Healthcare Quality and Patient Safety Flashcards
ambulatory care
medical services provided outside hospital, outpt
what is the biggest industry in the world
HC
two famous reports that identified gaps and call for action
99- IOM To Err is Human
01- IOM Crossing the quality Chasm - new framework for redesign
To Err is human basically stated
747 filled with ppl dying everyday due to healthcare errors
IHI Triple Aim - 07
timely HC, better HC, less exp HC
what did IOM publish in 2015
Free from Harm, Accelerating Pt Safety Improvement
follow up from two earlier reports
what happened b/w 03-11
AHRQ quality reports
cost of product or service is indirectly related to
perceived value
something that is simple to make will seem more exp, worth it
what is unique as a consumer of HC, obstacle to making informed decision
we don’t get to choose how much we pay or who the network provider is or which ER you go to
IOM quality definition
degree which HC services increase likelihood of desired health outcomes and consistent with pro knowledge
WHO quality definition
degree to which health services for
individuals and populations increase the likelihood of desired health outcomes. based on evidence-based professional knowledge and is critical for achieving universal health coverage
STEEEP framework
safe
Timely
Effective
Efficient
equitable
patient centered
ECRI report identifies
top 10 pt safety concerns
24 ECRI top concerns
- transitioning new clinicians from education to practice
- workarounds with barcode mediation admin sys
- barriers to access maternal and perinatal care
- unintended consequences of tech adopt
- decline of phys/emot health of HC workers
- complexity of preventing diagnostic error
- providing equitable care for ppl with physician/intellect disability
- delay in care due to shortages
- misuse of syringes for oral liquid medication
- preventing pt falls
what cause of bankruptcy in US
HC
23 how much annually spent in HC
about 15K
contributors of rising HC costs
insurance companies have too much freedom is choosing their pricing - no gov interference
aging pop
unneeded services
delayed diagnosis
quality management
processes utilized within
healthcare organizations to assess, measure, and
evaluate the quality of care provided to patients
quality improvement
based on idea that
problems in quality generally “arise not from
negligence or recklessness on part of individual
workers but from the systems in which these
individuals operate
Quality assurance
find and repair faculty
processes causing defective outputs
total Quality
manage differently using
a customer focus, continuous improvement, and
teamwork
performance
the action or process of
carrying out or accomplishing an action, task, or function
performance improvement
processes and steps involved in taking identified areas needing improvement and using actionable
efforts to improve performance
performance measurement
process of comparing the outcomes of an organization, work unit, or employee to pre-established
standards and goals
quality
continuous process
