Clinical Governance: Quality Improvement

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Questions and Answers

What is the primary goal of Clinical Governance in the NHS?

  • To reduce the number of medical errors
  • To reduce healthcare costs
  • To improve the quality of services and safeguard high standards of care (correct)
  • To increase the number of patients seen

What is a key feature of quality improvement approaches?

  • A one-time redesign of work processes
  • A multidisciplinary approach to delivering change (correct)
  • A reliance on trial and error
  • A focus on individual professional development

What is the main objective of using a systematic change method in quality improvement?

  • To improve patient experience and outcomes (correct)
  • To reduce the cost of healthcare
  • To reduce the complexity of healthcare environments
  • To increase the efficiency of healthcare systems

What is a key principle of quality improvement approaches?

<p>A systematic approach to delivering change (D)</p> Signup and view all the answers

What is the primary focus of quality improvement initiatives?

<p>Improving healthcare outcomes (A)</p> Signup and view all the answers

What does the delivery of healthcare with improved outcomes and lower cost involve?

<p>Continuous redesigning of work processes and systems (C)</p> Signup and view all the answers

What is the primary focus of quality improvement in healthcare?

<p>Ensuring a continuous focus on the needs and experiences of the people served by the system (D)</p> Signup and view all the answers

What is the main limitation of audit in healthcare?

<p>It can be difficult to apply uniformly across different locations (B)</p> Signup and view all the answers

What is the primary goal of clinical research in healthcare?

<p>To compare the effectiveness of different treatments or interventions (B)</p> Signup and view all the answers

What is the primary goal of ensuring equitable care?

<p>To provide the same quality of care regardless of personal characteristics (C)</p> Signup and view all the answers

What is the purpose of process mapping?

<p>To communicate how a process works in a concise and straightforward way (B)</p> Signup and view all the answers

What is the role of data in quality improvement?

<p>To understand variation and inform improvement efforts (C)</p> Signup and view all the answers

What is the primary focus of the Institute of Medicine's six domains of healthcare quality?

<p>Providing evidence-based care and avoiding harm to patients (D)</p> Signup and view all the answers

What is the focus of root cause analysis?

<p>To troubleshoot solutions to problems by analyzing what is causing them (A)</p> Signup and view all the answers

What is the purpose of quality improvement work in healthcare?

<p>To make changes to what is, or was, routine care (B)</p> Signup and view all the answers

What is the purpose of measurement in improvement methodology?

<p>To understand the source of variation and use tools to reduce and manage it (D)</p> Signup and view all the answers

What is the fundamental approach of Lean?

<p>Using less to do more by eliminating waste and adding value (B)</p> Signup and view all the answers

What is the role of clinicians in quality improvement?

<p>To lead or join improvement teams and implement changes (B)</p> Signup and view all the answers

What is the purpose of the 'thinking part' of the improvement methodology model?

<p>To ask fundamental questions guiding improvement work (C)</p> Signup and view all the answers

What is the primary focus of the NHS's definition of quality?

<p>Improving patient outcomes and experiences, including safety, effectiveness, and compassion (A)</p> Signup and view all the answers

What is the main difference between quality improvement and research in healthcare?

<p>Quality improvement focuses on implementing changes, while research focuses on establishing new medical standards (B)</p> Signup and view all the answers

What is the purpose of the 'doing part' of the improvement methodology model?

<p>To use PDSA cycles to make rapid changes (B)</p> Signup and view all the answers

What is the primary goal of improvement work in healthcare?

<p>To identify areas for improvement and implement changes (B)</p> Signup and view all the answers

What is the focus of statistical process control?

<p>To identify special cause and common cause variation (A)</p> Signup and view all the answers

What is the purpose of process control charts?

<p>To understand if a process has special cause and/or common cause variation (D)</p> Signup and view all the answers

What is the goal of Lean 2?

<p>To improve flow and eliminate waste (B)</p> Signup and view all the answers

What is the primary purpose of identifying and listing problems in Pareto analysis?

<p>To gather feedback from clients and team members (B)</p> Signup and view all the answers

Which technique is useful for identifying the root cause of each problem in Pareto analysis?

<p>All of the above (D)</p> Signup and view all the answers

How are problems scored in Pareto analysis?

<p>By the cost of resolving each problem (B)</p> Signup and view all the answers

What is the purpose of grouping problems together in Pareto analysis?

