Primary Data Source Correct Answer - Patient specific/identifiable data
Related to a specific individual
ex. The Health Record
Secondary Data Source Correct Answer - Information on groups of
people or patients without identifying any particular patient individually.
Also called "Aggregate Data"
Compiled from multiple health records
Ex. Data taken from the health record and entered into registries and
databases are considered secondary data.
Confidentiality Correct Answer - ...
Security Correct Answer - ...
Privacy Correct Answer - ...
Quantitative Analysis Correct Answer - Checking for the presence or
absence of necessary reports or signatures. Ex. progress notes, orders
Completeness and Accuracy
Making sure a document is there and authenticated
Focuses on physician documentation
Qualitative Analysis Correct Answer - Ex. Checking documentation
consistency, such as contraindications in entries,progress note dated prior to
admission etc
Quality of records
Does documentation reflect the quality of patient care provided
Incident Report Correct Answer - Written accounts of unusual events
that have an adverse effect on a patient, employee, or facility visitor.
Never filed in patient health record.
, Used by risk management and or attorney to investigate incidents that have
the potential to become claims against the organization or individual
provider.
Incident Correct Answer - An event considered to be inconsistent with
accepted standards of care.
Ex.
res ipsa loquitor Correct Answer - "the thing speaks for itself"
The injury would not ordinarily occur without someones negligence Ex.
Surgical instrument left in patient after surgery
Currency Correct Answer - ...
Data Accessibility Correct Answer - data is available to those authorized
to use it
Relevancy Correct Answer - ...
Consistency Correct Answer - ...
Benchmarking Correct Answer - Process of comparing an organization
to a standard, a peer group, or other organization.
Ex. A hospital may want to compare its ALOS (average length of stay) with the
ALOS for all hospitals nationwide.
Continuum Of Care Correct Answer - Various types of healthcare
services provided in diverse settings from basic primary care to complex
tertiary settings.
Primary Care Correct Answer - Services provided by physicians
working in private offices, group practices, private clinics or community based
clinics.
Ex Family practice, pediatrics
Ex of primary care services: preventative,routine screening,physical exams
Secondary Care Correct Answer - Diagnostic and theraputic services
provided by medical specialists.