ANSWERS 2025/2026 GRADED A+
patient-centeredness - Healthcare centered around patient, patient has active role in
their health- are presented with options and allowed to choose treatment plan that
works best for them; aligns with patient's values and goals; honors patient's experiences
NPSF - -National Patient Safety Foundation
-"create a world where patients and those that care for them are free form harm;"
educational mission and manages the Certified Professional in Patient Safety (CPPS)
credential
IHI - -Institute for Healthcare Improvement
-Mission to improve health and healthcare worldwide; notable for CQI best practices
AHRQ - - Agency for Healthcare Research and Quality
-Mission is to make healthcare safer, higher quality, more accessible, equitable, and
affordable; grant funding and great source for patient safety/quality literature
ISMP - - Institute for Safe Medicine Practices
- Mission - "to be premier independent, patient safety organization leading the effort to
prevent medication errors and ADEs;" with FDA, developed tall man lettering; review
medication error reports, recommend improvements, consult
NCCMERP - - National Coordinating Council for Medication Error Reporting and
Prevention
-Vision: "no patient will be harmed by medication;" increasing awareness of medication
errors; policy group that aims to improve standards; developed standard taxonomy for
classifying medication errors
TJC - - The Joint Commission
- One of three primary accrediting bodies for healthcare institutions; develops and
maintains accreditation standards; develops National Patient Safety Goals
LEAPFROG - - Leapfrog Group (coalition of healthcare purchasers)
-Organization whose goal is to "make leaps forward" in quality and safety of patient care
HEDIS - - Health Effectiveness Data and Information Set
, -Set of standardized performance measures that are sponsored and maintained by
NCQA (National Committee for Quality Assurance)
What does HEDIS do/measure - Quality measures across different health care plans
- Effectiveness of care
- Access/availability of care
- Experience of care
- Utilization and risk adjusted utilization
- Health plans descriptive information
- Measures collected using electronic clinical data systems
Define "quality" according to the AHRQ - doing the right thing at the right time in the
right way for the right person and having the best results possible
Donabedian's S-P-O framework - Structure- presence factors (affect context in which
healthcare is delivered)
Process- actions associated with quality
Outcome- end result (attributed to the healthcare products or services)
S-P-O in Medication Therapy Management - Structure- medication profile (system)
Process- review of profile (people checking the system)
Outcome- no adverse effects
Quality versus Value - Quality is what you get; value is what you get for what you pay
(quality/cost)
5 steps in the medication use process (MUP) - Prescribing, Transcribing, Dispensing,
Administering, and Monitoring
Which 2 steps of MUP in are the most likely for errors - Prescribing and Administering
to err is human reported ______# deaths related to medical errors - At least 44,000
people but may be as many as 98,000 people
to err is human reported ___# medication errors - 7,000
define med rec - Process of comparing a patient's medication orders to all of the
medication that the patient has been taking
med rec purpose - Avoid medication erros such as omissions, duplications, dising
errors, or drug interactions
med rec impact on ADE - may reduce up to 30-40%
who requires med rec - Now a standard requirement for most overseeing bodies
effecting MUP