(General Quality)
Everyone's job
What is Quality?
An independent review of medical records to assess the quality of care in the organization
What is the External Peer Review Program (EPRP)?
Leadership commitment, safety culture, & continuous process improvement
What are the 3 HRO pillars?
The first National Patient Safety Goal
What is patient identification?
The I in DMAIC
Timeframe for review of Performance Improvement plan as per Joint Commission
What is annually?
Measures established by the Joint Commission for quality improvement of inpatient care
What is the ORYX/Global Measures?
The HRO Principle focused on getting experts to the table
What is deference to expertise?
Tool to proactively assess risk in a new process
What is HFEMA?
The last 5S item
What is sustain?
Cactus sink
What is the controlled substance disposal device?
Annual screening tool for tobacco use in outpatients
What is the National Clinical Reminder for Tobacco Use?
The approach developed by David Marx that addresses fair treatment for patient safety
What is Just Culture?
Formal process to inform and offer an apology to the Veteran that an adverse event resulted in death or serious injury.
What is an Institutional Disclosure (ID)?
iNET
What is the VA Innovation Network?
Nationally recognized as a symbol of quality and is considered one of VHA’s external quality reviews.
What is the Joint Commission accreditation?
Name of the service that provides a skilled nursing environment and houses a variety of specialty programs for person needing short and long stay services
What is the VA Community Living Center (CLC)?
Paradigm where humans move on a continuum toward complacent behavior
What is drift?
Process by which the Veteran’s clinician informs, as part of ROUTINE clinical care, that an event or potentially harmful event (i.e., medication error, misidentification, etc.) has occurred in the Veteran’s care.
What is a Clinical Disclosure?
HCD focus on the customer
What is the Human Centered Design?
This organization serves Veterans and the public by conducting effective oversight of the VA operations and programs
What is the Office of the Inspector General (OIG)?
Primary goal of treatment is comfort rather than cure for veterans with life limiting illnesses
What is Hospice care?
Briefing, Debriefing, Checklist Implementation, Situational Awareness Threat Countermeasures, Effective Followership Algorithm, Standardized Communication Templates, Reducing Distractions during Critical Tasks, Standardization Initiative
What are the 8 Types of Unit-Based Safety Projects?
Mechanism used for reporting great catches and close calls
What is JPSR?
Yellow, Green, Black Belt
What is specialized training in LSS?