ABQAURP exam with verified solutions
how is quality defined? - correct answer ✔no errors, degree of excellence,
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do the right thing and do it well. Meeting customers expectations, exceed
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expectations.
What is quality mgmt.? - correct answer ✔examine the process to delivery
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of care, the outcomes measured
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plan-do-check-act - correct answer ✔Walter Shewhart |!| |!| |!| |!| |!|
Edward Deming - correct answer ✔introduced statistical process to improve
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quality
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He recognized importance of having accurate and meaningful infor to
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improve quality |!|
Demings 7 deadly diseases - correct answer ✔lack of consistency, emphasis
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on short term profits, eval of performanmce,job hopping, excessive
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medical cost, excessive liability
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Joseph Juran - correct answer ✔introduced Total Quality Control
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Philip Crosby - correct answer ✔He added financial consequences to
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quality performance |!|
Savings are generated by "doing things right the first time"
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,Quality Mangt. QM - correct answer ✔approaches to imporving quality
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emphasis on preventing errors, empowerment of employees, improve
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performance, focus on supplier relationships |!| |!| |!| |!|
Quality Assurance - correct answer ✔addresses negative outcomes (
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sentinel events). Hx punishment of peers
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Quality Improvement - correct answer ✔improving on outcomes that are
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consider satisfactory, get better.
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Typically focus on process and systems, no individuals
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Continuous Quality Improvement - correct answer ✔uses a systematic
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process, enhance performance. Looks at processes, not individual. ( ex
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laparoscopy, less hospt stay) |!| |!| |!|
Total quality management - correct answer ✔uses QA, QI, CQM and
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focuses on customer desire
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Sentinel Event - correct answer ✔unexpected death, unrelated loss of
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function, IP suicide, infant abduction, transfusion rxn, wrong site surgery
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Root Cause Analysis - correct answer ✔Analyzing a sentinel event, must
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assess the culture.
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Credentialing - correct answer ✔Key part of QM.Make sure the right
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person , right knowledge in the right position
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, Risk Mgt. - correct answer ✔Focus on monetary loss by eliminating
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negative outcomes. Includes insurance, pt satisfaction and legal issues..
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Improve documentation. Medical records analysis is very helpful
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Ultimate responsibility is the governing body of the hospital.
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UR - correct answer ✔formal review of the consumption of all resources in
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the delivery of care., Can be prospective, concurrent or retrospective
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.Reduce resources to achieve the same result.
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Infection Control - correct answer ✔Focus on Outcomes, looks at
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transmission of illness to providers, staff and visitors. Reduce risk of future
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infection
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Outcome studies - correct answer ✔important to analyze effectiveness.
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Computer generated outcomes best. self report survey are vulnerable to
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inaccuracy, single review least reliable. |!| |!| |!| |!|
Peer review - correct answer ✔An individual c similar training and the one
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being reviewed.
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1-chart rev |!|
2-patterns
3- peer intervention
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PRO- peer review organization - correct answer ✔1972-82 was physician
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controlled, nonprofit org that looked at Medicare IP, Utilization and
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
quality. Changed to PSRO in 1982 via the Tax Equity and Fiscal
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
Responsibility act |!|
how is quality defined? - correct answer ✔no errors, degree of excellence,
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
do the right thing and do it well. Meeting customers expectations, exceed
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
expectations.
What is quality mgmt.? - correct answer ✔examine the process to delivery
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
of care, the outcomes measured
|!| |!| |!| |!| |!|
plan-do-check-act - correct answer ✔Walter Shewhart |!| |!| |!| |!| |!|
Edward Deming - correct answer ✔introduced statistical process to improve
|!| |!| |!| |!| |!| |!| |!| |!| |!|
quality
|!|
He recognized importance of having accurate and meaningful infor to
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
improve quality |!|
Demings 7 deadly diseases - correct answer ✔lack of consistency, emphasis
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
on short term profits, eval of performanmce,job hopping, excessive
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
medical cost, excessive liability
|!| |!| |!|
Joseph Juran - correct answer ✔introduced Total Quality Control
|!| |!| |!| |!| |!| |!| |!| |!|
Philip Crosby - correct answer ✔He added financial consequences to
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
quality performance |!|
Savings are generated by "doing things right the first time"
|!| |!| |!| |!| |!| |!| |!| |!| |!|
,Quality Mangt. QM - correct answer ✔approaches to imporving quality
|!| |!| |!| |!| |!| |!| |!| |!| |!|
emphasis on preventing errors, empowerment of employees, improve
|!| |!| |!| |!| |!| |!| |!| |!|
performance, focus on supplier relationships |!| |!| |!| |!|
Quality Assurance - correct answer ✔addresses negative outcomes (
|!| |!| |!| |!| |!| |!| |!| |!| |!|
sentinel events). Hx punishment of peers
|!| |!| |!| |!| |!|
Quality Improvement - correct answer ✔improving on outcomes that are
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
consider satisfactory, get better.
|!| |!| |!|
Typically focus on process and systems, no individuals
|!| |!| |!| |!| |!| |!| |!|
Continuous Quality Improvement - correct answer ✔uses a systematic
|!| |!| |!| |!| |!| |!| |!| |!| |!|
process, enhance performance. Looks at processes, not individual. ( ex
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
laparoscopy, less hospt stay) |!| |!| |!|
Total quality management - correct answer ✔uses QA, QI, CQM and
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
focuses on customer desire
|!| |!| |!|
Sentinel Event - correct answer ✔unexpected death, unrelated loss of
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
function, IP suicide, infant abduction, transfusion rxn, wrong site surgery
|!| |!| |!| |!| |!| |!| |!| |!| |!|
Root Cause Analysis - correct answer ✔Analyzing a sentinel event, must
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
assess the culture.
|!| |!|
Credentialing - correct answer ✔Key part of QM.Make sure the right
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
person , right knowledge in the right position
|!| |!| |!| |!| |!| |!| |!|
, Risk Mgt. - correct answer ✔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.
|!| |!| |!| |!| |!| |!| |!| |!|
UR - correct answer ✔formal review of the consumption of all resources in
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
the delivery of care., Can be prospective, concurrent or retrospective
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
.Reduce resources to achieve the same result.
|!| |!| |!| |!| |!| |!| |!|
Infection Control - correct answer ✔Focus on Outcomes, looks at
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
transmission of illness to providers, staff and visitors. Reduce risk of future
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
infection
|!|
Outcome studies - correct answer ✔important to analyze effectiveness.
|!| |!| |!| |!| |!| |!| |!| |!| |!|
Computer generated outcomes best. self report survey are vulnerable to
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
inaccuracy, single review least reliable. |!| |!| |!| |!|
Peer review - correct answer ✔An individual c similar training and the one
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
being reviewed.
|!| |!|
1-chart rev |!|
2-patterns
3- peer intervention
|!| |!|
PRO- peer review organization - correct answer ✔1972-82 was physician
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
controlled, nonprofit org that looked at Medicare IP, Utilization and
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
quality. Changed to PSRO in 1982 via the Tax Equity and Fiscal
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
Responsibility act |!|
