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Ash's Certification Study > Quality Improvement > Flashcards

Quality Improvement Flashcards

1
Q

Structured approach to enhancing healthcare services and patient outcomes

A

Healthcare quality improvement

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2
Q

What are the focuses of performance improvement?

A
  • clinical outcomes
  • customer satisfaction
  • service
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3
Q

Responsibilities of the infection preventionist in quality improvement

A
  • broad continuous quality improvement studies
  • usage of systematic programs and tools
  • determining program outcomes for patient safety
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4
Q

What report drove changes in quality infection prevention and control programs?

A

Institute of medicine report “to err is human” and “crossing the quality chasm”

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5
Q

According to the institute of medicine what are the six aims of care?

A
  1. Equity
  2. Safety
  3. Effectiveness
  4. Patient centeredness
  5. Timeliness
  6. Efficiency
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6
Q

What are the three tools for quality improvement?

A

Strategic plans
Performance improvement teams
Analysis tools

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7
Q

Systematic process that organizations use to define their long-term objectives and goals and determine the most effective means of achieving them while aligning with their mission and values

A

Strategic planning

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8
Q

What are the key phases for strategic planning?

A

Organizational analysis
Conclusion drawing
Action initiation

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9
Q

Describe organizational analysis as part of strategic planning

A

Evaluates the institutions current state, strength, weaknesses, opportunities, and threats

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10
Q

Describe the IPC strategic plan

A
  • process of risk prioritization
  • strategies for limiting exposure and transmission
  • continuous evaluation and adaptability
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11
Q

Describe the performance improvement team

A
  • Foster commitment and a unified direction
  • view organizations as interconnected systems
  • collaborative and multidisciplinary
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12
Q

Methods to sustain productivity on performance improvement team

A

1) diverse team
2) role clarity
3) consistent brainstorming (and senior members mentor and guide team)
4) team norms (dos and donts)
5) guidance and and support (navigate team conflicts)
6) evolution

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13
Q

What are the quality analysis tools?

A
  • Gap analysis
  • root cause analysis
  • failure mode effect analysis
  • strength, weaknesses, opportunities, and threat analysis
  • the plan, do, study, act performance improvement model
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14
Q

Best quality assessment tool compares how an organization currently operates and how it wants or ought to operate

A

Gap analysis

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15
Q

This quality analysis tool is retrospective analysis of adverse outcomes it aims to discover the underlying causes for incidents and provide insights that can be used to redesign or modify systems

A

Root cause analysis

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16
Q

How to perform a root cause analysis

A
  • multidisciplinary teams
  • structured interview and document reviews
  • tools like the fishbone diagram
17
Q

Quality analysis tool that’s a proactive approach to identify potential failures in a process

A

Failure mode effect analysis

18
Q

How to perform a failure mode effect analysis

A
  • Selection of high risk processes
  • Creation of flow diagrams
  • Rating failure is for severity and probability
19
Q

Quality analysis tool that assesses internal strengths and weaknesses and the external environment with opportunities and threats

A

SWOT analysis

20
Q

What are the parts of the SWOT analysis

A

1) strengths - what do you do well
2) weaknesses- where do you need to improve
3) opportunities- what are your goals
4) threats- what obstacles do you face

21
Q

Quality assessment tools that focuses on process optimization specifically reducing variation and eliminating non-value added steps

A

Six sigma and the lean approach

22
Q

What is the dmaic improvement process?

A

Part of six sigma
- Define the project goals and customer deliverables (d)
- measure the process to determine current performance and quantify the problem (M)
- analyze and determine the root cause of the defects (A)
- improved process by eliminating defects (I)
- control future process performance so improved process doesn’t degrade (C)

23
Q

This quality assessment model test strategies, scrutinizes outcomes, fine tunes the approach based on feedback, and then test again

A

The plan do study act model

24
Q

How to make decisions about quality improvement

A
  • multi voting
  • goal directed checklist
  • process control, charts, graphs, and clinical practice guidelines
25
Q

Describe multivoting

A
  • prioritization technique after brainstorming
  • narrows down areas of focus
  • efficient method for goal determination
26
Q

examples of visual tools for analysis

A

-Run charts for trends over time
-Fishbone diagrams for identifying cause
-paretocharts for categorization and prioritization

27
Q

What are the two kinds of variation

A

Special cause variation
Common cause variation

28
Q

Describe special cause variation

A
  • anomalies
  • process is not predictable
  • management action required
29
Q

Describe common cause variation

A

+ inherent
+ Natural fluctuation
+ Management action not required

30
Q

Who are the external stakeholders that shape clinical practice guidelines

A

Public health department and regulatory agencies

31
Q

What are the expectations of clinical practice guidelines from external stakeholders?

A
  • evidence-based practice and rule compliance
  • monitoring performance
  • alerts for potential health hazards or infectious outbreaks
32
Q

Who are the internal stakeholders for clinical practice guidelines

A

Healthcare personnel

33
Q

What are the clinical practice guidelines for internal stakeholders?

A

+ routine reduction of infection exposure
+ Receive an analyze surveillance data
+ Review program policies
+ Continuous education on infection prevention

34
Q

How to measure customer expectations

A
  • satisfaction surveys
  • complaint hotline
  • open dialogues
  • suggestion based interviews
35
Q

Statistical process control chart

A

Study changes in process over time and measures processes and outcomes, determine special cause / common cause variation

Ash's Certification Study (22 decks)

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