Quality Assurance & Standards Flashcards
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Read the first 7 Quality Assurance & Standards flashcards as text
Which of the following is a key component of the PDSA (Plan-Do-Study-Act) quality improvement cycle's 'Study' phase?
Answer: Analyzing data collected during the 'Do' phase
The 'Study' phase involves analyzing results from the small-scale test to determine whether the change led to improvement.
In healthcare quality measurement, 'reliability' refers to:
Answer: The consistency of a measure across different settings or time points
Reliability means a measure produces consistent results when applied repeatedly under the same conditions.
The National Quality Forum (NQF) is best known for its role in:
Answer: Endorsing standardized performance measures
NQF reviews and endorses standardized healthcare performance measures to ensure they are scientifically sound and useful.
Which method is most appropriate for identifying whether a quality intervention caused an observed improvement?
Answer: Randomized controlled trial or quasi-experimental design
To attribute improvement to an intervention, a controlled design (RCT or quasi-experimental) is needed to rule out confounding factors.
In hospital accreditation, a 'Condition-Level Finding' by The Joint Commission indicates:
Answer: Significant non-compliance that requires a corrective action plan
A Condition-Level Finding indicates substantial non-compliance and requires the organization to submit a corrective action plan within 60 days.
Failure Mode and Effects Analysis (FMEA) is used in healthcare to:
Answer: Prospectively identify and prioritize potential process failures before they occur
FMEA is a proactive risk assessment tool that identifies potential failure modes in a process and prioritizes them by severity and likelihood.
Which metric is used to calculate a hospital's standardized infection ratio (SIR) under CMS reporting?
Answer: Observed infections divided by expected infections
The SIR compares observed infections at a facility to the number predicted based on national baseline data (observed/expected).
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