Quality Improvement Flashcards
IOM Definition of Quality
The degree to which health care services for individuals and populations increase the likelihood of desired health outomes and are consistent with current technical knowledge.
IOM
Institute of Medecine: independent, non-profit that conducts studies and provides unbiased advise to improve the nation’s health
NQF
Nat’l Qual. Forum: private, non-profit. “Gold Standard” for health care performance.
NDNQI
Nat’l Database for Nursing Quality Indicators provides medical research based data on nursing care and its relationship to pt. outcomes.
UHF
United Health Foundation: private, non-profit dedicated to improving health and healthcare.
Six Aims for Quality Improvement in Healthcare
STEEEP: safe, timely, effective, efficient, Equitable, Pt. centered
UHF aims
- Create healthier communitites
- Expand access to healthcare
- Nurture future workforce
- Improve medical outcomes
NEAR MISS event
an error that could have caused harm but did not due to chance, prevention or early intervention
Adverse event
Errors that result in moderate to severe harm to a Pt.
*one of the most common is med errors!
SENTINEL event
An adverse event when a pt. dies or has a serious, undesirable and largely avoidable outcome as a result of medical error
How are sentinel events reported?
Voluntary or in response to Joint Commission
QSEN
Pt. centered care Teamwork and collaboration EBP QI Safety Informatics (Chasing zero video)
What are some items in SCIP?
- BG in cardiac pt.
- Foley d/c’d 1-day post-op
- Periop temp management
- Continuation of beta-blocker therapy peri-op
- Prevention of thrombosis peri-op
What are IOM competencies of care?
Pt centered care Work in interdisciplinary care Use evidence based practice Apply QI Use informatics
United Health Foundation Aims
Create Healthier communities
Expand access to healthcare
Nurture Future workforce
Improve medical outcomes
CUS words
I am concerned
I feel uncomfortable
This is a safety issue
TWO Challenge Rule
You need to voice your concern at least two times to ensure that it has been heard!
Acronym step
Status of patient
Team members
Environment
Progress toward goal
What is the ‘IM SAFE’ checklist?
Illness Medication Stress Alcohol & Drugs Fatigue Eating & Elimination
What are the skills in TeamSTEPPS
- Leadership
- Situational monitoring
- Mutual support
- Communication
What are the prospective outcomes from teamSTEPPS?
- Knowledge
- Attitude
- Performance
Characteristics of Effective team leaders
1 organize The team
- Articulate clear goals
- Make decisions based on collective input
- Empowers members speak up
- Actively promotes and facilitates teamwork
- Skillful at conflict resolution
Name three areas covered during leadership team events (STEPPS)
- Planning
- Problem-solving
- Process improvement
Items discussed during team ‘stepps’ briefing
- Who are the team members?
- Understand calls and degree? 3. Roles and responsibilities.
- plan of care
- staff/providers availability
- workload
- Resources available
