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100
In what year did Joint Commission mandate hospital-wide patient safety standards?
2001
100

What is Quality Improvement?

System wide approach aimed at enhancing processes, services, or products to achieve better outcomes. 

100
Why are errors less likely to be reported at the time of occurrence?
because of the fear of blame or punishment
100

For more than 30 years, this institution has used improvement science to advance and sustain better outcomes in health and health care across the world.

Institute for Healthcare Improvement

200

How does the PDSA (Plan-Do-Study-Act) cycle contribute to problem-solving processes?

The PDSA cycle provides a structured approach to testing and implementing changes. 

200

Name 3 types of events that would trigger a Serious Event Analysis (SEA)

Wrong-site Surgery, Retained FB, Patient Suicide, Transfusion Reaction, Rape/Assault/Homicide, Fire or Burns, Infant Abduction, Falls with Injury, Severe Maternal Morbidity or Mortality, Equipment Malfunction 

200

What term describes an environment in healthcare where staff feel encouraged to report errors, near misses, and unsafe conditions without fear of punishment?

Culture of Safety

200

This emerging concept in healthcare is defined by avoidable, unfair and systematic differences in health between different groups of people

What are Healthcare Disparities

300
Name two forces influencing the current movement toward improved quality and safety.
Economics, Societal Demographics and Diversity, Regulation and Legislation, Technology, Health-Care Delivery and Practice, Environment and Globalization
300
What is Risk Management?
A process of identifying, analyzing, treating, and evaluating real and potential hazards
300

Four types of errors that can occur in a healthcare setting

What are:

Medication Events

Healthcare-associated infections (HAIs)

Surgical Errors

Laboratory Errors

Patient Fall

Pressure Injury

Documentation/computer Errors

300
Name two well-known agencies known for supporting Quality and Safety
FDA, CMS, ANA, Joint Commission, U.S. Department of Health and Human Resources
400
What private, nonprofit organization, that was chartered in 1970 by the US government, has the role to provide unbiased, expert health and scientific advice for the purpose of improving health?
Institute of Medicine (IOM)
400
What is Continuous Quality Improvement?
Process that includes identifying and collecting data on "indicators", evaluating the data, and making the needed changes
400
The review of giving a patient the wrong medication is an example of what?
Root Cause Analysis; the process of learning from consequences
400

Name the three things a resident must actively do in order to effectively influence change in the health-care system?

Become informed, Plan, and Take Action

500

What type of reporting is utilized for systems or process opportunities, or safety events?

Incident Reporting System

Vigilanz

500

What are the 6 dimensions of health care quality described by the Institute for Healthcare Improvement (IHI)?

Safe, Effective, Patient-Centered, Timely, Efficient, and Equitable

500

Joint Commission developed tools to offer healthcare organizations goals and strategies to prevent two things. What are they?

Harm and Death; based on what has been learned from sentinel events

500
A blame free environment in which reporting of errors is promoted and rewarded
Culture of Safety