Lean Production Exam 2 Flashcards
Create a vision and demonstrate Commitment
An organization must define its values, mission, and vision of the future to provide long-term direction for its
management and employees. Businesses should not exist simply for profit; they are social entities whose basic purpose is to serve their customers and employees.
Adopt the new philosophy
Companies must take a customer-driven approach based on mutual co-operation between labor and management and a never-ending cycle of improvement.
Cease the need for mass inspection
Eliminate the need for mass inspection as the way of life to achieve quality by building quality into the product in the first place. Routine inspection acknowledges that defects are present,
but does not add value to the product
Improve every process
Improve constantly and forever the system of production and service, to improve quality and productivity, and thus constantly decrease costs.
Institute training on the job
Institute modern methods of training on the job for all, including management, to make better use of every employee. New skills are required to keep up with changes in materials, methods, product and service design, machinery, techniques, and service
Permit pride in workmanship
Remove barriers that rob the hourly worker of his right to pride of workmanship
Encourage education
Institute a vigorous program of education and self-improvement,. What an organization needs is not just good people; it needs people that are improving with education
Top management commitment to action
Put everbody in the company to work to accomplish the transformation. the transformationis everybody’s job.
Full Form of and explain:
HAI
CAUTI
CLABSI
DIFF
HAI: Health care associated infection
an infection that a person gets while they are a patient in the hospital.
CAUTI: Catheter associated urinary tract infections an infection that can occur in patients who have urinary catheters during their hospital stay.
CLABSI: Central line associated bloodstream infection an infection that can occur in patients who have an IV line placed in a large vein in the arm or chest. With this infection, bacteria are able to grow in the blood of the patient.
C. Diff: Clostridium difficile
C. diff (Clostridium difficile) is a type of bacteria that causes an infection of the large intestine, resulting in severe diarrhea.
SSI, HAPI, HAC, LOS, ALOS
SSI: surgical site infection, an infection that took place at the part where the surgery is done.
HAPI: hospital acquired pressure injury, a localized injury to the skin or underlying tissue that occurs due to hospital stay.
HAC: healthcare -acquired condition, a medical problem that a patient develops during their stay in hospital that was not present during admission
LOS: length of stay, number of days a patient is admitted
ALOS: average length of stay, avg….
HCAHPS
hospital customer assesment of healthcare providers and systems.
Is a series of surveys taken by patients rating their healthcare experiences.
AHRQ
Agency of Healthcare Research and Quality, it support research aimed at improving the quality, safety, and effectiveness of healthcare.
CQM
Clinical Quality Measure, it is a CMS tool to measure healthcare processes, outcomes, patient perceptions, and organizational systems that are associated with the ability to provide high quality health care.
EHR, EMR
Electronic Health Record, is a collection of electronic health information about individual patient.
Electronic Medical Record, is a digital collection of medical information about a patient.
P4P, QI, SIR
pay for performance, A financial incentive program that pays health care providers based on performance in quality
and efficiency measures.
Quality Improvement, is a approach to the analysis of performance and systematic efforts to improve it. tools like TQM, CQI, six sigma, lean.
Special Incident Report, is a formal report filed to document unusual events involving incidents such as medication errors, abuse, neglect, injuries, deaths, or if the person is a victim of a crime.
SBAR
Situation: concise statement of the problem
Background: brief information related to the situation
Assessment: analysis and consideration of options - what you found/think
Recommendation: action requested - what you want
SBAR example
Situation: Mrs. Smith is a day case patient in hematology who is breathless and
heart rate is at 130. She may be having a transfusion reaction.
Background: Mrs. Smith came in at 6 AM this morning for a transfusion of 2 units
of red blood cells. The first unit was given over 90 minutes and the second one
started half an hour ago and is over halfway through. She developed dyspnea within
the last 20 minutes, has an increased heart rate and elevated blood pressure.
Assessment: Temperature is 37.1 degrees Celsius. Pulse is 130. Blood Pressure is
150/96. She’s showing signs of circulatory overload. I have stopped the transfusion
and started administering oxygen.
Recommendation: I recommend you see the patient immediately.
