Chapter Oone

Question 1

Accreditation standards

Answer 1

Statement of expectation set by a competent authority concerning a degree or level of requirement, excellence, or attaiinment in quality or performance

Question 2

Assessment

Answer 2

Use of performance information to determine the degree to which an acceptable level of quality has been achieved

Question 3

Continuous improvement

Answer 3

System in which individuals in an organization look for ways to do things better, usually based on understanding and control of performance variation

Question 4

Governing board

Answer 4

Individuals, group, or agency with ultimate legal authority and responsibility for overall operation of an organisation; sometimes called board of trustees

Question 5

Healthcare quality

Answer 5

Degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge

Question 6

Improvement

Answer 6

Planning and making changes to current practices so performance will be better in the future

Question 7

Measurement

Answer 7

Collection of information for the purpose of understanding current performance and seeing how performance changes over time

Question 8

Medical Staff Executive Committee

Answer 8

Leadership group of a hospital’s organized medical staff that exercises primary authority over activities of the medical staff and over performance of individuals with hospital clinical privileges

Question 9

Misuse

Answer 9

Health services misuse includes incorrect diagnoses as well as medical errors and other sources of avoidable complications

Question 10

Overuse

Answer 10

Overuse occurs when a health service is provided even though its risk of harm exceeds its likely benefit

Question 11

Patient Safety

Answer 11

Actions taken to reduce the risk of patients being unintentionally harmed by effects of healthcare services

Question 12

Processes

Answer 12

Collections of actions following prescribed procedures for bringing about a result

Question 13

Quality management

Answer 13

Way of doing business which continuously improves products and services to achieve ever better levels of performance

Question 14

Quality management plan

Answer 14

Written description of the organizational structure, responsibilities, procedures, processes and resources supporting an organization’s quality management system

Question 15

Quality management system

Answer 15

Organizational structure, responsibilities, procedures, processes, and resources supporting the design, measurement, assessment, and improvement of key functions and key processes; sometimes referred to as the quality program or performance improvement program

Question 16

Stakeholder

Answer 16

Person, group, organization, or entity with a direct or indirect stake i an organization because it can affect or be affected by that organization’s actions, objectives, and performance

Question 17

Underuse

Answer 17

Underuse occurs when a health service is not provided though it would have been medically beneficial