SMART GOALS
In a SMART Goal, the "S" stands for ______
What is Specific?
This question word, when asked repeatedly helps determine a true root cause
Why?
The portion of the run chart that reflects the initial state
What is Baseline data?
The term PDCA stands for
What is:
Plan, Do, Check, Act?
An "RCA" is the process used to discover this:
What is the Root Cause of an Issue?
The 2 requirements for a SMART goal to be measurable are:
What is they must be frequent & trackable?
The activity of describing step by step how something is done
What is Process Mapping?
The number of data points required to establish a new baseline
What is 7?
The 5-7 things that are key to an efficent process are known as:
What are Key Drivers?
True or False: An SAFE event should be filed to hold the person who made a mistake accountable
What is False? Quality reporting is about learning and improving, not punishing people for honest mistakes
The one goal that is NOT achievable in a SMART goal
100% perfection
The nickname for this cause and effect diagram is derived from its appearance
What is Fishbone?
The tool used to determine if change on a run chart is 'real change' or just normal variation
What are control limits?
The most reliable interventions change ---X---, not ---Y---
What is change process and not individual people's actions
2 non-process improvement components of quality are:
What are:
Inspections
Policies & Standard Procedures
RCAs (root cause analysis)
Professional Practice Evaluations
The T in SMART is for the amount of _____ allocated for the project
What is Time?
Japanese word that means "The real place" and is used to describe direct observation
What is GEMBA?
The side of the A3 where would you expect to find a run chart
What is the Left side?
Feedback and education have this level of reliability
What is 1 or low reliability?
A SAFE event should be filed in these 2 situations:
What is:
When patient harm occurs --OR-- when there are 'near misses' that could have caused harm
The Acronym SMART stands for
What is: Specific, Measurable, Achievable, Relevant, Timebound
A visual illustration of "80% of the issues come from 20% of the causes"
What is a Paredo chart?
The right side of the A3 is used for . . .
What is defining/tracking solutions & interventions
If no interventions are successful, the next step is to
What is "Start over - plan again"
Quality related discussion are legally protected by this
What is Peer Review Regulations? In California, The protection afforded to peer review proceedings stems from California Evidence Code section 1157. The statute provide that neither the proceedings nor records of organized committees of health care professionals in a hospital or of a peer review body shall be subject to discovery.