Exam (elaborations)
QUALITY IMPROVEMENT EXAM STUDY GUIDE
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QUALITY IMPROVEMENT EXAM STUDY GUIDE...
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Steps in the risk management process - ANSWER 1) Define high-risksituations
2) Gather data
3) intervene and investigate
4) identify opportunities to improve care
quality management (QM) - ANSWER Act of overseeing activities to
maintain excellence.
quality assurance (QA) - ANSWER effort to find and overcome problems
with quality, reactive.
quality improvement (QI) - ANSWER Efforts aimed at improvement that
are reactive and proactive
Quality management and theories
Six Sigma DMAIC - ANSWER 1) Define opportunities
2) Measure performance
3) Analyze opportunity
4) Improve performance
5) Control performance
Other QI Theroies: PDSA - ANSWER 1) Plan
2) Do
3) Study
4) Act
LEAN - ANSWER 1) Map the process
2) determine capacity & Customer/Patient demand
3) Learn to identify waste
4) Work to demand, Eliminate Disruptions & Abnormalities
5) Improve Flow, shorten Lead-time
6) Aggressively Eliminate Remaining Waste
, Principles of QM and QI - ANSWER 1) QM most effective in flat,
democratic, organization
2) Managers and workers must be committed to QI
3) Goal of QM is to improve systems and processes, not to assign blame
4) customers define quality
5) QI focuses on outcomes
6) Decisions must be based on data
Comparison of QA and QI Goal - ANSWER QA: improve quality
QI: improve quality
Comparison of QA and QI Focus - ANSWER QA: discover/correct errors
QI: prevent errors
Comparison of QA and QI Major tasks - ANSWER QA: inspection of
nurses activities;
chart audits
QI: Review nurses activities; Innovation; Staff development
Comparison of QA and QI Quality team - ANSWER QA: QA or
department personnel
QI: multidisciplinary team
Comparison of QA and QI Outcomes - ANSWER QA: Set by QA team
with input from staff
QI: Set by QI team with input from staff and patients
Steps in the QI process - ANSWER 1) Identify needs (national satey
goals, reduce risk)
2) Assemble multidisciplinary team (nurses, physicians, pharmacists,
risk managment)
3) collect data (define idicneces, determine high risk groups)
4) establish outcomes and quality indicators (educate, reduce risk)
5) Select and implement plan
6) evaluate (compliance, risk reduction)
Lewin's Change Theories - ANSWER Unfreeze, Change, Refreeze
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