C-ONQS I QUALITY AND SAFETY ASSESSMENT AND GAP
ANALYSIS QUESTIONS WITH ACCURATE ANSWERS
Adverse events correct answer Unintended physical injury resulting from or
contributed to by medical care (including the absence of indicated medical
treatment) that requires additional monitoring, treatment, or hospitalization or
that results in death
Advocating for ongoing resources correct answer
Assessment strategies: assembling teams correct answer Part of CUSP program
(Comprehensive Unit-based Safety Program) Understands that patient safety
culture is local
Composed of engaged frontline providers who take ownership of patient safety
Includes staff members who have different levels of experience
Tailored to include members based on clinical intervention
Meets regularly (weekly or at least monthly)
Has adequate resources
Assessment strategies: assessing patient/family perspective correct answer Given
that patients, their families, and other caregivers are the people who actually
experience care, their perspectives can contribute substantially to effective and
efficient health care organizations. Leveraging their knowledge can improve the
experience of care through the application of their insights to the design and
delivery of care in health care organizations
Assessment strategies: defining population correct answer
,Assessment strategies: identifying measures correct answer
Assessment strategies: reviewing literature correct answer
AWHONN guidelines maternal health correct answer
balancing metric correct answer Balance measures: These are the metrics a health
system must track to ensure an improvement in one area isn't negatively
impacting another area. For example, let's say length of stay (LOS) in labor and
delivery is the outcome metric. The hospital wants to reduce LOS and save
money.
Baseline data correct answer A baseline in medicine is information found at the
beginning of a study or other initial known value which is used for comparison
with later data. The concept of a baseline is essential to the daily practice of
medicine in order to establish a relative rather than absolute meaning to data.
Benchmarking correct answer Comparing an organization's practices, processes,
and products against the world's best.
Chart review correct answer Retrospective Chart Review (by itself or after use of a
trigger tool) -- Considered the "gold standard," contains rich and detailed clinical
information -- Costly, labor-intensive, data quality variable due to incomplete
clinical information, retrospective review only. Efficiency improved by focusing
chart reviews on cases identified by a reliable trigger tool or software tool
Control chart correct answer A control chart will help to monitor, control, and
improve process performance over time by studying variation and its source. It
helps to distinguish special from common causes of variation as a guide to local or
, management action. A process can be improved to perform consistently and
predictably for higher quality, lower cost, and higher effective capacity. There are
many types of control charts.
Once a process is selected to be charted, the sampling method and plan are
determined. Data is then collected, statistics and control limits are calculated, and
the chart is constructed.
Data collection correct answer The final step in implementing population- based
care is to set up a system for regularly measuring and improving your outcomes.
Again, being proactive is the key.
When caring for a population, you should measure outcomes for all your patients
with the targeted condition, not just those who come to your office.
Debriefing correct answer all teams take a moment at the end of the procedure
or incident and explicitly, in a blame-free way, discuss what went wrong and right.
Sessions reinforce safety lessons, value of team behaviors, importance of
speaking up, and that everyone is infalliable.
Dimensions of quality (Donabedian) correct answer Donabedian's (2005) three
components approach for evaluating the quality of care underpins measurement
for improvement. The three components are 1) structure, 2) process and 3)
outcomes. Measurement for improvement has an additional component -
balancing measures.
Direct observation correct answer assessment in which the professional observes
the client engaged in ordinary, day-to-day behavior in either a clinical or natural
setting
ANALYSIS QUESTIONS WITH ACCURATE ANSWERS
Adverse events correct answer Unintended physical injury resulting from or
contributed to by medical care (including the absence of indicated medical
treatment) that requires additional monitoring, treatment, or hospitalization or
that results in death
Advocating for ongoing resources correct answer
Assessment strategies: assembling teams correct answer Part of CUSP program
(Comprehensive Unit-based Safety Program) Understands that patient safety
culture is local
Composed of engaged frontline providers who take ownership of patient safety
Includes staff members who have different levels of experience
Tailored to include members based on clinical intervention
Meets regularly (weekly or at least monthly)
Has adequate resources
Assessment strategies: assessing patient/family perspective correct answer Given
that patients, their families, and other caregivers are the people who actually
experience care, their perspectives can contribute substantially to effective and
efficient health care organizations. Leveraging their knowledge can improve the
experience of care through the application of their insights to the design and
delivery of care in health care organizations
Assessment strategies: defining population correct answer
,Assessment strategies: identifying measures correct answer
Assessment strategies: reviewing literature correct answer
AWHONN guidelines maternal health correct answer
balancing metric correct answer Balance measures: These are the metrics a health
system must track to ensure an improvement in one area isn't negatively
impacting another area. For example, let's say length of stay (LOS) in labor and
delivery is the outcome metric. The hospital wants to reduce LOS and save
money.
Baseline data correct answer A baseline in medicine is information found at the
beginning of a study or other initial known value which is used for comparison
with later data. The concept of a baseline is essential to the daily practice of
medicine in order to establish a relative rather than absolute meaning to data.
Benchmarking correct answer Comparing an organization's practices, processes,
and products against the world's best.
Chart review correct answer Retrospective Chart Review (by itself or after use of a
trigger tool) -- Considered the "gold standard," contains rich and detailed clinical
information -- Costly, labor-intensive, data quality variable due to incomplete
clinical information, retrospective review only. Efficiency improved by focusing
chart reviews on cases identified by a reliable trigger tool or software tool
Control chart correct answer A control chart will help to monitor, control, and
improve process performance over time by studying variation and its source. It
helps to distinguish special from common causes of variation as a guide to local or
, management action. A process can be improved to perform consistently and
predictably for higher quality, lower cost, and higher effective capacity. There are
many types of control charts.
Once a process is selected to be charted, the sampling method and plan are
determined. Data is then collected, statistics and control limits are calculated, and
the chart is constructed.
Data collection correct answer The final step in implementing population- based
care is to set up a system for regularly measuring and improving your outcomes.
Again, being proactive is the key.
When caring for a population, you should measure outcomes for all your patients
with the targeted condition, not just those who come to your office.
Debriefing correct answer all teams take a moment at the end of the procedure
or incident and explicitly, in a blame-free way, discuss what went wrong and right.
Sessions reinforce safety lessons, value of team behaviors, importance of
speaking up, and that everyone is infalliable.
Dimensions of quality (Donabedian) correct answer Donabedian's (2005) three
components approach for evaluating the quality of care underpins measurement
for improvement. The three components are 1) structure, 2) process and 3)
outcomes. Measurement for improvement has an additional component -
balancing measures.
Direct observation correct answer assessment in which the professional observes
the client engaged in ordinary, day-to-day behavior in either a clinical or natural
setting
