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Adverse Event ✔Correct Answer-Unintended harm resulting from medical care.
What does SMART stand for? ✔Correct Answer-Specific, Measureable, Achievable, Relevant,
Time-Bound
Accreditation ✔Correct Answer-formal recognition by a authorized body indicating a
compliance with standards
Benchmarking ✔Correct Answer-Comparing performance metrics against industry standards.
Balanced Scorecard ✔Correct Answer-A strategic planning tool tracking financial, customer
process, and learning metrics
CAUTI ✔Correct Answer-catheter associated urinary tract infection
Control Chart ✔Correct Answer-Statistical tool monitoring process variation over time
Dashboard ✔Correct Answer-Visual display of real time data (infection rates, readmission) for
decision making
DMAIC ✔Correct Answer-Define, Measure, Analyze, Improve, Control - Is the Six Sigma
framework for process improvement
EBP ✔Correct Answer-evidence based practice- Clinical decisions grounded in research,
patient preferences, and clinical expertise.
EQRO ✔Correct Answer-External Quality Review Organization, Entity auditing Medicaid/CHIP
programs for CMS compliance
FMEA ✔Correct Answer-Failure Mode and Effects Analysis: process used to identify potential
failures before they result with the intent to minimize or eliminate them
Forcing Function ✔Correct Answer-Design element preventing errors ( ehr alert requiring
dose confirmation)
Gemba ✔Correct Answer-Lean term meaning the real place ( example: observing workflows
at the nurses' station)
, Global Trigger Tool ✔Correct Answer-Method for retrospective adverse event detection in
medical records
HRO ✔Correct Answer-High Reliability Organization: Institution prioritizing safety via
mindfulness, reluctance to simplify, and deference to expertise
HEDIS ✔Correct Answer-Healthcare Effectiveness Data and Information Set
IHI ✔Correct Answer-Institute for Healthcare Improvement
Nonprofit organization focused on patient safety
IRB ✔Correct Answer-Institutional Review Board, review research in advance to ensure ethical
considerations are met
Just Culture ✔Correct Answer-Accountability framework balancing system flaws and
individual responsibility for errors
Joint Commission Sentinel Event ✔Correct Answer-Unexpected occurrence involving death,
severe harm, requiring RCA within 45 days
KSA ✔Correct Answer-Knowledge, skills, or abilities needed to effectively perform a job.
Key Driver ✔Correct Answer-Primary factor influencing the success of a quality initiative.
(example: leadership buyin)
Lean ✔Correct Answer-Methodology minimizing waste (overproduction, waiting) in
workflows
LOS ✔Correct Answer-Length of stay- metric tied to resource utilization and reimbursement
penalties
Morbidity and Mortality Conference ✔Correct Answer-Forum for clinicians to review
complications/deaths and identify improvements
Meaningful Use ✔Correct Answer-the use of certified electronic health record technology to
improve care quality
NPSG ✔Correct Answer-National Patient Safety Goals: Annual joint commission priorities
(example: suicide risk assessments)
Never Event ✔Correct Answer-A preventable error, treatment of which is not reimbursed by
Medicare and Medicaid.