Quality Flashcards

1
Q

customer satisfaction
meet standards & criteria
cionsistent use of products
cost effective
continuous process

A

quality

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2
Q

pre-determined level of excellence against which quality can be measures

A

Standards/Criteria

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3
Q

intergrated review of evidence

A

Systematic Review

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4
Q

SR of quantitative studies

A

Meta-Analysis

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5
Q

SR of qualitative studies

A

Meta-Synthesis

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6
Q

what are the 3 standards or criteria for quality

A

Structure
Process
Outcome

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7
Q

antecedent variables, 7M’s

A

Structrue

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8
Q

independent, interdependent nursing role

A

Process

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9
Q

Satisfaction

A

Outcome

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10
Q

If the target satisfaction is met

A

OFI (opportunities for improvement)

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11
Q

type of controlling that evaluates, monitor, and regulate services rendered to consumer

A

Quality Control

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12
Q

Quality control 3 areas of concern

A

activities to evaluate
monitoring tools
regulation of services

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13
Q

activities to evaluate

A

job satisfaction

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14
Q

regulating of services

A

accreditation

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15
Q

3 control process

A
  1. the criteria/standard is determined
  2. (implementation) information are collected to determine whether the standard has been met
  3. educational and corrective action is taken if the standard has not been met
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16
Q

if the standard has not been met

A

Non-compliance

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17
Q

if there is non-compliance what corrective action

A

OFI

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18
Q

pre-determined level of excellence

A

standard

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19
Q

3 standards

A

Standard for practice
organizational standards
standardized clinical guidelines

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20
Q

quality of nursing care the patient receives

A

standard for practice

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21
Q

PPNPS mean

A

philippine professional for nursing practice standards

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22
Q

example of standards for practice/PPNPS

A

BON Res. 112 (2005)
Intrtavenous Nursing standards by ANSAP

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23
Q

level of acceptable practice within an organization

A

Organizational Standards

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24
Q

diagnosis-based, step-by-step interventions for providers to follow

A

Standardized clinical guidelines

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25
Q

other name of standardized clinical guidelines

A

clinical pathway
clinical protocol

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26
Q

example of standardized clinical guidelines

A

IMCI

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27
Q

RPSEA

A

record
process
structure
environment
account

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28
Q

systematic and formal examination of RPSEA

A

audit

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29
Q

4 types of audit dependening WHEN is the audit done

A

retrospective
concurrent
prospective

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30
Q

performed AFTER patient receive service

A

retrospective

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31
Q

performed WHILE patient receive service

A

concurrent

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32
Q

utilized for future direction

A

prospective

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33
Q

other 3 types of audits

A

structure audits
process audits
outome audits

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34
Q

incude resource inputs
7M’s

ex. not enough staff

A

structure audit

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35
Q

flow, steps, procedures

ex. medication error

A

process audit

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36
Q

evaluation of results/product

ex. acomplishments

A

outcome audit

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37
Q

TQM also reffered as

A

continuous quality improvement

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38
Q

the quest for quality is ONGOING PROCESS and there is always room for improvement

A

Total quality management (TQM)

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39
Q

where did TQM originated

A

Japan

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40
Q

Its goal is quality nursing with a difference

A

Quality assurance/CQI/TQM

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41
Q

standards/critria includes

A

structure
process
outcome

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42
Q

involves 7M’s
quality sevice
environment
resources
mechanisms/strategies

ex. qualification standards are met when hiring personnel and managers

A

structure

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43
Q

whare are the 7M’s

A

manpower
machine
materials
manager
methods
moment
money

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44
Q

nursing practice
clinical guidelines and protocol
SOP
steps or process flows

ex. identify pt prior in giving medication; shorten admission time

A

process

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45
Q

performance appraisal
performance evaluation
self/personnel evaluation
customer satisfaction
percentage of accomplishments

ex. pt reported 80% satisfaction

A

outcome

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46
Q

customer satisfaction

A

outcome

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47
Q

continuouslong term improvement in processes an output

A

process

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48
Q

steps to ensure full involvement of entire workforce

A

structure

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49
Q

four processes of TQM

A

kaizen
atarimae hinshitsu
kansei
miryukoteki`

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50
Q

continuous process imrprovement

A

kaizen

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51
Q

will work as they are supposed to

A

atarimae

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52
Q

examine how uses apply the product (warranty)

A

kansei

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53
Q

aesthetic quality

A

miryukoteki

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54
Q

systematic process
proactive
overall management rather than single program

A

quality improvement

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55
Q

improve outcome based on customer needs

A

systematic process

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56
Q

doing the right thing

A

proactive

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57
Q

QA methods - chart audits

A

quality assurance (QA)

