Quality Assurance & Continuous Improvement Flashcards
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Read the first 7 Quality Assurance & Continuous Improvement flashcards as text
Failure Mode and Effects Analysis (FMEA) in anesthesia QA is a PROACTIVE tool because it:
Answer: Identifies potential failure points before they cause harm
FMEA proactively examines processes to anticipate where and how failures might occur so they can be prevented in advance.
In Lean methodology applied to anesthesia workflow, 'waste' most commonly includes which of the following?
Answer: Unnecessary patient transport, waiting times, and redundant steps
Lean identifies eight types of waste (DOWNTIME) that do not add value, including unnecessary motion, waiting, and overprocessing.
A quality dashboard showing OR turnover time trending upward over 6 months should prompt anesthesia leadership to:
Answer: Investigate contributing causes using QI methodology before intervening
Trending data identifies a signal, but root cause analysis is needed before implementing solutions to ensure interventions are well-targeted.
Which Donabedian framework component does 'board certification of anesthesiologists' represent?
Answer: Structure
Donabedian's structure component encompasses the attributes of the care setting, including provider qualifications and organizational features.
The AQI (Anesthesia Quality Institute) QCDR (Qualified Clinical Data Registry) allows anesthesiologists to:
Answer: Report quality measures to CMS for MIPS compliance
AQI's QCDR enables anesthesiologists to submit quality measure data to CMS to fulfill MIPS reporting requirements under value-based payment programs.
When calculating the 'defects per million opportunities' (DPMO) for an anesthesia process, a result of 3,400 corresponds to a Sigma level of:
Answer: Six Sigma
Six Sigma quality targets 3.4 DPMO, representing performance at 6 standard deviations from the mean—near-perfect process performance.
A hospital implements a 'no-blame' safety culture in the anesthesia department. The PRIMARY benefit of this approach is:
Answer: Encouraging voluntary reporting of errors and near-misses without fear of punishment
Psychological safety in reporting enables more complete capture of adverse events and near-misses, providing richer data for system improvement.