Quality Framework
JCI Accreditation
What is the gold standard for quality in global healthcare community?
Inform staff of upcoming audit and brief staff on audit etiquette.
What is the role of a supervisor in the preparation of an audit?
Excess work at some points
What is "muri"?
Plan Do Study Act
What does PDSA stand for?
Asking the question “Why” enough times until you get past all the symptoms of a problem & down to the root cause.
What is the "5 Whys" tool?
Accreditation framework is based on the Plan-Do-Act-Check for quality improvement.
What is the foundation of ISO 9001:2015 framework?
The use of appropriate customer service language and the number of complaints or compliments received.
What are some possible areas for a customer service audit?
Highlights the causes of problems because work stops immediately when a problem first occurs
What does "Jidoka" mean?
Simple, Measurable, Attainable, Relevant, Timely
What does "SMART" represent?
These goals help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
What is the objective of International Patient Safety Goals (IPSG)?
Step 1: Identification of Problem
Step 2: Criteria Agreed & Standards Set
Step 3: Audit – Data Collection
Step 4: Analysis – Identify Areas of Improvement
Step 5: Make Necessary Changes
Step 6: Re-audit – Data Collection & Analysis
What are the steps in an audit cycle?
Sort, Set in order, Shine, Standardize, Sustain, Safety
What is the "6S" tool?
Cumulative total or percentage of total number of occurrences, total cost, or total of the particular unit of measure
What does the right vertical axis in a Pareto Chart represent?
- Evidence of manipulation, falsification, or alteration of records
- Wilful wrongdoing by employees or management
- Failure to adhere to regulatory requirements
What are some of the findings that must be reported in an audit?
Long-term approach to achieve small, incremental changes in processes in order to improve efficiency and quality
What is the "kaizen" approach to solving problems?
Start on the left by writing down the deviation from goal or final effect in a box. Draw an arrow to the right where the cause is written in another box. Use the “Why” tool to ask questions and the answer to each “Why” question will be the cause that is written in the next box.
What is the process to draw a cause map?