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58
Q

manufacturing industry

A

performance improvement (PI)

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59
Q

client focus
total organizational involvement
use of quality tools an statistics
identification of key process

A

Total Quality Management (TQM)

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60
Q

quality asssurance

A

doing it right (efficiency)
assess/measure performance
whether performance meet standard
improve if not meeting the standard
efficiency
reactice process

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61
Q

quality improvement

A

doing the right thing
meet customers need
build assess work process
identify opportunities for improved perormance
scientific approach to assessment and problem solving
continuous imorivement - on going management strategy
interpret process an outcome
effectiveness
proactive

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62
Q

training for quality

A

lean 6 sigma

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63
Q

belt colors

A

white
yellow
green
black
master black

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64
Q

neophyte, novice

A

white

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65
Q

understanding of basic principles

A

yellow

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66
Q

support and start keading project

A

green

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67
Q

able to manage project with quality

A

black

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68
Q

adviser for quality, consultant, coach, trainor

A

master black

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69
Q

components of lean 6 sigmA

A

DMAIC
8 WASTES (DOWNTIME)
5S LEAN workplace
FMEA

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70
Q

DMAIC

A

define
measure
analyze
improve
control

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71
Q

8 Waste (DOWNTIME)

A

Defect
Overproduction
Waiting
Non-utilized talent
Transport
Inventory
Motion
Extra processing

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72
Q

errors in HC caused by rework, scrap, & incorenct infor

A

defects

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73
Q

production more than needed before it is needed

A

oveproduction

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74
Q

wasted time waiting for next step process

A

waiting

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75
Q

underutilizing peope talent, skills, knwoledge

A

non-utilized talent

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76
Q

unecessary movements of produts & materials

A

transportation

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77
Q

excess products/materials not being processed

A

inventory

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78
Q

unecesssary movement of people (ex. walking)

A

motion

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79
Q

more work/higher quality is required by customet

A

extra processing

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80
Q

5s Lean workplace

A

sort
set in order
shine
standardized
sustain

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81
Q

keep what is only necessary and discard

(when in doubt throw it out)

A

sort

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82
Q

arrange and labell only necessary items for easy use and return by anyone

A

set in order

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83
Q

keep everything swept & clean for inspection…

A

shine

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84
Q

state that exist when the first 3 pillars (sort, set in order, shine) are properly maintained

A

standardized

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85
Q

make habit of properly maintaining correct procedure

A

sustain

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86
Q

FMEA

A

failure
mode
effect
analysis

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87
Q

potential

A

failure

88
Q

type, ways, possibilities

A

mode

89
Q

negative effect on process under study

A

effect

90
Q

study risk and reduce it

A

analysis

91
Q

strategies for quality improvement
(6) PFBRSB

A

PDCA
FOCUS methodology
benchmarking
regulatory requirements
sentinel events monitoring
balanced scorecard concept

92
Q

PDCA

A

(plan do, check, act)

93
Q

pdca begins with

A

3 questions (WHW)

94
Q

what are the 3 questions

A

what - trying to accomplish
how - change is an improvement
what - changes will result in improvement

95
Q

develop a change, test, activity aimed for imrpovement

A

Plan

96
Q

carry the change, test out - small scale

A

Do

97
Q

study results to evaluate what wa learneda and what can be predicted

A

Check

98
Q

Adopt the change, send through cycle again, under different conditions, abandon the idea

A

Act

99
Q

improvement area
key: what is the problem
oppurtunity for improvement, obtain support data of existence

A

Focus

100
Q

key: focus efforts on the activities that will get maximum results

A

Pareto Principle

101
Q

who made pareto principle

A

Vilfredo pareto

102
Q

20% focused results in _________
80% unfocused results in __________

A

80% outcomes
20% outcomes

103
Q

team that knows the process

identify:
staff - directly participate in the process
Team Leader

A

Organize

104
Q

Many pt few nurses

A

functional nursing

105
Q

many nurses few patient

A

case method

106
Q

happenings in the current process

A

Clarify

107
Q

what to use to illustrate process

A

Flow diagram

108
Q

level of process
- identify TOO MANY steps in a process
- not well defined
- long waits in between process

A

Macro

109
Q

level of process
- examining decision points
- redundancy of processes
- waiting time areas
- rework loops & handoffs

A

Micro

110
Q

intervention to these level of processes

A

Focus on SBAR

111
Q

SBAR means

A

situation
background
action
recommendation

112
Q

degree of change neede

A

Understand

113
Q

select solution for improvement - involve staff
implementation plann - check progress of solution

