ABQAURP ACTUAL CORRECT QUESTIONS AND
ANSWERS SURE A+
✔✔Risk Management role in Quality Management - ✔✔Focus on preventing monetary
loss by eliminating negative outcomes
✔✔Utilization Review role in Quality Management - ✔✔Maine focus is on improving
already successful care by reducing the resources used to achieve the same results
✔✔Medical Records role in Quality Management - ✔✔They are a primary source of
information. Must be understood to be either good records of good care, bad records of
good care, good records of bad care, or bad records of bad care.
✔✔Infection Control role in Quality Management - ✔✔Focus on reducing risk of Future
infections
✔✔What is LEAN? - ✔✔Approach developed in Japan focused on analysis of
processes that produce outcomes and eliminating steps that do not "add value"
✔✔What is Six Sigma? - ✔✔Quality approach that uses data-driven information to
"eliminate defects", focusing not only on improvement no process flow but in reducing
process variation to achieve six standard deviations between the mean and the nearest
specification limit.
✔✔What is LEAN Six Sigma? - ✔✔Consists of five basic phases:
Define, Measure, Analyze, Improve, and Control (aka follow-up). DMAIC
✔✔What should you think when you here terms "should, could, or would"? - ✔✔So
what? These terms are usually indications that the process may be getting off track.
These words often divert attention from the actual issues because they address
expected performance rather than the reality of the situation.
, ✔✔What was the first mainstream article arguing for a systems approach to safety? -
✔✔"Error in Medicine" by Lucien Leape in JAMA, December 1994
✔✔Who said "Physicians and Nurses must accept the notion that error is an inevitable
accompaniment of the human condition, even among conscientious professionals with
high standards. ERRORS MUST BE ACCEPTED AS EVIDENCE OF SYSTEM FLAWS
NOT CHARACTER FLAWS. Until and UNLESS that happens, it is unlikely that any
substantial progress will be made in reducing medical errors. - ✔✔Lucien Leap
✔✔What are the "two stories" in the aftermath of a medical accident? - ✔✔The first is
about the immediate details-who, what, when, where, why-and often focus on the
human error committed. Media coverage of "celebrated accidents" tends to focus on
telling the first story in simple and sensational detail.
The second story develops when investigation of the accident digs deeper into root
causes, which may reveal contributory conditions and decisions far removed from the
actual time and place of the event. Second stories promote understanding of the
underlying systems and unintended consequences that increase the hazards of already
complex medical domains.
✔✔Developing second stories requires what? - ✔✔That individuals and community
involved accept that an accident has occurred, might have been prevented, deserves
deep analysis, and should result in change to protect patients in the future. In short,
second stories only happen in organizations that are willing to learn from mistakes.
✔✔Which report is thought to have launched the current patient safety movement? -
✔✔The IOM's Committee on Quality of Care in America report called 'To Err is Human:
Building a Safer Health System' issued in 1999 published by the National Academies
Press in 2000
✔✔Focus of voluntary reporting systems - ✔✔Focus on a much broader set of errors,
mainly those that do no or minimal harm, and help detect system weaknesses that can
be fixed before the occurrence of serious harm.
✔✔How is it proposed to foster participation on voluntary reporting systems? -
✔✔Congress should enact laws to protect the confidentiality of certain information
collected to alleviate the fears that such information may be subpoenaed and used in
lawsuits.
✔✔What was learned from the aviation industry? - ✔✔Reinforcing current approaches
to training and pressuring pilots to be more careful would not improve safety. Much of
aviation's safety improvement came from applying principles of social and cognitive
psychology and human factors engineering to its own challenging work environment.
ANSWERS SURE A+
✔✔Risk Management role in Quality Management - ✔✔Focus on preventing monetary
loss by eliminating negative outcomes
✔✔Utilization Review role in Quality Management - ✔✔Maine focus is on improving
already successful care by reducing the resources used to achieve the same results
✔✔Medical Records role in Quality Management - ✔✔They are a primary source of
information. Must be understood to be either good records of good care, bad records of
good care, good records of bad care, or bad records of bad care.
✔✔Infection Control role in Quality Management - ✔✔Focus on reducing risk of Future
infections
✔✔What is LEAN? - ✔✔Approach developed in Japan focused on analysis of
processes that produce outcomes and eliminating steps that do not "add value"
✔✔What is Six Sigma? - ✔✔Quality approach that uses data-driven information to
"eliminate defects", focusing not only on improvement no process flow but in reducing
process variation to achieve six standard deviations between the mean and the nearest
specification limit.
✔✔What is LEAN Six Sigma? - ✔✔Consists of five basic phases:
Define, Measure, Analyze, Improve, and Control (aka follow-up). DMAIC
✔✔What should you think when you here terms "should, could, or would"? - ✔✔So
what? These terms are usually indications that the process may be getting off track.
These words often divert attention from the actual issues because they address
expected performance rather than the reality of the situation.
, ✔✔What was the first mainstream article arguing for a systems approach to safety? -
✔✔"Error in Medicine" by Lucien Leape in JAMA, December 1994
✔✔Who said "Physicians and Nurses must accept the notion that error is an inevitable
accompaniment of the human condition, even among conscientious professionals with
high standards. ERRORS MUST BE ACCEPTED AS EVIDENCE OF SYSTEM FLAWS
NOT CHARACTER FLAWS. Until and UNLESS that happens, it is unlikely that any
substantial progress will be made in reducing medical errors. - ✔✔Lucien Leap
✔✔What are the "two stories" in the aftermath of a medical accident? - ✔✔The first is
about the immediate details-who, what, when, where, why-and often focus on the
human error committed. Media coverage of "celebrated accidents" tends to focus on
telling the first story in simple and sensational detail.
The second story develops when investigation of the accident digs deeper into root
causes, which may reveal contributory conditions and decisions far removed from the
actual time and place of the event. Second stories promote understanding of the
underlying systems and unintended consequences that increase the hazards of already
complex medical domains.
✔✔Developing second stories requires what? - ✔✔That individuals and community
involved accept that an accident has occurred, might have been prevented, deserves
deep analysis, and should result in change to protect patients in the future. In short,
second stories only happen in organizations that are willing to learn from mistakes.
✔✔Which report is thought to have launched the current patient safety movement? -
✔✔The IOM's Committee on Quality of Care in America report called 'To Err is Human:
Building a Safer Health System' issued in 1999 published by the National Academies
Press in 2000
✔✔Focus of voluntary reporting systems - ✔✔Focus on a much broader set of errors,
mainly those that do no or minimal harm, and help detect system weaknesses that can
be fixed before the occurrence of serious harm.
✔✔How is it proposed to foster participation on voluntary reporting systems? -
✔✔Congress should enact laws to protect the confidentiality of certain information
collected to alleviate the fears that such information may be subpoenaed and used in
lawsuits.
✔✔What was learned from the aviation industry? - ✔✔Reinforcing current approaches
to training and pressuring pilots to be more careful would not improve safety. Much of
aviation's safety improvement came from applying principles of social and cognitive
psychology and human factors engineering to its own challenging work environment.
