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?)
sentinel events
A patient safety event that reaches a patient and results in any of the following: death, permanent harm, or severe temporary harm and intervention required to sustain life. Such events are called “sentinel” because they signal the need for immediate investigation and response.
sentinel
(1) a person or thing that watches or stands as if watching
(2) a soldier stationed as a guard to challenge all comers and prevent a surprise attack
intrapartum
occurring or provided during the act of birth
elope (noun: elopement)
(1) to run away secretly with the intention of getting married usually without parental consent
(2) to run away from one’s spouse with a lover
(3) to slip away: ESCAPE
(4) to leave a health-care or educational facility without permission or authorization
fluoroscope
an instrument used for observing the internal structure of an opaque object (such as the living body) by means of X-rays
fluoroscopy is a noun related to the use of a fluoroscope
antepartum
relating to the period before parturition (childbirth)
National Practitioner Data Bank (NPDB)
a web-based repository of reports containing information on medical malpractice payments and certain adverse actions related to health care practitioners, providers, and suppliers
National Quality Strategy (NQS)
an HHS-led nationwide effort to provide direction for improving the quality of health and healthcare in the United States
BFCC-QIO
acronym for: Beneficiary and Family Centered-Quality Improvement Organization
QIN-QIO
acronym for: Quality Innovation Network-Quality Improvement Organization
Healthgrades
an independent organization that provides profiles and ratings on numerous hospitals and physicians in the United States
qualitycheck.org
a website managed by the Joint Commission that publishes hospital core performance measurement data
LeapFrog Group
a non-profit watchdog organization that runs programs designed to watch hospitals and make sure they run correctly; they have programs like Leapfrog Hospital Survey, Hospital Safety Score, and Leapfrog Value-Based Purchasing (VBP) Platform