A

Solve the problem

114
Q

measure vs comparing results
key work process vs “best performers”
collaborative and on going process
identify gaps in performance and options for improvement
focus on key services or processes

A

benchmarking

115
Q

best practices of best performers

A

benchmarking

116
Q

national patient safety standard
preparing for accreditation survey used to begin improvement strategies

A

Regulatory requirements

117
Q

JCAHO

A

joint commision on accreditation of healthcare organizations

118
Q

JCI

A

joint commision international

119
Q

unexpected occurence causing death or serious physical or psychological injury

A

adverse SENTINEL event

120
Q

provides oppurtunities for improvement

A

Analysis

121
Q

identifies strategies for future events

A

linking sentinel event review

122
Q

key: sharing information to all

A

Sentinel events monitoring

123
Q

operating wrong side of the body

A

use of skin markers to identify correct site

124
Q

wrong patient operated

A

2 patient identifier

125
Q

2 patient identifier

A
  • state full name
  • date of birth
    if pt is groggy bcoz of anes check valid IDs
126
Q

wrong type of surgery

A

Time out

127
Q

progress measurement-balance between:
- medical patient satisfaction
- cost outcomes

A

Balanced scorecard concept

128
Q

4 key areas evaluated
(FCPC)

A

functional status of pt
clinical status of pt
patient satisfaction
cost of care

129
Q

quality improvement tools
(5) IDASQ

A

problem identification
problem description
problem analysis
solution development tools
quality monitoring tools

130
Q

problem identification tools
(4) ABFN

A

affinity diagram
brainstorming
flowchart
nominal group technique

131
Q

qualitative data analysis
tool used to organize ideas and data
one of the 7 M abd planning tools
allow large numbers of ideas to be sorted into groups for review and analysis

A

Affinity diagram

132
Q

who authored affinity diagnram

A

Jiro Kawakita (1960)

133
Q

other name of affinity diagram

A

JK method

134
Q

process of affinity

A

-record ea ideas on card
- look for ideas that seem to be related
- sort cards into groups untill all have been used
- sort large clusters into subgroups
-affinity diagram may be used to create CAUSE and EFFECT diagram
- large group

135
Q
  • disenting opinion
  • group creativity technique
  • generate large number of ideas for solution of a problem
  • small group
A

Brainstorming

136
Q

author

A

Alex falckney
book: applied imagination

137
Q

4 basic rules in brainstorming
(FWWC)

A

focus on quantity
withhold cirticism
welcome unusual ideas
combine an improve ideas

138
Q

“quantity breeds quality”
the greater the ideas generated, the greater the chance of producing radical and effective solution

A

focus on quantity

139
Q

criticisms should be put on hold
focus on extending ideas

A

withhold criticism

140
Q

to get a good and long list of ideas, ________
looking from new perspectives and suspending assumptions

A

welcome unusual ideas

141
Q

goo ideas to form a single better good idea as suggested by the slogan 1+1=3
stimulate the building of ideas by process of association

A

combine and improve ideas

142
Q

the whole is more than the sum of its part

A

Gestalt Theory

143
Q

common type of chart that represents algorithm or process
used in analyzing, designing, documenting or managing a process or program

A

flowchart

144
Q

author

A

Frank Gillbreth

145
Q

4 types of flowchart
(DDSP)

A

Document
Data
System
Flowchart

146
Q

document flow through system

A

document flowchart

147
Q

data flows in the system

A

data flowchart

148
Q

control at physical or resource level

A

system flowchart

149
Q

controls program within a system

A

program flowchart

150
Q

all participants have an equal say in the process
used to generate rank ideas
participants write ideas anon

A

nominal group technique

151
Q
  • participants ideas wirtten anonnymously
  • moderator collects
  • voted on by show of hands
A

Distillation

152
Q

participants ranks idea

A

nominal group technique (NGT)

153
Q

experts rank ideas

A

Delphi Technique

154
Q

problem description tools
(6) BCFLPP

A

bar graph
check sheet
forced field analysis
line graph
Pareto graph
Pie chart

155
Q
  • rectangular bars
  • comparing two or more values
  • min. 2; max. 10 values
A

bar graph

156
Q

compare amount or frequency of occurence

A

bar graph

157
Q

horizontally oriented
vertically oriented

A

bar chart
column chart

158
Q

also called as tally sheet or checklist

A

check sheet

159
Q

simple document used for collecting data in realtime and location where data if generated
typically a blank form

A

check sheet

160
Q

used in quantitative information
recorded by making marks (“checks”)

