Management And Communication Flashcards
A root cause analysis RCA is a process to identify…
The basic or determining factors of an event.
Takes a retrospective look at adverse outcomes determines what happened why it happened and what can be done to prevent in the future
The leader ship and program management domain of the infection preventionist competency model stress is what
collaboration, followership, program management, critical thinking , and communication
The type of leader who sets goals articulates clear expectations and provides constructive feedback is referred to as a
Transactional leader
Blank is a technique to compare best practices with the current process and determine the steps to take to move from a current state to a desired state
Gap analysis
Process measures focus on
The steps in a process that lead to a specific outcome. Used to evaluate compliance with desired care or support practices.
The vision statement is
The “what”. The picture of the future that the infection preventionist wants to create
Blank answers the question why does the program exist?
The mission statement. It Defines the common purpose focus in context for department activities. Allows the group to set boundaries.
What is used to answer the question how does the infection prevention a control program want to act Consistent with our mission along the path towards achieving our vision?
The core values
According to the joint commission a sentinel event is;
An unexpected occurrence involving death or serious physical or physiological injury. They require immediate investigation and response. Attached to the medication error or any major permanent loss of function are both sentinel events
Legitimate power refers to
 The perception of the leader has a right to exercise influence because of their title or position within the organization. Refers to the ability to administer to another certain feelings or obligation or the notion of responsibility
The failure mode effect analysis FMA is
Proactive preventative approach to identify potential failures and opportunities for error.
The strengths weaknesses opportunities and threats model
Points out what the organization should plan for and how to use resources to guide efforts. To investigate public health issues and improve health outcomes
What quality approach focuses on Precision and accuracy that leads to data driven decisions
Six sigma
The lean approach focuses on
Speed efficiency and the elimination of waste
Fishbone diagram
Show the cause of a certain event. Take an event or piece of information and work backwards to determine causes. Usually grouped into major categories to event identify sources of variation
A Run chart is
A graphic that displays observed data in a time sequence
A blank is used to determine whether or not a process is in a state of statistical control
Process control chart
Statistical process control charts
Monitor process of care
Indicate the presents of variation (but do not eliminate it)
Monitor outcomes
Process is considered out of control if
Single point outside of control limits
2 of 3 successive points on same side and 2 SD from it
4 of 5 on same side and 1 SD from it
8 in a row on same side. Or 10/11, 12/14 or 16/20
A measure that is based on a definition that can easily be understood and applied in a facility is an effective type of ———— measure
Performance measure
Performance measures should be evidence-based well defined clinically important for patients and broadly applicable to different types of facilities
The annual evaluation of the infection prevention and control program should include
The achievements and activities of the program
Stress the value of the program to the organization
The ————is a structure communication method that solicits opinions from panel of experts who answer questionnaires into our more rounds.
Delphi technique
After implementing a new educational program on safe injection practices the IP is notified of a potential outbreak issue of a nurse using medication file for more than one patient. What quality tool would be most useful to investigate this incident
RCA root cause analysis.
RCA’s take a look at adverse outcomes and determine what happened why it happened and what an organization can do to prevent it in the future
What is the purpose of a cost benefit analysis CBA
Technique that is used to determine options that provide the best approach for adoption and practice in terms of benefit such as labor time and cost savings. All measures expressed in monetary terms
The model of improvement is a 2 part model designed to accelerate improvement for process and outcomes. What are the key component areas of the model?
Setting aims, establishing measure, selecting changes.
Plan-do-study-act (PDSA)
What is the Mode in the Failure Mode and Effective Analysis?
A mode is the way or manner in which something such as a failure can happen. The way of using a system or process- a way a thing is done
———— factors examine the relationship between people, tools, and systems the interact with
Human.
Goal is to minimize errors by focusing on improving efficiency, creativity, productivity and job satisfaction
Blank are small autonomous groups of employees who determine, plan; and manage their daily activities with little to no supervision
Self-managed
Capital expenses include
Business expenses for fixed assets such as buildings or equipment
Operating expenses include
Rent, utilities, insurance, etc.
A work breakdown structure…
The decomposition of a project into smaller components.
Provides framework for cost estimating and control as well as guidance for schedule development and control
Human factor engineering
Research in human characteristics and is concerned with the design of tools, machines and systems that take into account human capabilities and limitations
3 principle goals for infection prevention and control program
Protect the patient
Protect staff, visitors, and all in environment
Cost effectively accomplish 1 and 2
Cost effectiveness analysis studies
Compare products or interventions with different costs and the potential outcome for care. Can be expressed as number of cases prevented, number of lives saved, etc
Cost utility analysis studies
Adjust the benefits of a specific intervention in terms of a health preference score like quality life years gained (QALYs)
Cost benefit analysis
Looks at outcomes only in terms of cost
