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NUR112 > Quality Improvement > Flashcards

Quality Improvement Flashcards

1
Q

IOM Definition of Quality

A

The degree to which health care services for individuals and populations increase the likelihood of desired health outomes and are consistent with current technical knowledge.

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2
Q

IOM

A

Institute of Medecine: independent, non-profit that conducts studies and provides unbiased advise to improve the nation’s health

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3
Q

NQF

A

Nat’l Qual. Forum: private, non-profit. “Gold Standard” for health care performance.

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4
Q

NDNQI

A

Nat’l Database for Nursing Quality Indicators provides medical research based data on nursing care and its relationship to pt. outcomes.

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5
Q

UHF

A

United Health Foundation: private, non-profit dedicated to improving health and healthcare.

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6
Q

Six Aims for Quality Improvement in Healthcare

A

STEEEP: safe, timely, effective, efficient, Equitable, Pt. centered

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7
Q

UHF aims

A
  • Create healthier communitites
  • Expand access to healthcare
  • Nurture future workforce
  • Improve medical outcomes
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8
Q

NEAR MISS event

A

an error that could have caused harm but did not due to chance, prevention or early intervention

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9
Q

Adverse event

A

Errors that result in moderate to severe harm to a Pt.

*one of the most common is med errors!

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10
Q

SENTINEL event

A

An adverse event when a pt. dies or has a serious, undesirable and largely avoidable outcome as a result of medical error

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11
Q

How are sentinel events reported?

A

Voluntary or in response to Joint Commission

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12
Q

QSEN

A 
Pt. centered care
Teamwork and collaboration
EBP
QI
Safety
Informatics
(Chasing zero video)
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13
Q

What are some items in SCIP?

A
  • BG in cardiac pt.
  • Foley d/c’d 1-day post-op
  • Periop temp management
  • Continuation of beta-blocker therapy peri-op
  • Prevention of thrombosis peri-op
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14
Q

What are IOM competencies of care?

A 
Pt centered care
Work in interdisciplinary care
Use evidence based practice
Apply QI
Use informatics
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15
Q

United Health Foundation Aims

A

Create Healthier communities
Expand access to healthcare
Nurture Future workforce
Improve medical outcomes

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16
Q

CUS words

A

I am concerned
I feel uncomfortable
This is a safety issue

17
Q

TWO Challenge Rule

A

You need to voice your concern at least two times to ensure that it has been heard!

18
Q

Acronym step

A

Status of patient
Team members
Environment
Progress toward goal

18
Q

What is the ‘IM SAFE’ checklist?

A 
Illness
Medication
Stress
Alcohol & Drugs
Fatigue
Eating & Elimination
19
Q

What are the skills in TeamSTEPPS

A
  1. Leadership
  2. Situational monitoring
  3. Mutual support
  4. Communication
20
Q

What are the prospective outcomes from teamSTEPPS?

A
  1. Knowledge
  2. Attitude
  3. Performance
21
Q

Characteristics of Effective team leaders

A

1 organize The team

  1. Articulate clear goals
  2. Make decisions based on collective input
  3. Empowers members speak up
  4. Actively promotes and facilitates teamwork
  5. Skillful at conflict resolution
22
Q

Name three areas covered during leadership team events (STEPPS)

A
  1. Planning
  2. Problem-solving
  3. Process improvement
23
Q

Items discussed during team ‘stepps’ briefing

A
  1. Who are the team members?
  2. Understand calls and degree? 3. Roles and responsibilities.
  3. plan of care
  4. staff/providers availability
  5. workload
  6. Resources available
24
Q

Define situation monitoring.

A

The process of continually scanning and assessing what’s going on around you.

25
Q

What is involved in cross monitoring?

A

1 monitor actions of other team members
2 provides a safety net within the team
3 insures oversight and mistakes are quickly caught
4 watching each other’s back

26
Q

What does the acronym STEP mean with regard to situation monitoring?

A

Status of Pt
Team members
Environment
Progress toward Goal

27
Q

What are the five rights of delegation?

A
  1. Right task
  2. Right circumstance
  3. Right person
  4. Right direction, communication
  5. Right supervision, evaluation

NUR112 (3 decks)

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