A

Tally Sheet

161
Q

typical check sheet is

A

divided into regions and marks made in different regions

162
Q

data is read by

A

observing the location and number of marks on the sheet

163
Q

5 Basic types of Check Sheets
(CLFMC)

A

classification
location
frequency
measurement scale
check list

164
Q

traits: defects or failure ➡️ category

A

Classification

165
Q

physical location of trait

A

Location

166
Q

presence or absence of trait

A

frequency

167
Q

divided into intervals

A

Measurement Scale

168
Q

items to be perfomed is accomplishe = completed

A

check list

169
Q

factors that influences a situation systematically

A

forcefield analysis

170
Q

driving movement
facilitating; motivating

A

helping forces

171
Q

blocking movement
opposite; restraining

A

hindering forces

172
Q

kurt lewin

A

unfreeze
status quo / moving on
refreeze

173
Q

cause-variation analysis of problem

A

Pareto Graph

174
Q

values are plotted by

A

descending order accompanied by a line graph

175
Q

left vertical axis

A

frequency of occurence

176
Q

right vertical axis

A

cumulative percentage of total number of occurences

177
Q

in quality control pareto chart often represents

A

most common sources of defects

178
Q

circular chart
most widely criticized

A

Pie chart

179
Q

promlem analysis
(3) FMS

A

Fishbone diagram
Matrix Diagram
Scatter plot Diagram

180
Q

cause and effect diagram
ishikawa diagram

A

fishbone diagram

181
Q

big arrows
small arrows

A

primary cause
secondary causee

182
Q

show relationship between items

A

Matrix Diagram

183
Q

basic tool for quality control
use cartesian coordinates

A

Scatter plot diagram

184
Q

Solution Development Tool
(3) PPT

A

Prioritization matrix
Process decision program chart (PDPC)
Tree diagram

185
Q
  • priotize items and describe in terms of weighted criteria
  • combination of tree and matrix diagram
  • pair-wise evaluation and narrow down ooptions to most desired effect
A

Prioritization matrix

186
Q

contingency plan

A

Process decision program chart (PDPC)

187
Q

identify failure mode/risk
sonsequences of failure
risk mitigation plan

A

Process decision program chart (PDPC)

188
Q

strategic decision making
breakdown broad categories into finer and finer levels of detail

A

Tree Diagram

189
Q

Quality monitoring tools
(3) CHR

A

Control Chart
Histogram
Radar Chart

190
Q

allow significant change to be differentiated from natural variability of the process

A

control chart

191
Q

if not in control, the pattern it reveals help determine _____

A

source of variance to be eliminated

192
Q

control chart also called as

A

shewart chart or process-behavior chart

193
Q

control chart also consist of

A

GANTT Chart

194
Q

it show schedule and illustrate project from start to finish

A

GANTT Chart

195
Q

summary graph showing count of the data point

graphical display of tabulated frequencies shown as bars

A

Histogramv

196
Q

visual tool display important metrics of performance at the control stage

A

radar chart

197
Q

graphical method displaying multivirate data in the form of 2D chart of 3 or more quantitative variables

A

radar chart

198
Q

trained to identify, analyze, and solve work-related problems and present solution

A

Quality Assurance (QA) team

199
Q

alternative to the dehumanizing concept of labor (workers➡️robots)

A

Quality Circles

200
Q

formal groups that meet at least once a week on company time

A

quality circles

201
Q

POMR

A

problem oriented medical recording

202
Q

4 components of POMR
(DPIP)

A

data base
problem list
initial plan
progress notes

203
Q

dependent on organization
done day by day with daily expected outcomes

A

clinical pathway

204
Q

clinical pathway outcome

A

expected and timed outcomes

205
Q

clinical pathway

A

multidisciplinary orders - comprehensive picture of patient porgress

206
Q

documentation of the quality nursing care
prioritizes nursing care
identifies and corrects deficiencies
increases performance

A

nursing audit

207
Q

review request for medical treatment
review of tx and services that have been administered
common in philhealth

A

utilization review

208
Q

utilization review purpose:

A

plan provides coverage for the medical service

209
Q

integral part of the provision of good quality care
conferences, voluntary meetings
outbreak of disease or deaths

A

Morbidity & Mortality Meetings

210
Q

tool for assessment of outcomes and values

A

surgical M&M

211
Q

DNT

A

Do not treat

212
Q

DNA

A

Do not Admit

213
Q

example: pt was not able to wake up bcoz of overdose of anesthesia; suffered dehisence & eviceration; nosocomial penumonia

A

there should be M & M meetings

214
Q

difference between actual and expected result
continuous process

A

VAriance

215
Q

achieve maximum benefit & discharged earlier

A

positive variance

216
Q

untoward events, longer stay at hospital

A

negative variance