Module 6 Flashcards
The degree to which health services for individuals/populations increase the likelihood of desired health outcomes.
Quality
The prevention of harm to patients
Safety
Freedom from accidental or preventable injuries produced by medical care.
Patient safety
When quality and excellence are not only what we do, but part of who we are.
A personal philosophy of excellence
A study that found that failure wasn’t a result of participants’
performance, but rather due to a bad process.
The red bead experiment
People with little expertise with a situation but offer fresh ideas that aren’t bound by an existing knowledge base.
Zero-gravity thinkers
A management approach that encourages all members of an organization to participate in improving processes.
Total quality management (TQM)
The informal process of quietly laying the foundation for a proposed change by talking to those involved.
Nemawashi
It recognizes performance improvement in entities, including hospitals and health care organizations.
The Baldridge Award
An organization of large employers/healthcare purchasers aiming to improve quality and safety of US healthcare.
The Leapfrog Group
A process improvement approach that focuses on defining value from the patient point of view.
Lean
A stepwise framework for incorporating incremental change into a process and measuring the results.
Plan-do-study-act (PDSA) cycle
Defects, overproduction, transportation, waiting, inventory, motion, over processing, and skills.
Elimination of types of waste in Lean
Entities that “manage the unexpected” using past experiences to optimize outcomes.
High Reliability Organizations (HROs)
HROs view near misses as opportunities to learn about systems issues and potential improvements.
Preoccupation with failure
HROs appreciate the complexity in teams, processes, & relationships involved in conducting daily operations.
Reluctance to simplify
When people in HROs strive to maintain a “big picture understanding”
or “situation awareness.”
Sensitivity to operations
People in HROs appreciate those closest to the work for their knowledge and insight.
Deference to expertise
HRO teams develop situation assessments to identify potential safety threats quickly.
Commitment to resilience