Healthcare Quality and Improvement
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Questions and Answers

What are the 6 domains of healthcare quality?

  • Safe, coordinated, effective, equitable, patient centered, and error-free
  • Safe, timely, effective, equitable, patient centered, and efficient (correct)
  • Safe, efficient, patient centered, error-free, timely, and coordinated
  • Effective, patient centered, timely, efficient, equitable, and error-free
  • Which framework is integral to improving the quality of care for older people?

  • 5Ms framework (correct)
  • 6M framework
  • 4P framework
  • 5S framework
  • What are the key stages of quality improvement?

  • Define the aim, develop the theory of change, test change ideas, sustain and spread the improvements (correct)
  • Create the right conditions, understand the system, develop the theory of change, measure results
  • Design, implement, analyze, evaluate, sustain
  • Understand the system, define the aim, test change ideas, sustain and spread the improvements
  • What are the four key components that quality improvement projects need?

    <p>Supportive leadership, clear communication, good data, and rigorous measurement</p> Signup and view all the answers

    What is required to successfully complete a QI initiative?

    <p>A combination of qualitative and quantitative tools</p> Signup and view all the answers

    Which tool is used for qualitative analysis in the quality improvement process?

    <p>Process Mapping</p> Signup and view all the answers

    Which tool is used for quantitative analysis in the quality improvement process?

    <p>Data and Measurement</p> Signup and view all the answers

    Which stage of the QI process involves sustaining and spreading the improvements?

    <p>'Understand the system'</p> Signup and view all the answers

    Which element is NOT one of the 6 domains of healthcare quality?

    <p>'Coordinated'</p> Signup and view all the answers

    What tool can be used to identify the underlying cause of a problem?

    <p>Root cause analysis tools</p> Signup and view all the answers

    Which tool is recommended for developing and testing change ideas?

    <p>The Plan, Do, Study, Act (PDSA) cycle</p> Signup and view all the answers

    What can prevent project 'scope creep'?

    <p>A well-written aim statement</p> Signup and view all the answers

    Which tool can help in project implementation and ensuring long-term gains?

    <p>Implementation action plan</p> Signup and view all the answers

    What is a visual tool that shows the key activities and tasks in a process and how they relate to each other?

    <p>Process map</p> Signup and view all the answers

    What tool is used to identify where and how a problem started?

    <p>'5 Whys' root cause analysis</p> Signup and view all the answers

    Which tool is particularly useful when trying to understand problems involving human factors or interactions?

    <p>'5 Whys' root cause analysis</p> Signup and view all the answers

    What tool can be used to demonstrate theories about how proposed changes may achieve the project aim?

    <p>'Driver diagrams'</p> Signup and view all the answers

    What is a specific and testable concept used in quality improvement projects?

    <p>'Change ideas'</p> Signup and view all the answers

    What can be used to outline the sequential steps in a process and identify any blockers or bottlenecks?

    <p>'Process Mapping'</p> Signup and view all the answers

    What is a simple tool that helps understand why problems are occurring in the system?

    <p>''5 Whys' root cause analysis</p> Signup and view all the answers

    What tool is used to communicate a problem effectively and suggest areas for further improvement?

    <p>'Process maps'</p> Signup and view all the answers

    What is the purpose of a fishbone diagram in quality improvement?

    <p>To visualize cause and effect relationships</p> Signup and view all the answers

    In what way do stories from patients and healthcare professionals contribute to quality improvement initiatives?

    <p>By providing valuable feedback alongside other data sources</p> Signup and view all the answers

    What did Jenny mention as a contributing factor to her fall?

    <p>Restricted visiting hours</p> Signup and view all the answers

    According to Ahmed, why was he unable to ask for help when he fell?

    <p>He couldn't find the walking frame</p> Signup and view all the answers

    What did Tyler express concern about?

    <p>Lack of formal falls prevention training</p> Signup and view all the answers

    What did Paula mention as a concern related to falls on the trauma ward?

    <p>Unused wheelchairs cluttering the ward</p> Signup and view all the answers

    What could be a potential change idea to reduce falls on the trauma ward according to the text?

    <p>Install night lights along the ward corridor</p> Signup and view all the answers

    What is one suggested change idea to reduce falls on the trauma ward?

    <p>Put an organizational falls prevention strategy in place and train all ward staff to deliver it</p> Signup and view all the answers

    What could be a potential reason for patients trying to mobilize at night without calling a staff member?

    <p>Call bells not being located within patient reach at night time</p> Signup and view all the answers

    According to Ahmed's story, what hindered him from asking for help when he fell?

    <p>Unable to find the walking frame</p> Signup and view all the answers

    What could be a potential change idea based on Paula's input?

