3. Root Cause Analysis (RCA) Process designed to investigate and categorize the root causes of events that occur Conducted by risk management department , Results presented to quality improvement (QI) department for follow up.
4. What is the purpose of root cause analysis ? to identify and categorize all factors leading up to an error.
5. What is the Joint Commission? The JC is the major accrediting body for health care institutions that are Medicare and Medicaid funded. They set standards for safe practice and evaluate compliance. Accreditation means organization’s commitment to quality. Nearly all hospitals must be TJC-accredited in order to stay in business.
6. National Patient Safety Goals (NPSF) A primary driving force for continues quality improvement (CQI) activities Set by TJC Summary Table 22-1 p 487
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9. Quality Improvement (QI) Process or activities that are used to measure, monitor, evaluate, and control services.
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12. functions along service lines, collaborating to improve care for a group of pts Examples of service lines: surgical units, medical units, neuro, rehab, etc.
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15. a measurement to determine the rate of compliance or non compliance with an indicator.
