Review
Quality improvement
Frameworks & Models
Relational coordination
QI initiatives
100

Why are theories, models & frameworks important for quality improvement? 

Theories, models, and frameworks are tools that help to explain or guide implementation efforts and help translate knowledge into Quality improvement

100

Name one goal of quality improvement according to the Jeffs et al (2013) study. 

  • Goal of QI:
    • Improve work environments
    • Engage and retain frontline nurses
    • Support quality patient care, including increasing direct nursing care time
100

What are the four components of the Quadruple Aim framework?

  • Population health
  • Reducing costs
  • Patient experience
  • Provider experience
100

Define Relational Coordination 

communicating and relating for the purpose of task integration

100

What are the components of the PSDA cycle and what is it used for?

Plan, Do, Study, Act - helps organizations translate knowledge into practical settings to apply evidence-based practice. 

200

Name 4 themes that are common between Quality improvement and Leadership 

  • Both are ongoing processes that require a vision to inspire change (Week 1) 
  • Both require continuous reflection & improvement (LEADS framework - Week 2)
  • Both have a direct impact on patient outcomes (Transformational leadership - Week 3)
  • Both have the opportunity to create organizational change (Authentic leadership - Week 4) 
  • Both require a vision and system level thinking to look at the bigger picture (Week 5)  
  • Use destruction as an opportunity for change and improvement (Week 6)
  • Both should prioritize cultural humility and equity based care (Week 6 & 7)
  • Both can contribute to efficient healthcare delivery (Week 8) 
  • Can make long-term sustainable changes to create a culture of patient safety (Week 9) 
200

what is the difference beweeen Quality assurance and Quality Improvement? 

Quality Assurance (QA) measures compliance against certain necessary standards, typically focusing on individuals

  • QA tends to be defensive with a focus on providers. 
  • Corrects problems

Quality Improvement (QI) is a continuous improvement process focused on processes and systems

  • QI is proactive and preventive in nature, focusing on patient care
  • Improves and changes systems 
200

What are the 3 components of the Donabedian model? can you give an example of each component from the article? 

Structure (physical resources and organizational characteristics) 

- skin and wound care 

- steering committee 

- Best practice spotlight organizations 


Process (activities responsible for the interprofessional delivery of care) 

- education 

- equipment inventory 

- collaboration 


Outcome (measurable impact on the care delivered) 

- patient impact (decreased HAPU rates) 

- Staff impact (skin and wound nurse champions & expertise) 

- System impact (shift from unit to systems approach to manage HAPUs) 


200

Relational coordination says that relationships that have shared goals, shared knowledge, and mutual respect create what kind of communication? Give 2 out of the 4 examples. 

Frequent, timely, accurate, problem-solving

200

Name 4 out of the 8 wastes in downtime 

defect, overproduction, waiting, non-utilized talent, transportation, inventory, motion, extra/over-processing 

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