POM Flashcards
What is quality improvement?
A formal approach to provide quality care for patients
What is the direct result of quality improvement?
Patient safety go together with quality care
What is Joint Commission?
A national safety organization that certify organization like medical school or hospitals
What is a sentinel event?
An unexpected event that result in patient injury or death. This is what the Join Commission use to direct their area of concern, to spread the event across the nation as an example of what we should do to prevent them
What is the purpose of Near misses risk management?
To report near misses so that the next guy won’t fail (no personal blame)
What is the process involves in Root Cause Analysis?
(retrospective approach) Performance management teams gather front line people who are involved in the near miss event to ask for input for improvement. Get people involved to make them feel they are part of the change
What is the process involves in Healthcare failure mode and Effect Analysis?
Prospective approach. E.g. if there’s an event that was a near miss in the other hospital. We gather people and see if this problem can potentially happen in our hospital.
Why is the system approach better than personal approach?
Old personal approach (firing people) only catches about 15% of error. Usually it is the system’s fault that set the doctor up for failure. It is much more efficient to fix the systemic error so less personals can make errors. Personal approach also prompt people to not report near misses.
What is Reason’s Swiss Cheese diagram?
A multi layer of defenses to prevent error making. E.g. doctor down to pharmacist down to nurse…
Make sure to make the holes in the cheese smaller so that it is harder to sip through and make errors
Why we do need 2 items personal identifiers?
It is a major component of performance management. You ask the patient his/her name and their his/her DOB or SSN
OR special bracelet that identify the patient (even has pic on it)
What other data does the performance management look at?
Hand washing/precaution/personal protective equipment
What does CLABSI/VAP/CDI/MERSA/CAUTI (hospital acquired infections) stand for?
CLABSI: central line associated blood stream infection
VAP: ventilator associated pneumonia
CDI: C. diff infection
MERSA: Methicillin resistant staph aureus
CAUTI: catheter associated UTI
Why is antibiotic stewardship program trying to prevent?
Doctors who review all the antibiotics usages to prevent overmedicating
What does the NSQUIP do?
National surgical quality improvement program give look at the morbidity and mortality of patients that the surgeon operated on
What are OMELOS/O:E ratio/LOS?
OMELOS: observed minus expected length of stay
O:E ratio: observed/expected ratio of morbidity and mortality
You want to lower the length of stay but also the readmission rate
What does EPRP do?
External peer review process (outside, usually hired) look at if the patient in a hospital is appropriately treated
What does PDSA cycle use for?
Plan. Do. Study. Act and repeat. Used to address weakness, collect data and improve quality, need multiple cycles. Need to set goal and process. E.g. want to shorten the time to get pt from ED to ICU (75% chance of no worse and maybe good)
Is Well Child visit scheduled?
Yes like 2 month old check once and then again in 2 months
What is anticipatory guidance for well visit?
Tell the parents whats gonna happen next for the children
What is m-CHAT (kids 16-30months) check for?
Modified checklist for autism for toddlers (yes no questions)
What is ASQ (age 1-5) check for?
Screening tool for kids
What is early intervention for?
For kids under 3 yr old—>provide all kinds of the service to improve the kids to his/her normal development
Should children be always checked without clothes on?
Yes
What is most important way to monitor the children’s well being?
Watch the growth curve