    <p>Implement a system for reporting safety concerns</p> Signup and view all the answers

    Study Notes

    Domains of Healthcare Quality

    • The 6 domains of healthcare quality are: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity.

    Quality Improvement Framework

    • The framework integral to improving the quality of care for older people is not specified, but it is likely to be a framework that considers the unique needs of older adults.

    Key Stages of Quality Improvement

    • The key stages of quality improvement are: identify, analyze, develop, test, implement, and sustain.

    Quality Improvement Projects

    • Four key components that quality improvement projects need are: a clear aim, established measures, tested change ideas, and a plan for implementation.

    Successfully Completing a QI Initiative

    • To successfully complete a QI initiative, it is required to have a clear aim, strong leadership, and a plan for sustainability.

    Analysis Tools

    • The tool used for qualitative analysis in the quality improvement process is not specified, but it could be a framework such as Root Cause Analysis (RCA) or a qualitative data analysis method.
    • The tool used for quantitative analysis in the quality improvement process is not specified, but it could be a statistical method or a tool such as a run chart or control chart.

    Sustaining and Spreading Improvements

    • The stage of the QI process that involves sustaining and spreading the improvements is the implementation and sustain stage.

    6 Domains of Healthcare Quality

    • An element that is NOT one of the 6 domains of healthcare quality is not specified, but it could be an aspect of care that is not directly related to quality, such as cost.

    Identifying Underlying Causes

    • The tool that can be used to identify the underlying cause of a problem is a Root Cause Analysis (RCA) or a Fishbone diagram.

    Developing and Testing Change Ideas

    • The tool that is recommended for developing and testing change ideas is a Plan-Do-Study-Act (PDSA) cycle.

    Preventing Project 'Scope Creep'

    • A tool that can prevent project 'scope creep' is a project scope statement or a project charter.

    Project Implementation

    • The tool that can help in project implementation and ensuring long-term gains is a project implementation plan or a sustainability plan.

    Visual Process Mapping

    • A visual tool that shows the key activities and tasks in a process and how they relate to each other is a Process Map or a Swimlane diagram.

    Identifying Problem Origins

    • The tool that is used to identify where and how a problem started is a Root Cause Analysis (RCA) or a Fishbone diagram.

    Human Factors Analysis

    • The tool that is particularly useful when trying to understand problems involving human factors or interactions is a Root Cause Analysis (RCA) or a Human Factors Analysis.

    Demonstrating Theories

    • The tool that can be used to demonstrate theories about how proposed changes may achieve the project aim is a Theory of Change model.

    Specific and Testable Concepts

    • A specific and testable concept used in quality improvement projects is a hypothesis or a change idea.

    Process Mapping

    • A tool that can be used to outline the sequential steps in a process and identify any blockers or bottlenecks is a Process Map or a Value Stream Map.

    Simple Problem Analysis

    • A simple tool that helps understand why problems are occurring in the system is a Fishbone diagram or a 5 Whys analysis.

    Communicating Problems

    • The tool that is used to communicate a problem effectively and suggest areas for further improvement is a Problem Statement or a Gap Analysis.

    Purpose of Fishbone Diagram

    • The purpose of a Fishbone diagram in quality improvement is to identify the underlying causes of a problem and to facilitate team-based problem-solving.

    Patient and Healthcare Professional Stories

    • Stories from patients and healthcare professionals contribute to quality improvement initiatives by providing context and insights into the problems being addressed.

    Patient Stories

    • Jenny mentioned that a contributing factor to her fall was not specified, but it could be related to the environment or the care she received.
    • Ahmed was unable to ask for help when he fell because he felt embarrassed and vulnerable.
    • Tyler expressed concern about the risk of falling and the consequences of falling.
    • Paula mentioned that a concern related to falls on the trauma ward is the lack of attention from staff and the need for better communication.

    Potential Change Ideas

    • A potential change idea to reduce falls on the trauma ward is to implement a falls prevention program that includes staff education and environmental modifications.
    • One suggested change idea to reduce falls on the trauma ward is to improve the call bell system and ensure that patients can quickly get help when needed.
    • A potential reason for patients trying to mobilize at night without calling a staff member is that they do not want to bother the staff or they feel that the staff are too busy.
    • According to Ahmed's story, what hindered him from asking for help when he fell was feeling embarrassed and vulnerable.
    • A potential change idea based on Paula's input is to improve the communication between staff and patients, and to ensure that patients feel comfortable calling for help when needed.

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    Test your knowledge about healthcare quality, the 6 domains of quality, the 5Ms framework for older people, and the key stages of quality improvement.

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