Health Care Quality N272 Review Questions and Correct Answers

Health Care Quality N272 Review Questions and Correct Answers Health care quality ✅the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge The agencies responsibility and accountability for delivery and high standards of care ✅a healthcare's mission and visions statement should clearly define for the public... Fear of discipline or malpractice suits. Fear things aren't being disclosed as they should be or things aren't available knowledge wise ✅potential barrier to transparency - patient care outcomes - patient satisfaction - delivery of safe care - evidence -based care delivery - resource efficient - patient -centered care ✅scope of health care quality Safe, effective, efficient ✅attributes of health care quality Safe ✅we are knowledgeable of health or illness of patients. Try to make decisions avoidance of injuries. Practice with standards of care for both patient and yourself. We act in our practice of certification/degree Effective ✅health care quality offers services that are most important. Addresses needs of populations served. Care does not vary in quality because of gender or ethnicity, geographical association, economic status. Treat patients with best care possible. Strive to s erve underserved populations. Integrates curative and preventative services (not just treating) Efficient ✅transitions are coordinated between healthcare settings. People in organizations monitor costs and give cost effective interventions. Minimize length of stay from increased safety and care coordination. Work is done well and with fewer resources (working s marter not harder) Donabedian Model ✅defines quality as values and goals Structure , process, outcome Structure /organizational characteristics of donabedian model ✅attributes of setting where care is delivered, includes adequacy of equipment, supplies, staff training, provider knowledge and attitudes as well as supervision Process of donabedian model ✅includes services offered, technical quality of the services (IV starts), patient centered, promotes continuity of care, dependable and reliable Outcomes of donabedian model ✅results of the structure and process in the patients satisfaction, perception of quality, attitudes, and behavior. Financial implications - failure of a planned intervention - failure to complete an action as intended - variations from the standards of care ✅errors of execution Wrong diagnosis, wrong treatment plan ✅errors of health plan Near miss ✅have capacity to be an error but stopped before happening Adverse event/occurence/incident/variance ✅unwanted error. May cause harm or death or no permanent death Sentinel event ✅error causing death. Has domino effect Root cause analysis ✅An analytical technique used to determine the basic underlying reason that causes a variance or a defect or a risk. A root cause may underlie more than one variance or defect or risk. - team approach - thoroughly investigated the system that fails in the persons care - define errors/problems - identify risks and protective factors - develop and test prevention strategies - implement and adopt strategies ✅process of root cause analysis Failure mode effective anaylisis ✅process to prevent the occurrence of errors of system failures. Can assist in positive results - define the problem - maintaining sterile technique while inserting catheter - analyze causes - breaking sterilizing technique - identify solution - designing custom catheter kits, stop procedure when break in sterile technique - evaluate the results - communicating results ✅process of failure mode effective analysis