Roles & responsibilities
“Communicates with and educates peers immediately if they are observed not following quality and safety standards” Is this a nurses, nurse manager or senior leader’s role?
Nurse
What is the first step of the quality improvement process?
Assessable quality improvement team
What is the major focus of risk management?
patient safety
Reluctance to simplify is one of the key principles of high-reliability organizations.
True
Name a source for clinical practice guidelines and standards for quality and safety.
Accreditation Canada
Health standards organization (HSO)
Canadian nurses association nd BCCNM
Canadian patient safety institute (CPSI)
Canadian institute for health information
BC pt safety and quality council
“Is accountable for quality and safety indicator performance within areas of responsibility” Is this a nurses, nurse manager or senior leader’s role?
Nurse manager
What does PDSA stand for?
Plan-Do-Study-Act cycle
What is the major focus of risk management?
patient safety
Name one of the HRO key principles.
Preoccupation with failure
Reluctance to simplify
Sensitivity to operations
Commitment to resiliency
Deference to expertise
Name one barrier to improving patient safety.
Nurse to pt ratio, unreasonable nursing workload, poor pt environment, fear of blame or punishment
Name a role of a nurse manager related to quality improvement.
refer to table 22.1
What is the third step of the quality improvement process?
identify the measures: how will we know if a change is an improvement?
What is risk management?
Systematic identification, assessment, and prioritization of risks and the development and implementation of strategies to reduce adverse events and liability associated with these risks.
What does HRO stand for?
High-reliability organizations
What is the difference between a never event and a near miss?
Never event: errors that are clearly identifiable and preventable
Near miss: clinical situation that resulted in no harm but highlights a major problem that must be corrected
Name a role of a senior leader related to quality improvement.
refer to table 22.1
What is the quality improvement process used for?
improve care for patients and processes for staff. QI involves the continuous analysis and evaluation of product, services, and approaches to optimize and improve processes to prevent errors and achieve consumer satisfaction
What is one job of the risk management team?
Defining situations that place the organization at some financial risk, such as medication errors and patient falls
Determining the frequency of occurrence of those situations
Intervening and investigating identified events
Identifying potential risks or opportunities to improve care
Name one of the HRO key principles.
Preoccupation with failure
Reluctance to simplify
Sensitivity to operations
Commitment to resiliency
Deference to expertise
Give an example of a never event.
Surgery on wrong body part, foregin body left in pt after surgery, mismatched blood transfusion, severe pressure ulcer acquired in hospital, preventable post op deaths.
Name a role of the nurse related to quality improvement.
refer to table 22.1
Explain what benchmarking is.
comparing performance of an organization with that of a similar organization
What is accreditation?
A process of assessing health services against standards, to identify what is being done well and what needs to be improved
Describe what a high-reliability organization is.
Organization of potential risk but performs nearly error free
What is the difference between quality assurance and quality improvement?
assurance: maintaining high quality health care by measuring effectiveness of organizations that provide it and ensuring that the organization is up to the expected levels of quality standards.
Quality improvement: achieves quality through an “incremental change” to solving persistent and elusive problems in the workplace and the techniques that are used by the organizations for continuous quality improvements.