Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing 212 > Appendix A: Quality Improvement Measurement and Analysis Methods > Flashcards

Appendix A: Quality Improvement Measurement and Analysis Methods Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

Error

A

failure of a planned action to complete as intended or use of the wrong plan to achieve a goal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Adverse Event

A

an injury resulting from a medical intervention

  • not due to the patient’s underlying condition
  • may or may not be due to an error
  • may or may not be preventable
  • if the adverse event is viewed as a result of an error, it is considered preventable
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Misuse

A

an avoidable complication

-prevents patients from receiving the full potential benefit of services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Overuse

A

potential for harm that exceeds the possible benefit from a service

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Underuse

A

failure to provide a service that would have produced a favorable outcome for the patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Near Miss

A

recognition that an event occurred that might have led to an adverse event
-an error almost happened, but staff or the patient/family caught it before it became an error

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Active Error

A

an error that results from noncompliance with a procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Omission

A

missed care; left out or secluded

-considered an error

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Common Errors

A
  • Falls
  • Medication errors
  • Development of pressure ulcers due to inadequate skin care
  • Surgical errors; wrong site
  • Diagnosis; wrong diagnosis, incomplete diagnosis
  • Wrong patient identification
  • Lack of timely response
  • Development of nosocomial infections
  • Wound infections
  • Not washing hands
  • Equipment failure
  • Inappropriate use of restraints or used in an unsafe manner
  • Documentation errors/inadequate documentation
  • Poor discharge planning/directions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Sentinel Event

A

unexpected events that happen to patients -result in major negative outcomes such as an unexpected death or critical physical or psychological complication that can lead to major alteration in the patient’s health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Examples of High Risk for Errors and/or Reduced Quality of care

A
  • Working in Silos
  • Joint Commission Annual Safety Goals
  • Handoffs
  • Medication reconciliation
  • Workaround
  • Health Literacy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

High Risk Factor for Errors: Working in Silos

A

not working as a team or using poor communication
-individuals or pairs working with little consideration of others who may be working on the same issue, with the same patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

High Risk Factor for Errors: Handoffs

A

a handoff occurs when a patient experiences a change in provider or setting and there is a transfer of responsibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

High Risk Factor for Error: Workaround

A

occurs when staff use a shortcut to get something done

  • do not complete all the steps
  • substitute different steps in a process
  • happens when staff are behind; rather than figure out the problem, they use a workaround
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

High Risk Factor for Error: Health Literacy

A

example: if the patient does not understand the discharge directions or cannot read them, an error could occur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Agency for Healthcare Research and Quality inpatient quality indicators

A
  • Volume indicators/measures
  • Mortality indicators/measures for inpatient procedures
  • Utilization indicators/measures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Volume Indicators/measures

A

proxy or indirect measures of quality, based on counts of admissions during which certain intensive, high-technology, or highly complex procedures were performed

  • based on evidence
  • suggesting hospitals that perform more of these procedures may have better outcomes for them
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Mortality indicators/measures for inpatient procedures

A

includes procedures for which mortality has been shown to vary across institutions
-evidence that high mortality may be associated with poorer quality of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Utilization indicators/measures

A

examine procedures whose use varies significantly across hospitals and for which questions have been raised about overuse, underuse, or misuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Primary Data

A

data collected from firsthand experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Secondary Data

A

collected by others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Prevalence

A

proportion of the population that has a condition or risk factor

23
Q

Incidence

A

rate of occurrence

24
Q

Benchmarking

A

measuring quality across healthcare organizations based on same standards

25
Q

Report Cards

A

a published report that provides information about the quality of care for a healthcare organization or provider

26
Q

Incident Reports

A

healthcare organizations require that certain incidents, such as medication errors, are reported in written form using a standard form
-provides a record and helps in tracking errors for improvement

27
Q

Root-cause analysis (RCA)

A

method used by many healthcare organizations today to analyze errors

  • supporting the recognition that most errors are caused by system issues and not individual staff issues
  • in-depth analysis
  • identify causes and then consider changes that might be required to reduce risk of reoccurrence
28
Q

