What are the major attributes of quality health care select all that apply quizlet?

ANS: A, C, D, E Patient-focused outcomes can include indicators such as disease status, symptom experience, or pain. Other outcomes indicators incorporate a broader impact of disease and its management on clients' lives. These outcomes, often measured through surveys of patient perceptions and experiences, include quality of life, functional status, health status, and patient satisfaction.

ANS: B, C, A, E, D

In managing outcomes, the information derived from measuring client outcomes is collected, trends are identified, variances are examined, and appropriate care needs are determined to improve care to an individual, group, or population.

ANS: B Nurse-sensitive indicators refer to the structure, process, and outcomes of professional nursing care. These include falls and falls with injury, hospital-acquired pressure ulcers, health care-associated infections, nursing care hours per patient day, nursing care hours, nursing turnover, physical restraints, RN survey, and skill mix.

ANS: A, B, D The standards in seven areas of excellence established by the BNQA are: (1) leadership, (2) strategic planning, (3) customer and market focus (focus on patients, other customers, and markets), (4) information and analysis, (5) human resource focus, (6) process management, and (7) business results (organizational performance results).

ANS: C, D, E The Baldrige National Quality Award (BNQA) establishes a set of performance standards that define a total quality organization. Named after the Secretary of Commerce, the BNQA "was established by Congress in 1987 to enhance the competitiveness and performance of U.S. businesses" (National Institute of Standards and Technology, 2007, p. 1). The standards in seven areas of excellence are: (1) leadership, (2) strategic planning, (3) customer and market focus (focus on patients, other customers, and markets), (4) information and analysis, (5) human resource focus, (6) process management, and (7) business results (organizational performance results). Organizations committed to quality improvement choose to adopt the BNQA approach as another means of defining and improving their organizational processes to achieve quality outcomes.

ANS: A, B, C, E, F The current core measure sets include perinatal care, stroke, venous thromboembolism, substance use, tobacco treatment, hospital outpatient department, pneumonia measures, heart failure, acute myocardial infarction, surgical care improvement project, hospital-based inpatient psychiatric services, emergency department, children's asthma care, and immunization (TJC, 2016d).

ANS: D, C, G, E, F, A, H, B
The HFMEA is conducted by an interdisciplinary team of professionals who own the process being studied and is facilitated by someone with knowledge and skills in quality improvement tools. The HFMEA begins with flowcharting the steps of the process being studied. The team assesses risk points within the process steps, and these key risk points are ranked in terms of their impact on the potential failure of the system. Scores for severity and probability are calculated to give a hazard score to the identified breakdown, and detectability of the failure mode is factored into the analysis of its impact on the overall process. The team then designs out the most critical of the potential failures and recommends process improvements for prevention of the failures. Once these prevention strategies are identified, action plans for implementing them are reported to the enterprise leaders and endorsed for implementation

ANS: A, B, E, C, F, D

Quality planning follows a universal sequence of steps, as follows: Identify customers and target markets. Discover hidden and unmet customer needs. Translate these needs into product or service requirements: a means to meet their needs (new standards, specifications, etc.). Develop a service or product that exceeds customer's needs. Develop the processes that will provide the service or create the product in the most efficient way. Transfer these designs to the organization and the operating forces to be carried out (Juran Institute, 2009, pp. 1-2).

the attributes for quality health care as safe, effective, timely, patient-centered, efficient, and equitable. In Crossing the Quality Chasm the IOM states, "The health care environment should be safe for all patients, in all of its processes, all the time."5,p45 The major criteria associated with these attributes are safe, effective, and efficient care. These major attributes are shown in

is defined as the failure of a planned intervention or action to be completed as intended and includes a variation from the standard of care. This is referred to as an error of execution. These adverse events are caused by someone on the health care team or by a system failure, rather than by the underlying disease or condition of the patient. Another type of error is using the wrong plan to achieve an outcome, which is an error in diagnosis, planning, or delivery of care. errors are classified in the following ways:

• Near miss: A near miss is an error that could have caused harm to a patient, but did not, as a result of chance, prevention, or some intervention that mitigated the impact. Fortunately, the majority of adverse events that occur are considered near misses.

• Adverse event: Some errors result in moderate to severe harm to a patient. One of the most common adverse events familiar to nurses involves medication administration and these are called adverse drug events (ADEs).

• Sentinel event: A serious adverse event is called a sentinel event when a patient dies or has a serious, undesirable, and largely avoidable outcome as a result of the error.19

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