Week 12 Quality Control (6 Questions) Flashcards
Institution of Medicine (IOM) definition =
= degree to which health services for indiv. and populations increase the likelihood of desired health outcomes and are consistent with professional knowledge
- evolved primarily from external forces and not as a voluntary effort to monitor quality of services provided
Patient Protection and Affordable Care Act
Triple Aim =
1) Improve quality
2) Lower healthcare costs
3) expand access
QSEN =
= Quality and Safety Education for Nurses
- identifies core knowledge, skills, and attitudes that should be mastered by nursing students
- identification of COMPETENCIES in nursing that correlate with other healthcare professions
Systems thinking =
= ability to recognize, understand, and synthesize interactions and interdependencies in a set of components designed for a specific purpose
- strategy includes ability to RECOGNIZE PATTERNS AND REPITITIONS in INTERACTIONS and UNDERSTANDING HOW ACTIONS and components can reinforce or counteract each other
QSEN competencies (6)
- Patient centered care
- EBP
- teamwork and collaboration
- safety
- quality improvement
- informatics
Hallmarks of Effective Quality Control Programs
1) S____ from ___ level administration
2) C____ by organization in terms of fiscal and human resources
3) Quality g____ reflect search for e_____ rather than minimum
4) Process is o____, continuous
1) support, top
2) commitment
3) goals, excellence
4) ongoing
3 Steps of Quality Control Process
1) The criterion or s____ is determined
2) I__/d__ collected to determine whether standard has been m___
3) Education or c_____ action taken if criterion not met
1) standard
2) info/data, met
3) corrective
Audits frequently used in quality control
S_____
P_____
O_____
Structure - monitor structure or setting in which pt care occurs
Process - measure process of care or how it was carried out
Outcome - determine what results followed from specific RN interventions for pts
Benchmarking =
= process of measuring products, practices, or services AGAINST BEST PERFORMING ORGANIZATION and why their org. differs from examplars and use as role models for standard
Analysis =
= CRITICAL EVENT analysis and ROOT CAUSE ANALYSIS help to identify what, how, and why an event happened
- end goal is to ensure that a PREVENTABLE NEGATIVE OUTCOME DOES NOT REOCUR
Outcomes =
= growing recognition that it is possible to separate out contribution of nursing to pt’s outcomes
- outcomes that are NURSING sensitive -> creates ACCOUNTABILITY for nurses as professionals, important in developing nursing as a profession
Some nurse-sensitive pt outcomes ->
- hours per pt day
- falls
- restraint prevalence
- pain assessment
- pressure ulcer prevalence
- turnover/vacancy rates
Standard =
= predetermined baseline condition/level of excellence that constitutes a MODEL TO BE FOLLOWED and practiced, each org. and profession must set standards and objectives to guide indiv. practitioners in performing SAFE AND EFFECTIVE CARE
“just culture” =
= set of values, beliefs, and norms about what is important, how to behave, and what behavioral choices and decisions are appropriate
- OPEN REPORTING, PARTICIPATION IN PREVENTION and improvement is encouraged
- recognition that errors are often SYSTEM FAILURES, focus on understanding root problem, IMPROVEMENT etc.
Quality assurance =
= targets existing quality