Failure mode and effects analysis (FMEA)

A

a tool that provides a systematic, proactive method for evaluating a process to identify where and how it might fail and to assess the relative impact of different failures in order to identify the parts of the process that are in most need of change

29
Q

Plan-do-study-act (PDSA)

A

process that is used in planning

-four steps followed to reach effective results

30
Q

Employee surveys

A

written questionnaires used to get information from employees on a particular topic
-example: staff safety

31
Q

Patient/Family surveys

A

written questionnaires used to get information from patients/families on a particular topic
ex: patient and/or family views of quality care and experience while hospitalized

32
Q

Flow Charts and Decision Trees

A

methods used to describe a process so it can be clearly understood to improve the process or use to help identify when a process is not effective

33
Q

Patient Safety Indicators (PSI)

A

set of indicators providing information on potential in-hospital complications and adverse events following surgeries, procedures, and childbirth
-used to help hospitals identify potential adverse events that might need further study

34
Q

Interviews

A

one-on-one collection of data that can be done in person or on telephone

35
Q

Observation

A

using staff or outside individuals to watch a procedure or work process and collect data on what occurs
-information is then used to track errors or improvement

36
Q

Quality Measures

A

tools that help measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care
-goals include safety, timely, efficient, effective, equitable, patient-centered (STEEEP) and timely care

37
Q

Time-out

A

during a procedure, the team may use a checklist to confirm the right patient, site, and procedure
-if any staff member thinks there may be an error, that staff member can call a stop to any actions so that correct information can be determined

38
Q

Checklist

A

a consistent method for ensuring that what needs to be done is done
-is simple and requires limited, if any, training to use it

39
Q

Situation-background-assessment-recommendation (SBAR)

A

structured method of communication that is used to improve communication

40
Q

Rapid Response Team (RRT)

A

team of critical care experts who can be called if there is concern about failure to rescue so as to respond quickly to complex and critical needs of patients

41
Q

Huddle

A

means by which a team gets together periodically during a shift to discuss critical issues

42
Q

Change of Shift Report

A
  • clinical reports are given routinely
  • for bringing new staff coming on up-to-date regarding patient status
  • opportunity to discuss quality and safety concerns for individual patients or for the unit or team as a whole
43
Q

Safety Walkarounds

A

staff walk through the unit or area of the healthcare organization and identify any safety concerns they may see that would apply to patients, families and visitors, and staff
-information is then used to plan improvement including prevention measures

44
Q

Crew resource management (CRM)

A

communication method used in aviation to improve communication and decision making, providing a clear structure for the process

45
Q

Surveillance

A

ongoing assessment of patient status to identify problems and/or prevention of potential problems

  • nurses are primarily responsible for surveillance
  • not doing surveillance may result in failure to rescue
46
Q

Universal protocol for preventing wrong site, wrong procedure, or wrong person surgery

A

requires staff to utilize the following steps:

  1. preprocedure verification
  2. site markings
  3. use of time-outs
47
Q

Early Warning System (EWS)

A

a physiological scoring system typically used in medical-surgical units before patients experience catastrophic medical events
-this is what triggers the use of the rapid response team to prevent failure to rescue

48
Q

Morbidity and mortality conferences

A

held in many hospitals on a routine basis to discuss patient care and outcomes

49
Q

Trigger Points

A

clues that there may be an adverse reaction

50
Q

Electronic medical/health record

A
  • documentation mostly commonly done via electronic methods

- improves timely communication and have a positive impact on care

51
Q

Computerized physician/provider order-entry system (CPOES)

A

used to improve the process of physician ordering, usually reducing time and errors
-associated with electronic medical records

52
Q

Computerized decision support (CDS)

A

offers providers an effective method to improve decision making

53
Q

Use of other technology

A

increased use of technology in healthcare delivery has assisted in improving timely communication that meets the need at the time

54
Q

Bar Coding

A

used routinely in medication administration and other times when identification of patient and action need to be ensured

Nursing 212 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions