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Professional Development Exam 3 > Quality Improvement > Flashcards

Quality Improvement Flashcards

(59 cards)

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1
Q

What does the Institute of Medicine (IOM) say about what type of errors take place in hospitals?

A

98k die from medical errors in hospitals
Mainly medication errors than workplace injury

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2
Q

To Err is Human meaning

A

From the IOM - The problem isn’t bad people - it is good people working with bad systems.

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3
Q

Crossing the Quality Chasm

A

From IOM as well
Need to make a fundamental change in the hospital system to close the quality gap which led to the American health system redesign

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4
Q

Six aims of IOM

A

Safe
Effective

Patient centered
Timely
Efficient
Equitable

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5
Q

How did the focus of safety change in general?

A

Healthcare cared about safety but then it became a main focus

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6
Q

T/F
Healthcare has been using simulation for teaching for decades

A

False. We still don’t have enough simulations

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7
Q

Explain the Fifth and final step of the Management Process (3 steps)

A
  1. Evaluate services given to patient.
  2. Compare the care given to them to the standard
  3. And if workers don’t meet those standards, we take action to correct the gap.
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8
Q

Management controlling functions (3)

A
  1. Periodic evaluation
  2. Measurement of performance of individual and group
  3. Auditing goals
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9
Q

Hallmarks of effective quality control programs?

A

Support from top-level administration
Commitment of resources (human & fiscal)
Goals that exceed the standard
Continuous processing and improvement

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10
Q

What type of goals do quality improvement programs have?

A

Goals that exceed the standard

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11
Q

What type of resources do quality control programs have?

A

Fiscal and human resources

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12
Q

What type of support do quality programs have?

A

Support from top level administration

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13
Q

What type of progression do quality improvement programs have?

A

Continuous progress and improvement

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14
Q

First steps of the Quality Control Process

A
  1. Determine the criterion or standard
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15
Q

Second steps of the Quality Control Process

A
  1. Collect information to determine if the standard was met
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16
Q

Third steps of the Quality Control Process

A
  1. Education or corrective action taken so that we can meet the criteria
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17
Q

Steps in Auditing Quality control (8)

A

Establish control criteria
Identify the information relevant to he criteria
Determine ways to collect info
Collect and analyze info
Compare info
Make judgement about the quality
Provide information take corrective action if necessary
Re-evaluate

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18
Q

Define Standards

A

Predetermined baseline condition or level of excellence that constitutes a model to be followed and practice
- should be individual to each organization and profession for safety

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19
Q

Define Quality Gap

A

Difference in performance between top performing health care organization and the national average
- if its a big gap, you want take action to close it

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20
Q

Define Benchmarking

A

Process of measuring products, practices, or services against a best performing organization
- can be in any industry
Used to determine how your own organization differences from a top competitor & to use them a role model as a quality for the brand

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21
Q

What strategies can help us determine why a benchmark difference occurs?

A

Critical event analysis
Root cause analysis
- they analyze the why so we can learn from our mistakes and prevent future mistakes

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22
Q

Root cause analysis

A

Investigate the errors and factors that that took place by risk management department which lead up to the mistake

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23
Q

Frequent audits used in quality control (3)

A

Structure
Process
Outcome

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24
Q

Explain structure audit

Study These Flashcards
A

Monitor setting structure in which patient care occurs
- inputs, environment , patient room
- staffing ratios and mix , wait time
Things that contribute to less quality

25
Explain process audit
Measuring the process of care or how the care was carrie out (how nursing care was provided) - bp checks, fetal heart tones, etc
26
Explain outcome audit
Determine the results that occurred because of specific nursing interventions
27
What is the best indicator of quality outcomes from the audits?
Outcome audit
28
Why do we use standardized nursing language?
It helps nurses stay on the same page. Usually used with the software. And **helps make gathering audits a lot easier.**
29
T/F We can separate the nursing interventions from other disciplines to see how nursing effects patient outcomes
True. This is good because it allows us to have accountability and to grow
30
Nursing sensitive structure audit
supply o fnursing staff skill educatoin of staff
31
Nursing sensitive process audit
assessment, intervention, and job satisfaction
32
nursing sensitive outcome audit
patient outcomes that improve if there is better nursing care and quality
33
T/F Nurses should practice to the full extent of your license
False. This means minimal standards. Nurse should practice to **full extent of their education**.
34
What should the relationship be between nurses and doctors
Full partnership
35
What are Clinical Practice Guidelines
Diagnosis based step by step interventions for physicians and nurses to follow to provide good care * based off the evidence
36
What model has the American health system chagned to
Went from quality assurance to **quality improvement**
37
Quality assurance vs quality improvement
Quality assurance - targets existing quality Quality improvement - targets ongoing and continually making improvements
38
TPS - toyota production system
Complete elimination of waste ?
39
The joint commission includes
Oryx Core measures National Patient Safety Goals
40
Oryx of Joint commision
Took outcome measures of quality and make it apart of the accreditation processes
41
Core measures of joint commission
42
Core measures includes
Sentinel event errors, misses re-admissoin rates for same problems rate of HAI
43
Core measures of 2019
pg. 635 Recordable and reportable data * acute MI * children asthma care * ED visits * hospital outpatient department * inpatient psych * immunizatoin * prenatal care * stroke * venous thrombo embolism * pneumonia * heart failure
44
National patient safety goals
Augment and promote **specific** improvements in safety
45
Sentinel events (serious) that have to be reported to the Joint commission
serious med errors significant drug reactions wrong surgical sites blood transfer reactions infant abductions
46
Define sentinel event
Patient safety events that results in death, permanent harm, or severe temporary harm
47
What is CMS
Centers for medicare and medicaoid
48
Pay for performance by CMS
Hospital performance effects reimnbursement
49
HCAHPS
Hospital consumer assessment of healthcare providers and systems
50
What HCAHPS
National, public survey for patients * first of kind * measures their perception of hospital performance
51
T/F Vast majority of med errors are on the individual
False. Usually a system issues. Hospitals should be more focused on the system
52
EBP referral
Send a patient to a better hospital
53
Better reporting of the error Leapfrog initiative Reform medical liability system - diligent in civil law suit Point of care strategies * bar coding * smart iv pumps * med reconciliation
54
National quality forum
Endorses safe practices
55
4 Leapfrog initiatives
Computerized physician order entry to cut down safety issues EBP referral ICU physician staffing Leapfrog safe scores
56
Computerized physician order entry
to cut down safety issues and readibility
57
Computerized physician order entry to cut down safety issues EBP referral ICU physician staffing
Intesivist or specialized icu doctors help outcomes
58
QSEN
patient centered care teamwork colloboration EBP Quality improvement safety informatics
59
What type of resources do quality control programs have?
Fiscal and human resources

Professional Development Exam 3 (2 decks)

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