Quality improvement Flashcards
quality improvement
improve outcomes w/ EBP and standardize processes
quality assurance
checking to make sure things are working
compare quality improvement and quality assurance
QA: outside checking in (TJC), measure against standards, focus on care providers, reactive, fix found problems, assure things are working
QI: facility with-in checking in, measures processes, focus on pts, proactive, what needs to work better
list the 3 quality measurements
structure - environment
process - mechanism
results - measure data
sentinel vs. adverse event
sentinel: unexpected, serious physical/psychological harm or death
adverse: harm to a pt receiving care - infections, falls
sentinel vs. never event
sentinel: unexpected serious event
never: completely preventable; shows issues with the protocol
what is considered in a root cause analysis
what happened
why it happened
what is done to prevent it from happening again
PDSA model
plan
do
study - evaluate
act - accept/adapt/abandon change
what is the purpose of an audit
finds errors and discrepencies of documentation
what is the purpose of hospital consumer assessment of healthcare provider & systems (HCAHPS)
survery to pts about their exp
leapfrog group
free annual surveys of hospitals; voluntarily done
graded A - F
what is the purpose of the lean approach
increase efficiency and decrease waste
look at each step to determine whether it’s useful or get rid of
outcome indicator
change in health from an intervention