Protocol Development and Quality Improvement

Answer: D

Because the data have already been collected, they

must be analyzed to determine the baseline time to

antibiotics (Answer D is correct). The measuring

phase includes collecting the data, which has already

been completed (Answer A is incorrect). Establishing

methods is part of the design (Answer B is incorrect).

The change process being implemented is the

improvement phase (Answer C is incorrect).

Answer: A

Using weighted metrics for each critical care pharmacist

activity – quantified over time and annualized – more

accurately quantifies a critical care pharmacist’s

activities (Answer A is correct). The number of cardiac

arrest codes attended each month, number and severity

of hospital-acquired Clostridioides difficile infections

each year, and the number of in-services provided each

year are important, but do not quantify a comprehensive

list of a critical care pharmacist’s activities individually

(Answers B, C, and D are incorrect).

Answer: A

Sepsis management bundle and VTE prophylaxis

are quality measures reported to CMS (Answer A is

correct). Thrombolytic therapy for patients with stroke

is correct, but stress ulcer prophylaxis is not reported

(Answer B is incorrect). Heart failure readmissions

are reported, but pneumonia vaccination rates are not

(Answer C is incorrect). Use of ventilator bundles is

not reported, but rates of acute coronary syndrome

readmission are reported (Answer D is incorrect).