<p>To group problems by common cause (A)</p> Signup and view all the answers

What is the benefit of using a control chart in process improvement?

<p>To monitor process stability and variation (D)</p> Signup and view all the answers

What is the minimum number of data points required to create a run chart?

<p>10 (B)</p> Signup and view all the answers

What is the primary role of a Project Sponsor in an improvement team?

<p>To oversee the system or process being improved (C)</p> Signup and view all the answers

What is the purpose of establishing measures in an improvement project?

<p>To know if a change is an improvement (D)</p> Signup and view all the answers

What type of measure is used to evaluate the outcome of an improvement project?

<p>Outcome Measure (A)</p> Signup and view all the answers

What is the purpose of setting aims in an improvement project?

<p>To establish what the project is trying to accomplish (A)</p> Signup and view all the answers

What is the primary purpose of the PDSA cycle in the context of quality improvement?

<p>To evaluate the effectiveness of a change and adapt to the local environment (D)</p> Signup and view all the answers

Which of the following is a key benefit of spreading a successful change to other contexts?

<p>It allows for the adaptation of the change to local environments (A)</p> Signup and view all the answers

What is the primary role of a change agent or champion in quality improvement initiatives?

<p>To lead the implementation of the change on a large scale (A)</p> Signup and view all the answers

What is the primary focus of the 'Eliminate Waste' principle in quality improvement?

<p>To optimize inventory levels and reduce waste (B)</p> Signup and view all the answers

What is a key aspect of effective communication strategies in quality improvement initiatives?

<p>Involving stakeholders in the planning and implementation of the change (B)</p> Signup and view all the answers

What is the primary purpose of engaging others in quality improvement initiatives?

<p>To build a collaborative team effort to achieve quality improvement goals (A)</p> Signup and view all the answers

What does the SIX SIGMA methodology aim to achieve?

<p>Reduce variation in processes to minimize defects (B)</p> Signup and view all the answers

In the Define phase of Six Sigma, what is the primary focus?

<p>Understanding customer needs and objectives (B)</p> Signup and view all the answers

What is the primary purpose of the Measurement phase in Six Sigma?

<p>To collect data to establish a baseline for process performance (C)</p> Signup and view all the answers

What is the primary goal of the Improvement phase in Six Sigma?

<p>To accumulate data to check for measurable improvement (B)</p> Signup and view all the answers

What is the primary purpose of the Control phase in Six Sigma?

<p>To control the process and sustain improvements (A)</p> Signup and view all the answers

What is the primary benefit of using Pareto Analysis in Six Sigma?

<p>To identify and prioritize problems (A)</p> Signup and view all the answers

What is the primary principle underlying Pareto Analysis?

<p>80% of problems can be traced back to 20% of causes (C)</p> Signup and view all the answers

What is the primary application of Fishbone Diagrams in Six Sigma?

<p>To analyze the root cause of problems (A)</p> Signup and view all the answers

What is the primary benefit of using Control Charts in Six Sigma?

<p>To measure process stability and variation (D)</p> Signup and view all the answers

What is the primary trigger for quality improvement in pharmacy settings?

<p>All of the above (D)</p> Signup and view all the answers

What is the main objective of Clinical Governance in the NHS?

<p>To ensure accountability for continuously improving the quality of services (B)</p> Signup and view all the answers

Which of the following definitions best describes Quality Improvement?

<p>Improvement in patient outcomes, system performance, and professional development (C)</p> Signup and view all the answers

What is the primary focus of Quality Improvement approaches?

<p>Making a difference to patients by improving safety, effectiveness, and experience of care (A)</p> Signup and view all the answers

What is a common feature of Quality Improvement approaches?

<p>A multidisciplinary approach to change (D)</p> Signup and view all the answers

What is the ultimate goal of Quality Improvement?

<p>To make a difference to patients by improving safety, effectiveness, and experience of care (B)</p> Signup and view all the answers

What is a key principle of Quality Improvement approaches?

<p>A multidisciplinary approach to change (D)</p> Signup and view all the answers

What is the main objective of quality improvement work in healthcare?

<p>To make changes to what is, or was, routine care (D)</p> Signup and view all the answers

What is the primary focus of audit in healthcare?

<p>Comparing current practice to recommended standards (C)</p> Signup and view all the answers

What is the role of clinicians in quality improvement initiatives?

<p>To participate in improvement teams and learn from data (C)</p> Signup and view all the answers

What is the primary difference between quality improvement and research in healthcare?

