A quantitative tool tat provides an indication of an organization's performance in relation to a
specified process or outcome correct answers Performance measure
A standard of performance or best practice for a particular process or outcome correct answers
benchmark
The foundation of care-giving, which include buildings, equipment, professional staff, and
appropriate policies are included in what area of performance measurement? correct answers
systems
The interrelated activities in healthcare organizations, which promote effective and safe patient
outcomes across services and disciplines within an integrated environment, are included in what
are of performance measurement? correct answers Processes
The final results of care, treatment, and services in terms of the patient's expectations, needs, and
quality of life, which ma be positive and appropriate or negative and diminishing, are included in
what area of performance measurement? correct answers outcomes
This type of performance measure focuses on a process that leads to a certain outcome, meaning
that a scientific or experiential basis exists for believing that the process, when executed well,
will increase the probability of achieving a desired outcome. correct answers process measure
A graphic tool used to organize and prioritize ideas after a brainstorming session correct answers
affinity diagram
A QI technique that allows groups to narrow the focus of discussion or to make decisions
without becoming involved in extended circular discussions correct answers nominal group
technique
A type of PI team that constructs relatively simple and quick "fixes" to improve work process
without going through the complete PI cycle correct answers Blitz Team
A PI team that involves staff from a single dept or service area correct answers functional team
A PI team that involves staff from more than one department, service area, or discipline correct
answers cross-functional team
A PI team role responsible for championing the effectiveness of PI activities in meeting
customers' needs and for the content of a team's work correct answers Team leader
A PI team role primarily responsible for ensuring that an effective performance improvement
process occurs by serving as advisor and consultant to the PI team, remaining neutral, nonvoting
member, suggesting alt PI methods and techniques to keep team on track and moving forward,
maintaining group dynamics, acting as a coach and motivator for the team, assisting in consensus
, building when necessary, and recognizing team and individual achievements correct answers
Team facilitator
A document that explains the issues the team was implemented to improve, describes the goals
and objectives and desired end state (vision), and lists the initial members of the tam and their
respective depts correct answers Team Charter
This type of chart is used to focus attention on any variation in the process and helps the team to
determine whether that variation is normal or a result of special circumstance correct answers
control chart
This type of data display tool is used to display discrete categories correct answers bar graph
This type of data display tool is used to display data proportionally. They are used to identify
problems or changes in a system or process correct answers histogram
This type of data display tool is plotted chart of data that shows the progress of a process over
time correct answers line graph
A description of the ideal end state or a description of the best way a process should function
correct answers team vision
PI teams should report on their progress and activities to the organization's PI and Patient Safety
Council at least: correct answers Quarterly
Occurrences involving liability for injury or property loss correct answers potentially
compensable events (PCEs)
A patient receives a blood transfusion after surgery. Which committee would review this case?
correct answers Blood Bank or Blood Usage
Which committee structure has only Physicians as voting members? correct answers Surgical
Events that occur in a healthcare org that do not necessarily affect an outcome, but if were to
recur, carry significant chance of being a serious adverse event correct answers near-misses
In the project life cycle, which phase identifies the criteria for standards of success? correct
answers planning
The investigational tech that facilitates the identification of the various factors that contribute to
a problem known as a fishbone diagram correct answers Cause-and-effect diagram
The four components in a fishbone diagram correct answers 1. Manpower
2. Materials
3. Methods
4. Machinery