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,how is quality defined? - Answer no errors, degree of excellence, do the right thing and do it
well. Meeting customers expectations, exceed expectations.
What is quality mgmt.? - Answer examine the process to delivery of care, the outcomes
measured
plan-do-check-act - Answer Walter Shewhart
Edward Deming - Answer introduced statistical process to improve quality
He recognized importance of having accurate and meaningful infor to improve quality
Demings 7 deadly diseases - Answer lack of consistency, emphasis on short term profits, eval
of performanmce,job hopping, excessive medical cost, excessive liability
Joseph Juran - Answer introduced Total Quality Control
Philip Crosby - Answer He added financial consequences to quality performance
Savings are generated by "doing things right the first time"
Quality Mangt. QM - Answer approaches to imporving quality
emphasis on preventing errors, empowerment of employees, improve performance, focus on
supplier relationships
Quality Assurance - Answer addresses negative outcomes ( sentinel events). Hx punishment
of peers
, Quality Improvement - Answer improving on outcomes that are consider satisfactory, get
better.
Typically focus on process and systems, no individuals
Continuous Quality Improvement - Answer uses a systematic process, enhance performance.
Looks at processes, not individual. ( ex laparoscopy, less hospt stay)
Total quality management - Answer uses QA, QI, CQM and focuses on customer desire
Sentinel Event - Answer unexpected death, unrelated loss of function, IP suicide, infant
abduction, transfusion rxn, wrong site surgery
Root Cause Analysis - Answer Analyzing a sentinel event, must assess the culture.
Credentialing - Answer Key part of QM.Make sure the right person , right knowledge in the
right position
Risk Mgt. - Answer Focus on monetary loss by eliminating negative outcomes. Includes
insurance, pt satisfaction and legal issues.. Improve documentation. Medical records analysis is
very helpful
Ultimate responsibility is the governing body of the hospital.
UR - Answer formal review of the consumption of all resources in the delivery of care., Can
be prospective, concurrent or retrospective .Reduce resources to achieve the same result.
Infection Control - Answer Focus on Outcomes, looks at transmission of illness to providers,
staff and visitors. Reduce risk of future infection