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NAHQ CPHQ Exam - Topic 3 Question 81 Discussion

Posted by Hannah on Jul 08, 2025 at 08:14 PM

When working with a new qualityImprovement team, the quality professional should stress the importance of

Suggested Answer: A

A quality improvement team is a group of people who work together to identify and solve problems in healthcare, improve service provision, and provide better outcomes for patients1.

One of the most widely used tools for the continuous improvement model is the plan-do-check-act (PDCA) cycle, which is a four-step quality assurance method2.

The PDCA cycle involves planning an improvement, testing it on a small scale, checking the results, and acting on the findings to either implement the change on a wider scale or start the cycle again with a different plan2.

The quality professional should stress the importance of making small changes in each cycle of change because this allows theteam to learn from each test, adapt to the local context, and avoid wasting resources on ineffective or harmful interventions3.

Making small changes also reduces the risk of resistance or backlash from stakeholders who may be affected by the change, as they can be involved in the testing and feedback process4.

Additionally, making small changes enables the team to measure the impact of each change and compare it with the baseline data, which helps to determine whether the improvement is achieving the desired outcomes5.

Therefore, the correct answer is A. making small changes in each cycle of change, as this is consistent with the principles and methods of quality improvement.Reference:

1: Quality improvement into practice | The BMJ

2: Continuous Improvement Model - Continual Improvement Tools | ASQ

3: PDSA Quality Improvement: A Scientific Method of Change

4: Different approaches to making and testing change in healthcare | The BMJ

5: Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic | Journal for Healthcare Quality


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24 comments · newest first
OW
Owen 10 months ago
Totally agree, small cycles lead to better results in the long run!
EL
Elza 10 months ago
Large goals can be overwhelming, better to take it step by step.
BU
Buffy 10 months ago
I disagree, involving everyone from the start is crucial.
LI
Lizette 10 months ago
Wait, you really think we can get it right on the first try?
SE
Serina 11 months ago
Small changes are definitely the way to go!
CH
Cheryl 11 months ago
Getting the desired result on the first try seems unrealistic. I feel like we discussed how iterative cycles are key to success in quality improvement.
VE
Vernice 11 months ago
Large goals seem daunting, and I recall something about setting achievable targets instead. But I’m not completely confident about that.
LO
Lourdes 11 months ago
I'm not entirely sure, but involving the whole department sounds like it could lead to better buy-in. I feel like I saw a similar question about team engagement.
ST
Stephanie 12 months ago
I think I remember that making small changes is often more effective in quality improvement. It allows for adjustments based on feedback, right?
HA
Harrison 12 months ago
I'm confident that the answer is A. Trying to make big, sweeping changes right away is often counterproductive in quality improvement. The key is to start small, test changes, and build momentum gradually.
TO
Tonja 12 months ago
The question is asking about the best approach for a quality improvement team, so I'm guessing the answer has to do with how the team should work together. I'm leaning towards A, making small changes in each cycle, as that seems like a more manageable and sustainable approach.
AR
Ardella 1 year ago
Hmm, I'm a bit unsure about this one. I know quality improvement is important, but I'm not sure if the best approach is to make small changes or go for big, system-wide goals. I'll have to think this through carefully.
VI
Vivan 1 year ago
This question seems straightforward. I think the key is to focus on making small, incremental changes rather than trying to overhaul everything at once.
BR
Brock 1 year ago
C) Creating large goals to have a system-wide impact? Aim high, I like it! Though, maybe we should start with some smaller wins first, just to build momentum.
YA
Yaeko 1 year ago
B) Involving the entire department on the first cycle of change? Sounds like a recipe for chaos. Where's the focus?
UL
Ulysses 1 year ago
↳ replying to Yaeko
A) making small changes in each cycle of change.
SA
Salina 1 year ago
I see your point, Cordell, but I think it's important to start small and build momentum with small changes before tackling larger goals.
CO
Cordell 1 year ago
I believe the answer is C) creating large goals to have a system-wide impact. Big goals can motivate the team to strive for excellence.
BR
Brittani 1 year ago
D) Getting the desired result on the first cycle of change? Ha! Good luck with that. Everybody knows it takes time and patience to see real improvement.
LA
Latricia 1 year ago
A) Making small changes in each cycle of change. That's the way to go! Slow and steady wins the race, right?
MO
Mohammad 1 year ago
↳ replying to Latricia
B) Involving the entire department on the first cycle of change. It's important to get everyone on board from the start.
HA
Halina 1 year ago
↳ replying to Latricia
A) Making small changes in each cycle of change. That's the way to go! Slow and steady wins the race, right?
CH
Cherry 1 year ago
I agree with Hillary, small changes are more manageable and can lead to continuous improvement.
HI
Hillary 1 year ago
I think the answer is A) making small changes in each cycle of change.
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