Quality Improvement and Patient Safety- Exam Questions and Answers 100% Guaranteed Success
What are IOM's six aims to guide improvements? - Answers Safe, Timely, Efficient, Effective, Equitable,
Patient-centered
Define the acronym STEEEP - Answers - Safe (avoiding injuries to patients caused by the care that is
intended to help them)
- Timely (reducing waits and sometimes harmful delays for those who receive and give care)
- Effective (providing services based on scientific knowledge to all who could benefit and refraining from
providing services to those not likely to benefit)
- Efficient (avoiding waste of equipment, supplies, ideas, and energy)
- Equitable (providing care that does not vary in quality because of personal characteristics such as
gender, ethnicity, geographic location, socioeconomic status)
- Patient-centered (care that is respectful of and responsive to individuals patient preferences, needs,
and values, and enduring that patient values guide all clinical decisions)
Provides objective, timely, authoritative information and advice regarding health and science policy to
government, the corporate sector, the professions, and the public - Answers IOM
What are the 10 simple rules to guide improvements? - Answers - care based on continuous healing
relationships
- care customized to patient needs and values
- the patient is the source of control
- knowledge is shared and information flows freely
- decisions making is evidence based
- safety is a system property
- Transparency is necessary (information should be available for patients and families, like the systems
performance on safety, patient satisfaction)
- needs are anticipated
- waste is continually decreased
- cooperation among clinicians is a priority
, What principles do the terms (quality management, total quality management, continuous quality
improvement, statistical process control, and performance improvement) embody? - Answers
Assessment and improvement of work processes while focusing on what customers want and need.
What are the three cornerstones (features it depends on) of Quality Management? - Answers 1. Quality
2. Scientific approach
3. "All one TEAM"
Who defines the Quality of health care? - Answers The Customer (Patient) defines quality
individual or group who relies on an organization to provide a product or service - Answers Customer
How is quality defined by the customer? - Answers - the customers pay attention to both personal
interactions and products or services
- if the bundle of products or services provided is seen as a good value, then customer loyalty is
enhanced
what is the scientific approach? - Answers 2nd cornerstone of QM
- to make significant improvements in an organization's processes, decisions must be based on sound,
valid data, and
- the people managing the processes must have a clear understanding of the nature of variation in
processes.
What is a process? - Answers is a series of linked steps necessary to accomplish work
the differences in how the steps in the process might be accomplished and/or the variables that may
affect each step in the process - Answers Variation
Why is understanding variation important? - Answers is necessary to identify the direction that
improvement efforts must take
What are the Two types of variation in Processes? - Answers 1. common cause variation (stable,
predictable and in statistical control)
- TOTAL NUMBER OF PATIENTS with postoperative orders on a given day (a factor in which doctors
missed writing d/c orders for a Foley)
2. special cause variation (unstable, unpredictable, and not in statistical control)
- "FAILURE TO DOCUMENT THE CATHETER D/C ORDERS because some doctors did not get trained"
embodies the principles of believing in people; treating everyone in the workplace with dignity, trust,
and respect - Answers ALL ONE TEAM
What are IOM's six aims to guide improvements? - Answers Safe, Timely, Efficient, Effective, Equitable,
Patient-centered
Define the acronym STEEEP - Answers - Safe (avoiding injuries to patients caused by the care that is
intended to help them)
- Timely (reducing waits and sometimes harmful delays for those who receive and give care)
- Effective (providing services based on scientific knowledge to all who could benefit and refraining from
providing services to those not likely to benefit)
- Efficient (avoiding waste of equipment, supplies, ideas, and energy)
- Equitable (providing care that does not vary in quality because of personal characteristics such as
gender, ethnicity, geographic location, socioeconomic status)
- Patient-centered (care that is respectful of and responsive to individuals patient preferences, needs,
and values, and enduring that patient values guide all clinical decisions)
Provides objective, timely, authoritative information and advice regarding health and science policy to
government, the corporate sector, the professions, and the public - Answers IOM
What are the 10 simple rules to guide improvements? - Answers - care based on continuous healing
relationships
- care customized to patient needs and values
- the patient is the source of control
- knowledge is shared and information flows freely
- decisions making is evidence based
- safety is a system property
- Transparency is necessary (information should be available for patients and families, like the systems
performance on safety, patient satisfaction)
- needs are anticipated
- waste is continually decreased
- cooperation among clinicians is a priority
, What principles do the terms (quality management, total quality management, continuous quality
improvement, statistical process control, and performance improvement) embody? - Answers
Assessment and improvement of work processes while focusing on what customers want and need.
What are the three cornerstones (features it depends on) of Quality Management? - Answers 1. Quality
2. Scientific approach
3. "All one TEAM"
Who defines the Quality of health care? - Answers The Customer (Patient) defines quality
individual or group who relies on an organization to provide a product or service - Answers Customer
How is quality defined by the customer? - Answers - the customers pay attention to both personal
interactions and products or services
- if the bundle of products or services provided is seen as a good value, then customer loyalty is
enhanced
what is the scientific approach? - Answers 2nd cornerstone of QM
- to make significant improvements in an organization's processes, decisions must be based on sound,
valid data, and
- the people managing the processes must have a clear understanding of the nature of variation in
processes.
What is a process? - Answers is a series of linked steps necessary to accomplish work
the differences in how the steps in the process might be accomplished and/or the variables that may
affect each step in the process - Answers Variation
Why is understanding variation important? - Answers is necessary to identify the direction that
improvement efforts must take
What are the Two types of variation in Processes? - Answers 1. common cause variation (stable,
predictable and in statistical control)
- TOTAL NUMBER OF PATIENTS with postoperative orders on a given day (a factor in which doctors
missed writing d/c orders for a Foley)
2. special cause variation (unstable, unpredictable, and not in statistical control)
- "FAILURE TO DOCUMENT THE CATHETER D/C ORDERS because some doctors did not get trained"
embodies the principles of believing in people; treating everyone in the workplace with dignity, trust,
and respect - Answers ALL ONE TEAM
