Term
Identify the 4 basic elements that must be proven in a malpractice case |
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Definition
1. Duty
2. Breach of Duty
3. Damages
4. Cause |
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Term
The process for ensuring qualifications for medical staff members in healthcare organizations is known as . . . |
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Definition
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Term
Peer review and performance improvement discussions, deliberations, records and proceedings of the medical staff committees are considered "discoverable" in a court. |
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Definition
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Term
The Federal Health Care Quality Improvement Act of 1986 confers immunity from civil liability for damages for actions taken by peer review bodies to the following individuals and entities: |
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Definition
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The professional body itself
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Any person acting as a member of a staff to the professional review body
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Any person under a contract or other formal agreement with the professional review body
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Term
A healthcare organization has the responsibility for disclosing these elements of adverse events to the patient or the patient's family. |
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Definition
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A factual explanation of the circumstances surrounding the adverse event
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An explanation of the impact of the adverse event on the patient's treatment, including treatment that may otherwise not have been necessary
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Steps that will be taken to correct or mitigate any injury
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An assurance that the physician and/ or other memebers of the patient care team will remain available to discuss any concerns that the patient or family may have
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Term
Chapter 22
The Institute of Medicine defined six aims for providing care that health care organizations and professionals should have focused and aligned. These six aims are: |
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Definition
- safe
- effective
- patient centered
- timely
- efficient
- equitable
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Term
Identify Peter Senge's suite of five disciplines that individuals should master to be able to approach quality from a systems orientation rather than a process orientation. |
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Definition
- a shared vision
- team learning
- personal mastery
- mental models
- systems thinking
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Term
A quality functional deployment is a two-step process that helps the concurrent engineering team identify the following: |
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Definition
1. factors that determine the quality of performance 2. actions that ensure the desired performance |
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Term
Identify the four groups of systems analysis tools |
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Definition
Modeling and simulation Enterprise management tools Financial engineering and risk management tools knowledge discovery in database |
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Term
List five steps required to apply Theory of Constraints |
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Definition
1. Identify the systems constraint 2. Decide how to exploit it. 3. Prioritize and synchronize decisions above everything else 4. Elevate the systems constraints 5. If in the above steps the constraint has shifted, go back to step one. Do not allow inertia to become the system constraint. |
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Term
The primary objective in healthcare for both the patient and provider is to |
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Definition
arrive at the desired outcome |
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Term
Which of the following statements regarding quality management in healthcare is true? |
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Definition
Healthcare Quality Improvement Methods have been adopted from the business sector. |
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Term
Clinical quality management focuses on the evaluation of |
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Definition
direct care and treatment of patients |
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Term
The current Joint Commission accreditation standards related to quality emphasize |
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Definition
measuring process of performance and using the data to improve care. |
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Term
The current Joint Commission quality initiative is called |
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Definition
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Term
The Institute of Medicine released a report in 2000, that focused attention on medical errors. According to the IOM, reports about errors indicate that |
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Definition
there is a gap between average care and best care |
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Term
The role of the health information professional in QM includes all of the following except- |
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Definition
making judgements about the quality of clinical care. |
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Term
An organization- wide QI plan in hospitals is required by |
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Definition
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Term
Which landmark legal case established responsibility of the hospital for the quality of care given by its physicians? |
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Definition
Darling vs Charleston Community Memorial Hospital |
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Term
Every healthcare organization's risk management plan should address |
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Definition
focus areas for the current year |
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Term
Which of the following is not a basic function of the utilization review process? |
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Definition
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Term
In assessing the quality of care given to patients with DM, the CQI group collects data regarding blood sugar levels on admission and discharge. This date is called- |
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Definition
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Term
The Donabedian Quality Assessment Model includes which three measures? |
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Definition
Structure, Process and Outcome |
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Term
The Joint Commission currently indentifies five core measures that provide an indication a healthcare facility's performance. The core measures include all of the following except- |
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Definition
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Term
Which of the following provides step-by-step guidance to physicians and others in making decisions related directly to patient care? |
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Definition
Clinical Practice Guidelines |
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Term
During the voluntary review process, the performance of a healthcare organization is measured against- |
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Definition
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Term
Which of the following documents the results of care for individual patients as well as for specific types of patients grouped by dx category? |
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Definition
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Term
Under the ORYX system, all hospitals and skilled nursing facilities must report outcome measures on at least - percent of their patients. |
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Definition
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Term
The process of reviewing and validating a physician's education and experience prior to granting medical staff membership is called - |
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Definition
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Term
Dr. Smith, an OBGYN specialist, is granted membership on the Medical Center Hospital medical staff, where she may offer care and treatment related to obstetrics . . . The process of defining what services she may perform is called - |
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Definition
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Term
During a hospital stay the social worker assesses the situtation and determines that LTC placement is necessary upon DC. This process is called- |
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Definition
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Term
A risk manager is called in to evaluate a situation in which a visitor to the hospital slipped on spilled water, fell, and fx'd his femur. This situation was referred to the Risk Manager because it involves a - |
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Definition
potentially compensable event |
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Term
The terrorists attacks of 9/11/2001, focused additional attention on which of the following components of Risk Management? |
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Definition
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Term
In 1998, the Joint Commission implemented a QI poicy that requires review of unexpected occurrences that result in death or serious physical or psychological injury. These occurrences are referred to as - |
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Definition
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Term
The systematic investigation of both the clinical and administrative reasons for the occurrences described above is called - |
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Definition
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