Week 4 Flashcards

1
Q

an unexpected medical problem that happens during treatment with a drug or other therapy

A

adverse event

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2
Q

a depiction of a program showing what it will do and what it is to accomplish; a series of “if-then” relationships that, if implemented as intended, lead to the desired outcomes.

A

logic model

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3
Q

uncovers underlying causes of an event or error by looking at enabling factors; concentrates on system and process factors, not individual factors

A

root cause analysis

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4
Q

The degree to which values on a set of scores are dispersed.

A

variation

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5
Q

An evaluation focusing on the process by which a program or intervention gets implemented and used in practice.

A

process analysis

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6
Q

The degree to which the research methods justify the inference that the findings are true for a broader group than study participants; in particular, the inference that the findings can be generalized from the sample to the population.

A

generalizability

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7
Q

is the interactive process of communicating knowledge to target audiences so that it may be used to lead change

A

dissemination

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8
Q

a philosophy to continuously make things better; application of best practice; can refine/improve with new knowledge produced.

A

quality improvement

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9
Q

the majority of medical errors result from faulty systems and processes, not individuals

A

U.S. Institute of Medicine 1999

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10
Q

proposed 3 types of measures for assessing the quality of healthcare: structures, processes, and outcomes

A

Donabedian’s Measures (1966)

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11
Q

compliance, financial management, performance improvement, continuous QI, monitoring and repeating

A

requirements for boards of health

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12
Q

steps to FADE QI model

A
focus
analyze
develop
execute
evaluate
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13
Q

Define and verify the process to be improved

A

focus (FADE model)

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14
Q

Collect and analyze data to establish baselines, identify root causes and point toward possible solution

A

analyze (FADE model)

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15
Q

Based on the data, develop action plans for improvement, including implementation, communication, and measuring/monitoring

A

Develop (FADE model)

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16
Q

Implement the action plans, on a pilot basis as indicated

A

Execute (FADE model)

17
Q

Install an ongoing measuring/monitoring (process control) system to ensure success.

A

Evaluate (FADE model)

18
Q

steps in PDSA cycle

A

plan
do
study
act

19
Q

form a committee; define problem and objectives; literature review, etc.

20
Q

analyze survey results, identify gaps in care; select interventions

21
Q

Are all the interventions ALL occurring consistently? How are staff responding to the interventions?

22
Q

Committee discusses observations about interventions; re-surveys staff to understand which interventions they like; signage and order sets now used throughout hospital

23
Q

is a measurement-based strategy for process improvement done using a 5 stage process

24
Q

5 stages in six sigma

A

DMAIC- define, measure, analyze, improve, control

25
continuous improvement method, uses six sigma; eliminates non-value added activities
Toyota Lean Manufacturing System
26
formalized, focused rapid improvement events
Kaizen Events
27
what we do and to whom
outputs
28
what results
outcomes
29
3 parts to triple aim model
1. per capita cost 2. population health 3. individual experience
30
simultaneous achievement of 3 outcomes; applicable to organizations in many sectors and at many levels; incorporates elements of other QI strategies
Triple Aim Model
31
- intent is to improve current practice; for internal use only - action is within existing standards of care - IRB approval is not necessary
QI
32
- intended to create generalized knowledge - desire to publish or present - testing new methods - needs IRB approval
research