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Quality Analysis


Numerator Top number when completing a division problem
Denominator Bottom number when completing a division problem
Newborn Deaths Are always counted in compute death rate except if infant died before delivery. This is call fetal death instead
Temporary Beds Don't count in a hospital bed count
Bar Graphs Used to display discrete categories, such as gender of respondents or health insurance respondents
Intensity of care Represents the level of service provided while an inpatient
Severity of Illness Relates to how sick the patient is (in their body)
Benchmarking Reviewing, researching, and comparing practices to that of other hospitals. A systematic comparison.
Sentinel Event Cause of death or serious injury. An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.
Subjective Can vary from person to person like an opinion.
Nosocomial infection The infection originated from the hospital
Flowcharting To sketch out a process and determine where bottlenecks or errors may be happening
Intra-hospital Inside the hospital
Inter-hospital From one hospital to another
National Practitioner Data Bank Tracks all the major actions on physician licensures and sanctions nationwide
Survey Results Is data
Survey Questions Write from general to specific (Correct order)
Incident Reports Also called occurrence reports and are used to document medication errors. falls etc.
Risk Management Methods used to assure patient safety, reduce lawsuits, and decrease risks
Histogram A bar graph used to display data proportionally
Root-cause analysis Analysis of a sentinel event from all aspects (human, procedural, machinery, and material) to identify how each contributed to the occurrence of the event and to develop new systems that will prevent recurrence.
Story Board A computer based presentation that allows the team to summarize the entire PI project
Risk Planning Not part of risk management
Deemed Status When a hospital has Joint commission accreditation
Licensure Granted by states
Total quality management (TQM) A management philosophy developed in the mid-20th century by W. Edwards Deming (1986) and others who encouraged industrial organizations to focus on the quality of their products as their paramount mission.
Utilization review (UR): The process of determining whether the medical care provided to a specific patient is necessary according to pre-established objective screening criteria at time frames specified in the organization’s utilization management plan.
Rate Something that happens or happened within a group
Mean Is an average
Median Is the middle number 46, 48, 49, 50, 50, 51 The median is 50
Mode The number that happens most often 46, 48, 49, 50, 50, 51 The mode is 50
Incidence Rate Is the rate of new cases of something that we have in a period of time e.g. 10 new cases of flu in a population of 1000. Incidence rate is 10 cases per 1000 population
Prevalence rate Is how many people have the disease at one point. 10 new cases of the flu from 1000 people but 20 people still had the flu. Prevalence= 30 cases per 1000 population
Inpatient Census The number of people in the hospital at a particular time. Usually at midnight but not always
LOS: length of stay The number of days a patient was hospitalized. (Don't count discharge date)
Average length of stay 20 patients stayed 100 days ALOS=100 days/20 patients
Ratio Class of 30 students 20 are boys and 10 are girls which is 20 to 10 and should be reduced to 2 to 1 (Reducing fractions)
Blitz Team Is only used for simple fixes not complex
PI Team Leader, member, secretary, facilitator,
Agenda Lists the tasks that should be accomplished during the meeting
Performance Improvement Is a cyclical process and must be continuous to be successful
Data Raw facts and figures that are meaningless by themselves
Information Data presented in a meaningful way
Nominal data Phone number, social security number, zip code
Ordinal data Refers to order or rank, represents a specified position in a numbered series, grouping into low, middle, high
Check sheet Used to gather data based on ample observations to detect patterns
Pareto chart Is a kind of bar graph that uses data to determine priorities in problem solving
Pie Charts Is used to show the relationship of each part to the whole, in other words, how each part contributes to the total product or process.
Pivot Table Are an excellent Excel tool to summarize data according to categories [as they can be done manually using a check sheet
Line Charts Is a simple plotted chart of data that shows the progress of a process over time. By analyzing the chart, the PI team can identify trends, shifts, or changes in a process over time
Control Chart Can be used to measure key processes over time
Structured brainstorming The leader solicits input from team members by going around the table or room
Unstructured brainstorming Members of the team offer ideas as they come to mind
Affinity diagrams Is used to organize and prioritize ideas after the initial brainstorming session. This type of diagram is useful when the team generates a large amount of information
Nominal group technique Gives each member of the team an opportunity to select the most important ideas from the affinity diagram.
Created by: 688625234645367