Test 1

Question 1

Who was Florence Nightingale

Answer 1

She decreased crowding and improved sanitation in British military hospitals, founder of modern nursing

Question 2

Who was Earnest Codman?

Answer 2

Boston surgeon with a knack for studying medical outcomes

Question 3

What is underuse?

Answer 3

Neglecting to give patients necessary medical care under best practices

Question 4

What is overuse?

Answer 4

Giving drugs or treatment without medical justification

Question 5

What is misuse?

Answer 5

Essentially medical errors

Question 6

How does Donabedian define quality health care?

Answer 6

Health care that is delivered through the right structure, using the right processes, and produces good outcomes. (structure, processes, outcomes)

Question 7

IOM Six aims for improvement:

Answer 7

Safety (no harm to the patient).
Effectiveness (no underuse or overuse)
Patient-centered
Timeliness (avoid unintended waiting that doesn't benefit the patient)
Efficiency
Equity

Question 8

Quadruple aim

Answer 8

Experience, Pop health, and reduce cost, improve work life of providers

Question 9

What should scorecards include?

Answer 9

Measures of healthcare performance, financial performance, customer assessment, internal assessment, innovation

Question 10

What does HCAHPS stand for?

Answer 10

Hospital Consumer Assessment of Healthcare Providers and Systems

Question 11

Safety =

Answer 11

Freedom from accidental injury

Question 12

Error =

Answer 12

use of an incorrect plan, or failure to execute as needed

Question 13

Adverse event

Answer 13

Cause of injury to a patient

Question 14

Injury

Answer 14

Damage to patient caused by medical care

Question 15

Can errors, adverse events caused by errors, and adverse events no caused by errors be preventable?

Answer 15

Yep!

Question 16

Active error

Answer 16

Unsafe acts by people interacting with patients: slips and mistakes

Question 17

Latent error

Answer 17

Design faults or faults in the established procedures

Question 18

What is the bad apple approach?

Answer 18

Eliminate the bottom 2.5% of your providers constantly

Question 19

How did process improvement change the typical bad apple approach?

Answer 19

individual performance was no longer the sole determinant of overall performance, big focus on system errors

Question 20

What is the model for improvement?

Answer 20

PDSA

Question 21

What makes a good aim statement?

Answer 21

Quant target, timeline, specific aspect of care

Question 22

Well crafted measure?

Answer 22

Good definition, specifies quantity and unit of measure, population, no ambiguity

Question 23

Criticisms of RCA

Answer 23

Focused on uncovering single fundamental reason for error, hindsight bias, organizational politics bias, weak recommendations, rarely follow up to concerns

Question 24

Lean is also known as

Answer 24

TPS

Question 25

Kaizen

Answer 25

continuous improvement

Question 26

Muda

Answer 26

waste

Question 27

7 wastes

Answer 27

Overproduction
Waiting
Unnecessary transportation
Overprocessing
Unneeded inventory
Unnecessary movement
Defects

Question 28

Key tool of lean:

Answer 28

value stream maps

Question 29

DMAIC

Answer 29

Define
Measure
Analyze
Improve
Control

Question 30

Focus of: PDSA, Lea, Six-Sigma

Answer 30

Improve particular process, eliminate waste, decrease variation

Question 31

What is TeamSTEPPS

Answer 31

Team training based on Crew Resource Management (CRM), improve safety for short-duration teams in high-risk, high-stress situations

Question 32

TeamSTEPPS behavioral routines:

Answer 32

Huddles, debriefs, SBAR communication, handoff checklist sequences

Question 33

Simulation is most often used to train

Answer 33

anesthesiologists