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Governance: Chapter 6- Managing and Improving Quality
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Terms in this set (25)
excellence
Total Quality Management has a Commitment to __
organizational
Total Quality Management has Total __ involvement
statistics
Total Quality Management:
Customer/Client Focus
Use of quality tools and __ for management
Identification of key processes for improvement
Plan, Do, Check, Act
What does PDCA stand for?
To promote BSWH's culture of safety by using a
minimally disruptive approach including CRITICAL LANGUAGE to confirm or restore patient safety
Why use "stop the line"?
Critical language
means specific words are used to convey the need to stop and evaluate patient safety
I need some clarity
BSWH critical language:
HCAHPS (Hospital Consumer Assessment of Healthcare Providers & Systems)
is a standardized survey developed by CMS for inpatients to evaluate their hospital experience on 10 measures of care
continuous quality improvement
Process to improve quality and performance
Evaluation, actions, and mind-set to strive for excellence
Four major players: Resource group, Coordinator, Team leader, Team
Six Sigma
Uses quantitative data to measure progress
Customer (patient) focus
Greater emphasis on management monitoring performance and ensuring results
Process emphasis
Boundary-less cooperation
Aim for perfection; tolerate failure
Customer; Process; failure
Six Sigma:
Uses quantitative data to measure progress
__ (patient) focus
Greater emphasis on management monitoring performance and ensuring results
__ emphasis
Boundary-less cooperation
Aim for perfection; tolerate __
Lean Six Sigma
Focuses on improving process flow and eliminating waste
Provides tools that can be used with Six Sigma system
Define; Measure; Analyze; Improve; Control
DMAIC is a Six Sigma process improvement method:
__ measures that will indicate success
__ baseline performance
__ results
__ performance
__ and sustain performance
national patient safety goals
Joint Commission has adopted mandatory __ __ __ __
Identify; medicines; infection
Joint Commission mandatory patient safety goals:
__ patients correctly
Improve staff communication
Use __ safely
Prevent __
Check patient medicines
Identify patient safety risks
Prevent mistakes in surgery
deaths; pain; helplessness; waiting; waste
Institute of Healthcare Improvement (IHI) goals:
No needless __
No needless __ and suffering
No __ in those served or serving
No unwanted __
No __
frequency; severity
Risk management programs:
Are problem-focused
Identify, analyze, and evaluate risks
Develop a plan for reducing the __ and __ of accidents and injuries
Medication; Falls
High-Risk Areas in Health Care:
__ errors
Complications from diagnostic or treatment procedures
__
Patient or family dissatisfaction with care
Refusal of treatment or refusal to sign consent for treatment
prevention ("problems are prevented and ways to improve care and quality of care are sought" pg. 70)
Overall goal of quality management
benchmarking
Making goals basically Ex: all CAUTIs at 0
Make goals to exceed other facilities goals and statistics
"compares an organization's data with similar organizations. Outcome indicators are identified that can be used to compare performance across disciplines or organizations." pg. 3
medical-legal incident
If a patient or family refuses treatment as ordered and prescribed or refuses to sign consent forms, the situation is categorized as a ...
medication error
A reportable incident occurs when a medication or fluid is omitted, the wrong medication or fluid is administered, or a medication is given to the wrong patient, at the wrong time, in the wrong dosage, or by the wrong route
dashboard
Keeps everything up to date
are electronic tools that can provide real-time data or retrospective data, known as a scorecard. Both are useful in assessing quality
Safety
__ of patient is always first
ID the problem
What are the first steps in finding a PICOT question ?
THIS SET IS OFTEN IN FOLDERS WITH...
Governance: Chapter 1
18 terms
Governance: Chapter 4- Leading, Managing, Following
32 terms
Governance: Chapter 2- Designing Organizations
25 terms
Governance: Chapter 3- Delivering Nursing Care
10 terms
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