NURS104/UNIT12 - Comprehensive Guide to Patient-Centered Care, Quality, and Safety in Healthcare pg.397(patient center care)

What is a Hospital-Acquired Condition (HAC)?

A condition that a patient develops during their hospital stay which was not present at admission.

What does the National Academy of Medicine (NAM) focus on?

Improving healthcare quality and safety through research and policy.

What are Never Events?

Serious, costly, and preventable errors that should never happen in a healthcare setting.

What is Quality Improvement (QI)?

A systematic approach to assess and enhance healthcare processes for better patient outcomes.

What does RCA² stand for?

Root Cause Analyses and Actions, a method for identifying the root causes of problems.

What defines a Sentinel Event?

An unexpected occurrence involving death or serious physical or psychological injury.

What is The Joint Commission (TJC)?

An organization that provides voluntary accreditation for healthcare organizations.

What does patient-centered care involve?

Respecting and responding to individual patient preferences, needs, and values.

What is the main goal of patient-centered care?

To support patients in living their best possible lives according to their unique experiences.

What is the SHARE approach in healthcare?

A method to facilitate shared decision-making among patients and healthcare providers.

What is the main finding of the Institute of Medicine's report, 'To Err Is Human'?

Approximately 98,000 patients die annually from preventable medical errors.

What does the 'Crossing the Quality Chasm' report identify?

The U.S. healthcare system fails to provide consistent, high-quality care to all Americans.

What does the STEEEP framework stand for?

Safe, Timely, Effective, Efficient, Equitable, and Patient-centered.

What is Total Quality Management (TQM)?

A management approach that focuses on continuous improvement of processes in organizations.

What is Continuous Quality Improvement (CQI)?

An ongoing effort to improve products, services, or processes in a systematic fashion.

What is the role of the Centers for Medicare and Medicaid Services (CMS) in healthcare?

To mandate quality management activities as part of hospital conditions of participation.

What does accreditation by The Joint Commission provide to healthcare organizations?

Deemed status that allows organizations to automatically meet federal standards.

What are Clinical Pathways?

Standardized processes that define the optimal sequence and timing of interventions for specific diagnoses.

What is the significance of the Institute for Healthcare Improvement (IHI)?

Promotes patient safety and quality through systematic change methodologies.

What are the National Patient Safety Goals (NPSGs)?

Goals set by TJC to focus on critical areas for patient safety improvement.

What is a root cause analysis?

A systematic process for identifying the root causes of problems or adverse events.

What is the National Database of Nursing Quality Indicators (NDNQI)?

A voluntary, national database that tracks nursing quality indicators.

What does the QSEN initiative stand for?

Quality and Safety Education for Nurses, aimed at improving nursing education.

What are the six core competencies defined by QSEN?

Patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.

What is an example of a Never Event?

Wrong-site surgery or hospital-acquired infections such as central line infections.

What does quality improvement focus on?

Meeting the needs and wants of patients through systematic enhancements.

What are clinical protocols or algorithms?

Decision-making pathways that provide standardized steps for specific conditions.

What role do nurses play in patient safety?

Monitoring for complications, timely intervention, and care coordination.

What contributes to poor quality care according to IOM?

Overuse of costly invasive technologies and underuse of inexpensive care.

What is the desired outcome of the SHARE approach?

To engage patients in making informed decisions about their own treatment options.

How do standardized processes improve healthcare?

By applying best practices consistently across care settings to reduce variation.

What are key components of patient-centered care?

Developing personalized care plans, providing education, and engaging families.

How does CMS influence hospital practices?

By setting conditions of participation that mandate quality management.

What type of analysis is conducted after adverse events?

Root cause analyses to understand and prevent future occurrences.

What does the term 'equitable' refer to in the STEEEP framework?

Offering care without disparities among different patient populations.

What is an important method used in quality improvement initiatives?

Data monitoring to evaluate outcomes and implement evidence-based changes.

How does the IHI promote change in healthcare?

By encouraging the Plan-Do-Study-Act (PDSA) cycle for testing changes.

What is one of the main focuses of TJC's National Patient Safety Goals?

Effective communication among healthcare providers.

What does patient-centered care emphasize?

Partnership with patients and their families in the care process.

What is a key outcome of using performance measures in healthcare?

To incentivize providers to improve the quality of care delivered.

What role does user-friendly technology play in patient care?

Enhances patient education and engagement in their healthcare.

What are clinical pathways designed to achieve?

Reduce care variation and achieve expected clinical outcomes.

What is the significance of engaging families in patient care?

To support the patient's care experience in alignment with their values.

What type of errors do nurses particularly monitor for in their role?

Complications, errors, and adverse events during patient care.

What is an essential aspect of the healthcare system advocated for by the IOM?

Consistent, high-quality care that meets the needs of all patients.

What is the purpose of the National Database of Nursing Quality Indicators?

To help hospitals benchmark performance and improve nursing quality.

How does accreditation impact hospital operations?

It demonstrates compliance with rigorous patient safety and treatment standards.

What approach fosters an environment where patients are active partners in their care?

Collaborative communication among healthcare professionals.

What are some expected outcomes of implementing Clinical Pathways?

Enhanced cost-effectiveness and improved patient satisfaction.