<p>Quality improvement focuses on making changes to routine care, while research focuses on comparing the effectiveness of different treatments (D)</p> Signup and view all the answers

What is the primary focus of the NHS's definition of quality?

<p>Safety, experience, and effectiveness of care (A)</p> Signup and view all the answers

What is the primary goal of improvement work in healthcare?

<p>To make changes to what is, or was, routine care (C)</p> Signup and view all the answers

What is the primary focus of the Institute of Medicine's six domains of healthcare quality?

<p>Safe, effective, patient-centred, timely, efficient, and equitable (D)</p> Signup and view all the answers

What is the primary role of data in quality improvement?

<p>To understand variation and improve processes (A)</p> Signup and view all the answers

What is the primary focus of quality improvement initiatives?

<p>Making changes to what is, or was, routine care (A)</p> Signup and view all the answers

What is the primary benefit of quality improvement work in healthcare?

<p>Improving patient outcomes and reducing costs (A)</p> Signup and view all the answers

What is the primary purpose of process mapping?

<p>To communicate how a process works in a concise and straightforward way (D)</p> Signup and view all the answers

What is the focus of root cause analysis?

<p>Analysing what is causing a problem (C)</p> Signup and view all the answers

What is the goal of Lean?

<p>To use less to do more by eliminating waste (C)</p> Signup and view all the answers

What is the purpose of measurement in improvement methodology?

<p>To understand the source of variation in a process (B)</p> Signup and view all the answers

What is the primary purpose of the 'thinking part' of the improvement methodology model?

<p>To guide improvement work (D)</p> Signup and view all the answers

What is the focus of statistical process control?

<p>Understanding variation in a process (B)</p> Signup and view all the answers

What is the primary purpose of the 'doing part' of the improvement methodology model?

<p>To implement changes to a process (B)</p> Signup and view all the answers

What is the benefit of using Lean in healthcare?

<p>Using less to do more by eliminating waste (D)</p> Signup and view all the answers

What is the primary goal of improvement work in healthcare?

<p>To improve the quality of care (C)</p> Signup and view all the answers

What is the focus of quality improvement initiatives in healthcare?

<p>Improving the quality of care (A)</p> Signup and view all the answers

What is the primary purpose of the PDSA cycle in the context of quality improvement?

<p>To test and evaluate the effectiveness of a change on a small scale (A)</p> Signup and view all the answers

What is the focus of the 'Eliminate Waste' principle in quality improvement?

<p>To reduce waste and optimize resources in a process (A)</p> Signup and view all the answers

What is the primary role of a change agent or champion in quality improvement initiatives?

<p>To engage and motivate others to participate in quality improvement initiatives (B)</p> Signup and view all the answers

What is the primary benefit of using the PDSA cycle in quality improvement?

<p>To increase the confidence that a change will result in improvement (A)</p> Signup and view all the answers

What is the primary purpose of the 'Manage Time' principle in quality improvement?

<p>To prioritize tasks and manage time effectively (C)</p> Signup and view all the answers

What is the primary focus of the 'Focus on Variation' principle in quality improvement?

<p>To identify and understand the causes of variation in a process (A)</p> Signup and view all the answers

What is the primary goal of Six Sigma methodology?

<p>To reduce defects to near zero (C)</p> Signup and view all the answers

What is the primary focus of the Define phase in Six Sigma?

<p>Understanding the needs of the customers (C)</p> Signup and view all the answers

What is the primary purpose of Pareto Analysis in Six Sigma?

<p>To identify and prioritize problems (B)</p> Signup and view all the answers

What is the primary goal of the Improvement phase in Six Sigma?

<p>To accumulate data to check for measurable improvement (C)</p> Signup and view all the answers

What is the primary trigger for quality improvement in pharmacy settings?

<p>Patient safety incidents (D)</p> Signup and view all the answers

What is the primary purpose of Control Charts in Six Sigma?

<p>To monitor process stability and variation (A)</p> Signup and view all the answers

What is the primary benefit of using Six Sigma in pharmacy settings?

<p>Reduction in dispensing errors (A)</p> Signup and view all the answers

What is the primary focus of the Analyse phase in Six Sigma?

<p>Analysing root causes of problems (C)</p> Signup and view all the answers

What is the primary role of Process Mapping in Six Sigma?

<p>To visualize workflow for improvement (C)</p> Signup and view all the answers

What is the primary goal of the Control phase in Six Sigma?

