ANSWERS
How is quality defined? - ANS no errors, degree of excellence, do the right thing and do it
well. Meeting customers expectations, exceed expectations.
What is quality mgmt.? - ANS examine the process to delivery of care, the outcomes
measured
plan-do-check-act - ANS Walter Shewhart
Edward Deming - ANS introduced statistical process to improve quality
He recognized importance of having accurate and meaningful infor to improve quality
Demings 7 deadly diseases - ANS lack of consistency, emphasis on short term profits, eval of
performanmce,job hopping, excessive medical cost, excessive liability
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,Joseph Juran - ANS introduced Total Quality Control
Philip Crosby - ANS He added financial consequences to quality performance
Savings are generated by "doing things right the first time"
Quality Mangt. QM - ANS approaches to imporving quality
emphasis on preventing errors, empowerment of employees, improve performance, focus on
supplier relationships
Quality Assurance - ANS addresses negative outcomes ( sentinel events). Hx punishment of
peers
Quality Improvement - ANS improving on outcomes that are consider satisfactory, get
better.
Typically focus on process and systems, no individuals
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, Continuous Quality Improvement - ANS uses a systematic process, enhance performance.
Looks at processes, not individual. ( ex laparoscopy, less hospt stay)
Total quality management - ANS uses QA, QI, CQM and focuses on customer desire
Sentinel Event - ANS unexpected death, unrelated loss of function, IP suicide, infant
abduction, transfusion rxn, wrong site surgery
Root Cause Analysis - ANS Analyzing a sentinel event, must assess the culture.
Credentialing - ANS Key part of QM.Make sure the right person , right knowledge in the right
position
Risk Mgt. - ANS Focus on monetary loss by eliminating negative outcomes. Includes
insurance, pt satisfaction and legal issues.. Improve documentation. Medical records analysis is
very helpful
Ultimate responsibility is the governing body of the hospital.
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