Q1-Q2
What is the difference between quality and safety?
Safety is the prevention of adverse events. Quality is the promotion of events that add value.
What do the letters for PDSA stand for?
Plan, Do, Study, Act
What is improveNorth?
It is an enterprise-wide patient safety reporting system used to enhance the quality care and a culture of safety
When performing an intervention, how many patient identifiers need to be checked?
2
examples may or may not include the following: mislabeled/unlabeled specimens, WBIT FMEA, AMA analysis, code flight rollout, use of appropriate containers for lab draws, use of appropriate containers for lab draws, and reduction of delays for respiratory transporters
What are the Key Quality Priorities for Northwell Health?
Achieve lowest preventable mortality, achieve safest healthcare by reducing healthcare acquired conditions, and provide best value for patients.
What is a PDSA cycle's purpose?
The PDSA cycle are rapid tests of change and are used to facilitate continuous improvement.
How can you access improveNorth?
via Citrix workspace
What are the two patient identifiers?
Full name, DOB, and/or medication (ID) number
How many resident good catches have been recognized since 2023?
0
What do the letters for the acronym S.M.A.R.T Aim Statement stand for?
Specific, Measurable, Achievable, Relevant, Timely
What are the 3 variables do you need to know when measuring the effect of PDSA?
Process, outcome and balancing variable
What are some examples of events that you should submit to improveNorth?
Adverse drug reaction, airway management, blood product, diagnostic imaging, equipment/medical device, facilities, fall, healthcare IT, Infection Prevention, IV/Vascular access, Lab/specimen, maternal/childbirth, medication/fluid, and patient ID/Documentation/Consent, provision of care, radiation treatment, restraints, skin tissue, surgery/procedure, and tube/drain
During your 12 hour day shift, you administer Tylenol at 0800, take your patient to the shower at 0900, insert a Foley catheter at 1100, and help transfer your patient to and from the OR. How many patient identification checks should have been completed?
4
What is the popular saying that Dr. Fried says when defining quality and patient safety?
Quality is when you make good things happen more often and Patient Safety is when you make bad things happen less often.
Cause and effect diagram. RCA, Process Maps, Swim Lane diagram, Fishbone diagram, Effort Impact matrices and/or Driver Diagram
What is the Hawthorne effect?
The Hawthorne effect is when simply observing the process is the thing that produces the outcome.
Can you submit improveNorth anonymously?
Yes
What are two of the most common hospital acquired infections?
Catheter-associated urinary tract infections and ventilator-associated pneumonia
Give examples of evidence based practice that you see in your practice
CAUTI Bundle, CLABSI etc
What are the 5 P's?
People, patients, policies/institution, equipment and correspondence
What is the 8-step process for leading change?
Create sense of urgency, build guiding coalition, form a strategic vision and initiative, enlist a volunteer army, enable action by removing barriers, generate short-term wins, sustain acceleration and institute change.
Do LHH residents/fellows have a high number of submissions ?
No, let's get our numbers up there.
How are ventilator associate pneumonia and central line urinary catheter infections prevented?
Hand hygiene, disinfection of equipment, discontinuation of ventilator and aspetic technique
Disinfection of skin prior to accessing port as well as hubs, ports and connection before/while accessing, and hand hygiene
What are some symptoms of an adverse drug reaction?
Rash, change in resp, mental health changes, seizures, anaphylaxis, diarrhea, and fever