ch 23 managing quality and risk

Question 1

key organizations that seek to improve quality (5)

Answer 1

-Agency for Healthcare Research and Quality (AHRQ)
-National Quality Forum (NQF)
-Institute for Healthcare Improvement (IHI)
-The Joint Commission (TJC)
-Quality and Safety Education for Nurses (QSEN)

Question 2

QM

Answer 2

quality management

Question 3

QI

Answer 3

quality improvement

Question 4

PI

Answer 4

performance improvement

Question 5

TQM

Answer 5

total quality management

Question 6

CQI

Answer 6

continuous quality improvement

Question 7

4 things included in structure of total quality mangement

Answer 7

-facilities
-equipment
-staff
-finances

Question 8

when is quality management most effective

Answer 8

most effective in a flat, democratic organization

Question 9

goal of quality management

Answer 9

improve systems and processes, not to assign blame

Question 10

6 steps in quality improvement process

Answer 10

-identify important needs to consumer
-assemble interprofessional teams to review identified needs/services
-collect data to measure
-establish measurable indicators
-select and implement plan to meet outcomes
-collect data to evaluate achievement of outcomes

Question 11

benefits of comprehensive systematic approach (5)

Answer 11

-prevents errors before they occur
-identifies and corrects errors (adverse events decreased, safety and quality outcomes maximized)
-optimizes pt outcomes
-prevents pt care problems
-mitigates adverse events

Question 12

overarching philosophy that defines a healthcare culture emphasizing customer satisfaction, innovation, and employee involvement

Answer 12

quality management

Question 13

ongoing process of innovative improvements, prevention of error, and development of staff

Answer 13

quality improvement

Question 14

data on performance for core quality indicators

Answer 14

accountability measures

Question 15

what data is included in accountability measures (7)

Answer 15

-inpatient psych services
-VTE care
-stroke core
-perinatal care
-immunization
-tobacco Tx
-substance use

Question 16

bar chart that identifies the major causes or components of a particular quality control problem

Answer 16

pareto chart

Question 17

indicators that depend on the quantity or quality of nursing care and reflect the structure, process, and outcomes of nursing care

Answer 17

nursing-sensitive indicator

Question 18

patient outcomes that improve if there is a greater quantity or quality of nursing care
(pressure ulcers, falls, IV infiltrations)

Answer 18

nursing sensitive outcomes

Question 19

programs which ensure conformity to a standard
(documentation, adherence to practice standards)

Answer 19

quality assurance programs

Question 20

focus of quality assurance programs vs quality improvement programs

Answer 20

QA: discovery and correction of errors
QI: prevention of errors

Question 21

errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients and that indicate a real problem in the safety and credibility of a healthcare facility.

Answer 21

never events

Question 22

events that should occur 100% of the time and include healthcare actions such as hand hygiene and accurate patient identification

Answer 22

always events

Question 23

serious, unexpected occurrence involving death or severe physical or psychological harm, such as inpatient suicide, infant abduction, or wrong-site surgery

Answer 23

sentinel event

Question 24

unplanned event that did not result in injury, illness, or damage but had the potential to do so

Answer 24

near miss

Question 25

most common healthcare sentinel events

Answer 25

-wrong pt, site, procedure
-unintended retention of foreign body
-delay in Tx
-suicide
-operative/postop complications
-fall
-med error
-criminal event
-perinatal death/injury
-med equipment related