deming cycle of activities associated with Quality and continuous improvement?

                        Plan – Do – Act - Repeat:                      o

                        Plan – Do – Revise - Repeat:                 o

                        Plan – Do – Study -Act:                         o

Plan – Do – Control - Revise:                 o

                        Plan – Revise – Repeat - Register:         o



4:         Which describes the most expensive costs associated with error?



                        The cost of error found before the release of information (internal failure):            o

                        The cost of error found after release of information (external failure):                     o

            The total combined costs of error prevention and quality appraisal:                       o

            The costs of error vary too much in different industries to be predictable:               o



5          The International Standard that best provides guidance for Quality and Competence for Medical Laboratories

                        ISO 9001:2008:                                     o

                        ISO 17025: 1999:                                  o

                        ISO 15189: 2007                                   o

                        ISO 17043:2010:                                   o

                        ISO 17022:2005:                                   o



6:         Which of the following is NOT an authorized body in British Columbia? (check all that apply)

Ministry of Health:                                                         o

                        College of Physicians and Surgeons:                              o

                        Royal College of Physicians and Surgeons of Canada:     o

                        Diagnostic Accreditation Program:                                  o

                        College of American Pathologists:                                 o

Work Safe BC:                                                             o






7:         An organization that puts great emphasis on staff work flexibility and research/innovation would be rated high in which cultural characteristics

Hierarchy and Adhocracy:                       o

                        Clan and Adhocracy:                              o

                        Market and Adhocracy:                          o

                        Clan and Market:                                   o

                        Hierarchy and Market:                           o



8:         Which of the following is NOT considered a Principle of Quality Management (check all that apply)

Customer focus:                                   o                   

Leadership:                                o

Involve People:                        o                   

Innovation first:                          o

Continuous improvement :         o                   

Process Approach:                       o

Minimize Risk:                          o                   

Focus on Efficiency:                   o

Systematic Management            o                   

Base Quality Decisions of Facts   o

                                   



9:         Which statement would be most correct in addressing Quality issues in a laboratory?

Responsibility for Quality participation falls to the Quality Manager:          o

            Responsibility for Quality participation falls to the “top management”

                    including the Laboratory Head:                               o

                        Maintenance of Quality is everyone’s responsibility:                                 o

            While everyone should be involved, main responsibility rests with

                    the Quality Manager:                                                                     o

Everyone should be involved, main responsibility rests with

        the “top management” including the Laboratory Head:                                  o

Quality best works as a free and fluid democratic process without  

        defining any specific person or persons as having main authority:                 o

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