Continuous Process Improvement
This is the first step in the DMAIC continuous process improvement model
Define the problem
A Culture of Safety focuses on this instead of blaming an individual
Systematic or process issues
This is the core focus of care during interactions within our clinics
Patient
What is the end result of the Swiss Cheese model if processes and staff fail to catch errors
Patient Harm
This is the type of event that causes harm to a patient
An Adverse event
This is the percentage amount spent defining, measuring and analyzing during the DMAIC process
70%
A Culture of Safety benefits patients by reducing these
Errors
Joint Outpatient Experience Surveys (JOES) are an example of this
Customer feedback
The holes in the Swiss cheese model represent these in safety systems
Weaknesses
This is the type of event which has the potential to cause harm if it occurs
Unsafe Condition
"Starting with the end in mind" stands for
Focusing on the desired outcome from the beginning of the project
Communication and coordination assist what body in a Culture of Safety
Teams
These people can be can be involved to improve care during decision-making and communication
Patients
This is the main goal to prevent errors in the healthcare setting
Patient Safety
Reporting patient safety events is important for what reasons
To fix problems, prevent future mistakes
During the Analyze phase of a project using the DMAIC process improvement tool, one is looking for this to directly address
The root cause
This method of communication is used to identify areas of potential improvement
Feedback
Using clear, simple language with patients shows what quality during patient-centered care
Respect
Overlapping safeguards, checklists and protocols are forms of this in the Swiss cheese model
Defenses or Corrective Actions
Reporting patient safety events encourages transparency, learning from mistakes and promotes this type of culture
A Just Culture
PDCA is an acronym for this
Plan, Do, Check, Act
This is the main goal in a Culture of Safety
Patient Safety
Ensuring patients feel safe, valued and involved in their care aligns with patient-centered care and this type of environment
Culture of Safety
This is the first layer of defense in the Swiss Cheese model
Organizational influences
Patient safety events should be reported when after they occur
Immediately