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Quality improvement
| Question | Answer |
|---|---|
| Quality | Defined by the IOM as "degree to which health services for individuals and populations increase the likelihood of desired outcomes and are consistent with current professional knowledge" |
| High quality care | Provides patients with approprate services in a technically competent manner, with good communication, shared decision making and cultural sensitivity. |
| Quality improvement | The process of using systematic and continuous actions that lead to measurable improvement in healthcare services and the health status of targeted patient groups. |
| Quality management | The evaluation of medical and nursing processes for quality and effectiveness compared to accepted standards in order to correct problems before they harm patients and to prevent errors in treatment. |
| Nurses can provide high quality care by? | Participating in quality improvement and quality management. |
| Audit | Examination of records to verify accuracy and proper use. |
| Benchmarking | A method used to compare the performance of an individual or organization to industry standards.Identifies areas for improvement, researching factors that contribute to better outcomes and implementation changes to improve outcomes. |
| intradisciplinary assessment | Occurs within a group of individuals with similar positions within a healthcare system such as a group of nurses. Helps identify areas of improvement at each level of care. |
| Blame free environment? | Healthcare providers can report errors or near misses without fear of punishment. |
| breach of care | A deviation from the standard of care owed a patient. |
| continuous quality improvement (cqi) | A structured organizational process for involving personnel in planning and executing a continuous flow of improvements to provide quality healthcare that meets or exceeds expectations. |
| just culture | balance the blame-free environment with appropriate accountability by focusing on correcting problems that lead individuals to engage in unsafe behavior while maintaining individual accountability by establishing zero tolerance for reckless behavior. |
| lean six sigma | A methodology used to reduce waste and provide consistency in the quality of care. |
| outcome standards | Standards that focus on the performance of a process, such as the number of bedridden patients who develop a pressure injury. |
| performance improvement | Quality of care improvement is directly linked to the performance of an individual, team, unit, or organization. |
| plan–do–study–act (pdsa) | A system of quality improvement most often associated with total quality management. |
| process standards | Standards that focus on the steps used to lead to a particular outcome. It is used to determine if a set of steps exists and if those steps are being followed. |
| quality assurance | The process of collecting data related to a problem and then analyzing the data based on benchmark standards to determine if standards are being met. |
| risk management | Preventive policies and processes that focus on limiting a healthcare agency’s financial and legal risk associated with the delivery of care, particularly in terms of lawsuits. |
| root cause analysis | An evaluation required by the Joint Commission that is focused on identifying areas of improvement that would decrease the likelihood of future adverse events and to develop an action plan for improvement. |
| sentinel event | An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. |
| six sigma | A quality improvement program originally implemented by Motorola and General Electric that focuses on reducing variation within a process to produce a near-perfect product. |
| standards | Models of high-quality performance that may reflect the performance of industry leaders, scientific or clinical research, or recommendations of professional organizations such as the ANA. |
| structure standards | Standards related to material resources, human resources, and general organizational structure. |
| total quality management (tqm) | A comprehensive management philosophy that improves quality and productivity by using data and statistics to improve system processes. |
| utilization review | An evaluation of the use of resources to identify areas of overuse, misuse, and under use. |
| concurrent audit | Audit performed while client is still undergoing care at the facility. It is used to determine the adequacy of the nursing care the client is receiving and to determine if desired outcomes are being met. |
| retrospective audit | Audit performed after the clients discharge. Evaluates care provided to one client with similar conditions and recommendations are made to change procedures if needed. |
| Patient Reported Outcomes Information System(PROMIS) | Outcomes management program, used to collect information from patients to measure their health status in the area of physical, mental and social well being. |
| 7 rights of medication administration | Right route, patient, dose, medication, time, documentation, assessment. |
Created by:
rashan
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