Leadership unit 3
accountability measure - ANSquality measures that meet four criteria or produce greatest
positive outcomes for patients.
1. scientific evidence about a process
2. proximity of the process to the desired, intended outcome, accuracy that the process was
implemented
3. minimal or no adverse effects
benchmarking - ANSbest practices, processes, or systems identified by quality improvement
team to be compared with the practice, process or system under review
continuous quality improvement (CQI) - ANSa comprehensive program designed to
continually improve the quality of care. Often used interchangeably with totally quality
managements, quality improvements, and performance improvement
failure mode and effects analysis (FMEA) - ANSa method to analyze reliability problems
proactively to avoid negative outcomes
near miss - ANSa clinical situation that resulted in no injury but that highlights the need for
action (attempted suicide, last minute cancelation or surgery on wrong patient)
nurse-sensitive outcomes - ANSpatient outcomes that relate to the quality of nursing care
provided
patient-care outcomes - ANSa measurable end result of patient care
performance improvement (PI) - ANSthe application of quality improvement principles on an
ongoing basis
quality assurance (QA) - ANSa process that focuses on the clinical aspect of a provider's
care, often in response to an identified problem
quality improvement (QI) - ANSan ongoing process of innovation, prevention of error, and
staff development used by an organization that has adopted a quality of management
philosophy
quality management (QM) - ANSa corporate culture emphasizing customer satisfaction,
innovation, and employee involvement in quality improvement activities
risk management - ANSintegrated into quality and management program as a process of
developing and implementing strategies that will minimize risks and mitigate the impact of
adverse effects
Includes preventing patient injury, minimizing financial loss after a problem/error occurs, and
preserving agency reputation
, root cause analysis - ANSthe process used to identify all possible causes of a sentinel event
and all appropriate risk-reducing strategies
SBAR - ANSa standard of best practice form of communication between 2 or more health
care professionals
situation, background, assessment, recommendation
sentinel event - ANSa serious, unexpected occurrance involving death or injury, such as
suicide, infant abduction, or wrong-site surgery
teach-back - ANSa learning evaluation technique where the educator asks the learner to
explain the information shared with the learner
total quality management (TQM) - ANSa comprehensive program designed to achieve
perfection in quality of care
acency for healthcare research and quality (AHRQ) - ANSthe primary federal agency
devoted to improving quality, safety, efficiency and effectiveness of healthcare
American Board of quality assurance and utilization review physicians (ABQAURP) - ANSa
multidisciplinary professional organization that focuses on those providers in roles related to
quality assurance and utilization review
det norske veritas (DNV) - ANSdiagnostic related group
institution for healthcare improvement (IHI) - ANSin indépendant organization devoted to
improving patient safety and health care globally
institution of medicine (IOM) - ANSan organization that works outside of the federal
government to provide independent, scientific advice
magnet recognition program - ANSthe only national designation built on and evolving
through nursing research that is designed to recognize nursing excellence of healthcare
organizations through a self-nominating, appraisal process
national integrated accreditation for healthcare organization (NIAHO) - ANSformerly det
norske veritas
an internationally based organization that accredits many fields, including healthcare
national quality forum (NQF) - ANSa membership based organization that sets priorities and
goals for performance improvement and endorses standards for measurement
quality and safety education for nurses (QSEN) - ANSintitute devoted to providing resources
quality and safety in nursing
accountability measure - ANSquality measures that meet four criteria or produce greatest
positive outcomes for patients.
1. scientific evidence about a process
2. proximity of the process to the desired, intended outcome, accuracy that the process was
implemented
3. minimal or no adverse effects
benchmarking - ANSbest practices, processes, or systems identified by quality improvement
team to be compared with the practice, process or system under review
continuous quality improvement (CQI) - ANSa comprehensive program designed to
continually improve the quality of care. Often used interchangeably with totally quality
managements, quality improvements, and performance improvement
failure mode and effects analysis (FMEA) - ANSa method to analyze reliability problems
proactively to avoid negative outcomes
near miss - ANSa clinical situation that resulted in no injury but that highlights the need for
action (attempted suicide, last minute cancelation or surgery on wrong patient)
nurse-sensitive outcomes - ANSpatient outcomes that relate to the quality of nursing care
provided
patient-care outcomes - ANSa measurable end result of patient care
performance improvement (PI) - ANSthe application of quality improvement principles on an
ongoing basis
quality assurance (QA) - ANSa process that focuses on the clinical aspect of a provider's
care, often in response to an identified problem
quality improvement (QI) - ANSan ongoing process of innovation, prevention of error, and
staff development used by an organization that has adopted a quality of management
philosophy
quality management (QM) - ANSa corporate culture emphasizing customer satisfaction,
innovation, and employee involvement in quality improvement activities
risk management - ANSintegrated into quality and management program as a process of
developing and implementing strategies that will minimize risks and mitigate the impact of
adverse effects
Includes preventing patient injury, minimizing financial loss after a problem/error occurs, and
preserving agency reputation
, root cause analysis - ANSthe process used to identify all possible causes of a sentinel event
and all appropriate risk-reducing strategies
SBAR - ANSa standard of best practice form of communication between 2 or more health
care professionals
situation, background, assessment, recommendation
sentinel event - ANSa serious, unexpected occurrance involving death or injury, such as
suicide, infant abduction, or wrong-site surgery
teach-back - ANSa learning evaluation technique where the educator asks the learner to
explain the information shared with the learner
total quality management (TQM) - ANSa comprehensive program designed to achieve
perfection in quality of care
acency for healthcare research and quality (AHRQ) - ANSthe primary federal agency
devoted to improving quality, safety, efficiency and effectiveness of healthcare
American Board of quality assurance and utilization review physicians (ABQAURP) - ANSa
multidisciplinary professional organization that focuses on those providers in roles related to
quality assurance and utilization review
det norske veritas (DNV) - ANSdiagnostic related group
institution for healthcare improvement (IHI) - ANSin indépendant organization devoted to
improving patient safety and health care globally
institution of medicine (IOM) - ANSan organization that works outside of the federal
government to provide independent, scientific advice
magnet recognition program - ANSthe only national designation built on and evolving
through nursing research that is designed to recognize nursing excellence of healthcare
organizations through a self-nominating, appraisal process
national integrated accreditation for healthcare organization (NIAHO) - ANSformerly det
norske veritas
an internationally based organization that accredits many fields, including healthcare
national quality forum (NQF) - ANSa membership based organization that sets priorities and
goals for performance improvement and endorses standards for measurement
quality and safety education for nurses (QSEN) - ANSintitute devoted to providing resources
quality and safety in nursing
