2 quality and safety

Question 1

two dimensions of quality

Answer 1

excellence and consistency

Question 2

a major goal of quality

Answer 2

decrease unnecessary variation both in processes and outcomes

Question 3

QC

Answer 3

reviews and corrects errors in radiology report

Question 4

QA

Answer 4

report templates

Question 5

QI

Answer 5

implement report templates, monitor, make adjustments

Question 6

basic level of quality activities

Answer 6

qc

Question 7

maintain rather than improve performance

Answer 7

QA

Question 8

QI

Answer 8

changes in processes, systems, organizational structure

Question 9

responsible for quality

Answer 9

everyone in the organization, organizational leaders too

Question 10

practice based learning and improvement

Answer 10

show an ability to investigate and evaluate patient care practices, appraise and assimilate scientific evidence, improve practice of medicine

Question 11

systems based

Answer 11

awareness and responsibility to the larger context and systems of health care

Question 12

professionalism

Answer 12

commitment to carrying out professional responsibilities and adhering to ethical principles and being sensitive to diverse patient populations

Question 13

to err is human

Answer 13

44 to 98, 000 in hospital deaths per year were attributable to medical errors

Question 14

to err is human report, societal costs of medical errors

Answer 14

17 to 29 billion

Question 15

factors contributing to errors

Answer 15

non system decentralized nature, failure to focus on errors, impediment of the liability system to identify errors, failure to provide financial incentive to improve safety

Question 16

most errors are single or multifactorial

Answer 16

multi

Question 17

multifactoral reasons of errors

Answer 17

unsafe systems and processes, human error

Question 18

strategy to decrease medical errrors

Answer 18

design safety into systems and processes of care

Question 19

not a viable solution to decrease error

Answer 19

rooting out bad apples

Question 20

who are key team players in the collaborative efforts required to prevent diagnostic error

Answer 20

PATIENTS

Question 21

2015 follow up report

Answer 21

report is focused on patients

Question 22

post mortem exams associated with diagnostic errors

Answer 22

10%

Question 23

what do fee for services lack

Answer 23

lack incentives to coordinate care among team members

Question 24

significant contributor to diagnostic errors

Answer 24

failures in communications

Question 25

human factors engineering

Answer 25

aviation and nuclear power, checklists

Question 26

major parts of communication

Answer 26

conveyance and convergence

Question 27

HRO

Answer 27

constant state of vigilance that results in fewest number of errors

Question 28

anticipation three elements

Answer 28

preoccupation with failure, reluctance to simplify, sensitivity to operations

Question 29

containment

Answer 29

resilience and deference to expertise

Question 30

tying ones shoes or driving on open freeway

Answer 30

skill based

Question 31

intermediate level of attention

Answer 31

rules based, which clothes to wear, when to proceed at a 4 way stop

Question 32

knowledge based

Answer 32

new, sport for first time, driving in unfamiliar city or poor visibility

Question 33

second victim

Answer 33

traumatized by an error or adverse patient event in which they were involved

Question 34

console

Answer 34

human error

Question 35

coach

Answer 35

at risk behavior

Question 36

punish/sanction

Answer 36

reckless

Question 37

reckless

Answer 37

conscious disregard

Question 38

at risk

Answer 38

taking short cuts

Question 39

flaunting firmly established safety rules

Answer 39

reckless behavior

Question 40

reconciling need for reduced focus on blame and maintaining accountability

Answer 40

JUST CULTURE