Quality and Safety

Question 1

what are the 3 quality ambitions

Answer 1

• safe
• effective
• person centred

Question 2

why does the inverse care law still exist

Answer 2

• costs
• access
• use of emergency dental services
• knowledge - role for other health care professionals to promote visit to dental team
• SIMD and information from payment systems

Question 3

what is quality improvement

Answer 3

the combined and unceasing efforts of everyone - health care professionals, patients and their families, researchers, payers, planners, administrators, educators - to make changes that will lead to better professional development, better system performance and better patient outcome

Question 4

what is patient safety

Answer 4

preventing patients being harmed by the care they receive

if harm does occur identify and analyse it and learn from it to prevent it recurring

Question 5

what are the 5 fundamental principles

Answer 5

• knowing why you need to improve (aim)
• having a feedback mechanism to tell you if improvements are occurring
• developing effective changes that will result in improvement
• testing and adapting changes before attempting to implement
• knowing when and how to make changes permanent (implementing)

Question 6

how can quality be improved

Answer 6

• person centred care
• shared decision making
• model for improvement
• measurement and relability
• testing changes
• improving quality together

Question 7

what gets in the way of quality

Answer 7

• performance management
• waiting lists
• surveillance
• staff shortage resulting in gaps in rota
• training rotation

Question 8

what are the key ingredients for quality

Answer 8

• leadership
• culture
• ownership and involvement
• relationships
• learning from failure
• recognise and celebrate success
• sustain and spread

Question 9

what are quality improvement tools

Answer 9

• collaborative
• bundles
• patient involvement
• trigger tools
• safety climate
• process mapping

Question 10

what is a care bundle

Answer 10

a set of evidence based interventions that when used together significantly improve outcomes

• aims to ensure patients receive optimum care at every contact
• structured way of improving processes of care to deliver enhanced patient safety and clinical outcomes

Question 11

what is an audit

Answer 11

identifies whether individual measures are being implemented

Question 12

what is a bundle

Answer 12

data collection tool to sample whether optimum care is being delivered