Quality Assurance & Standards Flashcards
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Read the first 7 Quality Assurance & Standards flashcards as text
The 'Swiss Cheese Model' of accident causation is most commonly applied in healthcare to explain:
Answer: How multiple system failures align to cause patient harm
The Swiss Cheese Model (Reason's model) illustrates how defenses have 'holes' that can align to allow errors to reach patients.
Under the CMS Promoting Interoperability (PI) program, eligible hospitals are required to demonstrate meaningful use of:
Answer: A certified EHR technology (CEHRT)
The PI program requires hospitals to use certified EHR technology and report on measures related to health information exchange and patient engagement.
A 'never event' in healthcare quality terminology refers to:
Answer: A serious, largely preventable patient safety event that should never occur
Never events (also called serious reportable events) are egregious errors — such as wrong-site surgery — that are preventable and should never happen.
Which of the following best describes a 'balanced scorecard' approach in healthcare quality management?
Answer: A framework measuring performance across multiple dimensions including financial, patient, process, and learning
The balanced scorecard translates strategy into performance measures across four perspectives: financial, customer, internal processes, and learning/growth.
In statistical process control, a process is considered 'out of control' when:
Answer: There are eight or more consecutive points on one side of the centerline
One of the Western Electric rules identifies eight consecutive points on one side of the centerline as a signal of special cause variation.
The primary goal of 'stratified analysis' in healthcare quality reporting is to:
Answer: Reveal disparities in care quality across different patient subgroups
Stratified analysis disaggregates quality data by characteristics such as race, income, or insurance type to identify inequities in care.
A hospital's quality team uses a 'SIPOC' diagram during a process improvement project. What does the 'S' stand for?
Answer: Suppliers
SIPOC stands for Suppliers, Inputs, Process, Outputs, and Customers — a high-level map used in Six Sigma and Lean projects.
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