<p>To control the process and sustain changes (C)</p> Signup and view all the answers

What is the primary purpose of the '5 Whys' technique in Pareto analysis?

<p>To get to the root cause of each problem (A)</p> Signup and view all the answers

What is the benefit of using a control chart in process improvement?

<p>It enables to distinguish between variation in a measure due to common causes and special causes (A)</p> Signup and view all the answers

What is the primary purpose of establishing measures in an improvement project?

<p>To know that a change is an improvement (B)</p> Signup and view all the answers

What is the primary role of the Project Sponsor in an improvement team?

<p>To provide resources and support (A)</p> Signup and view all the answers

What is the primary focus of the 'forming the team' step in the improvement model?

<p>Bringinging diverse perspectives and expertise to fuel more effective ideas for change (C)</p> Signup and view all the answers

What is the primary purpose of process mapping?

<p>To visualize workflow for improvement (A)</p> Signup and view all the answers

What is the primary benefit of using Pareto analysis?

<p>It enables to prioritize problems based on their impact (D)</p> Signup and view all the answers

What is the primary purpose of selecting changes to test in an improvement project?

<p>To make a change that will result in improvement (C)</p> Signup and view all the answers

What is the primary purpose of the 'testing changes' step in the improvement model?

<p>To evaluate the effectiveness of the change (D)</p> Signup and view all the answers

What is the primary purpose of implementing changes in an improvement project?

<p>To put the change into practice and make it a part of the workflow (B)</p> Signup and view all the answers

According to the definition of Quality Improvement, what is its primary focus?

<p>Improving system performance and professional development (C)</p> Signup and view all the answers

What is Clinical Governance in the NHS?

<p>A system to improve patient care (C)</p> Signup and view all the answers

What is the primary goal of Quality Improvement initiatives?

<p>To improve patient outcomes and system performance (C)</p> Signup and view all the answers

What is the definition of Quality Improvement according to the BMJ?

<p>Improvement in patient outcomes, system performance, and professional development (C)</p> Signup and view all the answers

What is the key principle of Quality Improvement approaches?

<p>Using a systematic change method and strategies (D)</p> Signup and view all the answers

What is the primary focus of Quality Improvement?

<p>Making a difference to patients by improving safety, effectiveness, and experience of care (B)</p> Signup and view all the answers

What is the primary focus of quality improvement in healthcare?

<p>To make changes to routine care and improve processes (A)</p> Signup and view all the answers

What is the main goal of audit in healthcare?

<p>To compare current practice to recommended standards (A)</p> Signup and view all the answers

What is the primary difference between quality improvement and research in healthcare?

<p>Quality improvement focuses on making changes to routine care, while research focuses on evaluating the effectiveness of treatments (B)</p> Signup and view all the answers

What is the primary purpose of the Institute of Medicine's definition of quality?

<p>To define the six domains of healthcare quality (C)</p> Signup and view all the answers

What is the primary focus of the NHS's definition of quality?

<p>To focus on safety, experience, and effectiveness of care (A)</p> Signup and view all the answers

What is the primary purpose of improvement work in healthcare?

<p>To make changes to routine care and improve processes (D)</p> Signup and view all the answers

What is the primary benefit of using quality improvement approaches in healthcare?

<p>To improve patient care and outcomes (B)</p> Signup and view all the answers

What is the primary focus of Dr. Haraden's comment on audit?

<p>Audit is used to compare current practice to recommended standards (C)</p> Signup and view all the answers

What is the primary purpose of clinical research in healthcare?

<p>To evaluate the effectiveness of medical treatments (C)</p> Signup and view all the answers

What is the primary focus of quality improvement initiatives in healthcare?

<p>To make changes to routine care and improve processes (B)</p> Signup and view all the answers

What is the primary goal of ensuring equitable care?

<p>To provide care that is of the same quality regardless of personal characteristics (B)</p> Signup and view all the answers

What is the purpose of Root Cause Analysis?

<p>To troubleshoot solutions to problems by analysing what is causing them (A)</p> Signup and view all the answers

What is the purpose of Measurement in improvement methodology?

<p>To understand the source of variation and reduce it (D)</p> Signup and view all the answers

What is the focus of Lean?

<p>To improve flow and eliminate waste (A)</p> Signup and view all the answers

What is the purpose of Statistical Process Control?

