Chapter 17 - Risk Management, Quality Improvement, and Patient Safety Flashcards
five rights of healthcare quality
doing the right thing at the right time in the right way for the right person and having the right results
quality improvement (QI)
systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups
captain of the ship doctrine
the legal doctrine which holds that, during an operation in an operating room, a surgeon of record is liable for all actions conducted in the course of the operation
surgeon of record
the primary attending surgeon in a surgery
physician of record
The physician who provides primary and routine care and coordinates other specialized care for a member
borrowed servant doctrine
a legal doctrine in which an employer is held liable for the actions of a temporary employee. The borrowed servant rule is mostly used in worker compensation claims.
occurrence screening
a system of quality assurance in which patient care is reviewed, both concurrently and retrospectively, against a set of general outcome screening criteria. It is a method for monitoring the quality of clinical practice more comprehensively that has been possible in the past.
adverse
(1) acting against or in a contrary direction
(2) opposed to one’s interests
(3) causing harm
risk treatment
the application of risk control and risk financing techniques to determine how a risk should be treated
risk control techniques
techniques aimed at preventing or reducing the chances or effects of a loss occurrence
risk avoidance
a risk treatment activity that completely eliminates the possibility of loss through complete avoidance of the thing that can cause the loss
risk financing
methods used to pay for the costs associated with claims and other expenses; the most common type of risk financing is liability insurance
risk evaluation
the act of evaluating each piece of the process in order to determine whether objectives are being met
loss occurence
sum of all individual losses directly occasioned by any one disaster, accident, incident, or loss
Five W’s of an incident report
- What? Describe what happened in detail.
- When? Give the date and time of the incident.
- Where? Describe the incident’s location.
- Who? Tell who did what to whom and who witnessed the incident.
- Why? (e.g. Did equipment fail or did someone fail to test?)
