Exam 1 Flashcards
orgins in 1950s, edward demi helped the japanese in improving their manufacturing process and develop _____________
total quality management (TQM)
what are the 2 breaches in quality?
people & process (systems)
what are the percentages of the 2 breaches in quality?
85% of breaches are a result of systems
15% of breaches are from people
quality indicator or metrics used in healthcare organizations are:
a way to:
measure quality and safety
monitor trends
make comparisons with other institutions
similar to line graphs in that they use horizontal and vertical axes to plot data points. However, they have a very specific purpose. They show how much one variable is affected by another. The relationship between two variables is called their correlation
scatter plot
the frequency of events occurring within a range of values
histogram or bar graph
a graphical chart that depicts a process by showing boxes in order
flow chart (decision tree)
graphical chart that depicts a mean line in middle with upper and lower limit
control chart
a program that is part of quality assurance that establishes ranges of acceptable or measure or data points in a machine
quality control
quality program that refers to a proactive process which aims at improving and enhancing quality of care
continuous quality improvement program
a graphical representation of a patient’s path or steps through the diagnostic radiology department
quality map
method aimed at identifying main cause (root cause) of problem or incident
know steps
RCA, root cause analysis
environment where staff members feel comfortable disclosing errors, including their own
just culture
strategic planning for an institution can be organized into 2 different areas and the 2 different areas are
the guiding principles
time sensitive operating clients
key management tool provides a framework for translating organizational vision into strategies that incorporate all quantitive and abstract measures
balance scorecard
know potential roadblocks for a continuous quality improvement program
lack of training
insufficient resources
culture
if people perceive the problem you’re trying to fix them it will be difficult to get them to change unless:
they have a buy in
how to establish benchmarks
get the info from societies that establish standards
get info from current literature like peer reviewed journals
get info from local norms
when analyzing data it should be
accurate, representative, reproducible
the joint commission describes an unexpected occurrence involving death or serious physical or psychological injury as a
sentinel event
if you look at events that have already surfaces or caused actual defect, or contributed to a problem and now we’re retrospectively looking at trying to figure out what went wrong
root cause analysis (RCA)
steps for RCA
organize a team
find out what happened
develop and implement an improvement action plan
(powerpoint ch 4-5)
one of the downfalls of root cause analysis is you have
hindsight bias
anything that fails to achieve it’s intended purpose
failure mode
healthcare failure mode and effect analysis (HFMEA)