<p>To interpret measures presented over time (C)</p> Signup and view all the answers

What is the primary goal of the 'thinking part' of the improvement methodology model?

<p>To answer three fundamental questions (A)</p> Signup and view all the answers

What is the focus of Process Mapping?

<p>To communicate how a process works in a concise and straightforward way (C)</p> Signup and view all the answers

What is the primary focus of Quality Improvement initiatives in healthcare?

<p>To improve the quality of care provided (D)</p> Signup and view all the answers

What is the primary purpose of 'Plan, Do, Study, Act' (PDSA) cycles?

<p>To make rapid change (A)</p> Signup and view all the answers

What is the primary goal of eliminating waste in Lean?

<p>To eliminate non-value added steps (A)</p> Signup and view all the answers

What does the SIX SIGMA methodology aim to achieve in terms of steps and time?

<p>Reduce the number of steps and time needed to serve customers (A)</p> Signup and view all the answers

What is Process Capability in Six Sigma?

<p>The ability of a process to deliver what the customer wants (A)</p> Signup and view all the answers

What is the purpose of the Define phase in Six Sigma?

<p>To understand the needs of the customers or new business objectives (B)</p> Signup and view all the answers

What is the first step in performing a Pareto Analysis?

<p>Identify and list problems (D)</p> Signup and view all the answers

What is the primary purpose of the Measurement phase in Six Sigma?

<p>To collect data on the current process (D)</p> Signup and view all the answers

What is the purpose of identifying the root cause of each problem in Pareto Analysis?

<p>To understand the underlying reason for the problem (A)</p> Signup and view all the answers

What is the purpose of grouping problems together by common cause in Pareto Analysis?

<p>To prioritize problems based on their impact (C)</p> Signup and view all the answers

What is the purpose of the Improvement phase in Six Sigma?

<p>To implement changes to the process and accumulate data to check for measurable improvement (B)</p> Signup and view all the answers

What is the primary purpose of the Control phase in Six Sigma?

<p>To control the process and sustain changes (B)</p> Signup and view all the answers

What is the purpose of scoring problems by importance in Pareto Analysis?

<p>To prioritize problems based on their impact (A)</p> Signup and view all the answers

What is the primary benefit of using Pareto Analysis?

<p>To save energy and resources for what's important (B)</p> Signup and view all the answers

What is the benefit of using Pareto Analysis in Six Sigma?

<p>Identifying and prioritizing problems (C)</p> Signup and view all the answers

What is the purpose of Control Charts in quality improvement?

<p>To monitor process stability and variation (C)</p> Signup and view all the answers

What is the focus of the 'Eliminate Waste' principle in quality improvement?

<p>Eliminating unnecessary steps or activities (D)</p> Signup and view all the answers

What is the primary purpose of forming a team in the improvement model?

<p>To improve the process with diverse perspectives and expertise (C)</p> Signup and view all the answers

What is the primary trigger for quality improvement in pharmacy settings?

<p>Patient safety incidents (C)</p> Signup and view all the answers

What is the primary goal of testing a change in the PDSA cycle?

<p>To decide whether the proposed change will work in the actual environment of interest (D)</p> Signup and view all the answers

What is the benefit of using Fishbone Diagrams in Six Sigma?

<p>Identifying the root cause of problems (D)</p> Signup and view all the answers

What is the purpose of establishing measures in the improvement model?

<p>To know that a change is an improvement (D)</p> Signup and view all the answers

What is the primary purpose of selecting changes in the improvement model?

<p>To make changes that will result in improvement (D)</p> Signup and view all the answers

What is the purpose of spreading a successful change to other contexts?

<p>To take a change that has been successful in one context and use it in another (C)</p> Signup and view all the answers

What is the primary benefit of using the improvement model?

<p>To ensure that changes are sustained over time (A)</p> Signup and view all the answers

What is the role of a change agent or champion in quality improvement initiatives?

<p>To lead the implementation of the change (A)</p> Signup and view all the answers

What is the primary focus of the 'Change the Work Environment' principle in quality improvement?

<p>To improve the physical work environment (B)</p> Signup and view all the answers

What is the purpose of establishing a causal relationship between the change and the desired outcome?

<p>To determine the effectiveness of the change (D)</p> Signup and view all the answers

What is the primary focus of the 'Producer/Customer Interface' principle in quality improvement?

<p>To improve the interaction between producers and customers (D)</p> Signup and view all the answers

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