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Quality improvement, management, and assurance ABQAURP 2025 complete questions (frequently tested) and answers| already graded A+
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quality should be measured, outcomes are critical evolved from his initial idea. - correct answer ✅Abraham Flexner Boston surgeon, early 1900s. Founded ACS and Hosp Standardization Program which became JCHO. - correct answer ✅EA Codman MD Pioneer leader in health care outcomes research and its implementation, awarded EA Codman award in 2000. - correct answer ✅John Williamson MD individual who brought modern quality assurance techniques to modern medicine. Emphasized structure, process and outcomes as focal points of analysis of medical care quality. - correct answer ✅Avedis Donabedian MD Plan Do Check Act. His main work was statistical quality control. - correct answer ✅Walter Shewhart
Introduced 14 points for managment and 7 deadly diseases. Believed system had more impact than individuals. Cited two possible reasons for undesirable performance: special cause and common cause - correct answer ✅W. Edwards Deming MD results from an unpredicted action on a system. Ex: increase LOS due to injuries from hospital roof collapse. Look like blips on a control chart. Utilize the most resources to correct, but have the least impact on improving the system - correct answer ✅Special Cause day to day variations within a system. Result in zigzagging of the measurement within the standard deviation. Has the greatest impact on improving pt outcomes. - correct answer ✅Common Cause Total Quality Control. While many factors influence a system, only a vital few factos will significantly change the system. This is
improve care for the majority of patients. - correct answer ✅Quality Assurance seeks opportunities to improve care by improving outcomes, getting better at what is already done well. Deals with both neg and pos outcomes.More likely to focus on processes and systems than indivuals. - correct answer ✅Quality Improvement/Performance Improvement builds on previous improvements and uses a systematic process, inc data analysis, to continuously enhance performance. focuses more on processes than on individulas. Analyzes data and info to spot new opportunities. Ex is reduction in LOS for lap chole from 5d for trad chole to OP. - correct answer ✅Continuous Quality Improvement encompasses QA, QI and CQI and adds dimension of organizational improvement and focus on customer desires. Ex: lithotripsy of gallstones. Should be regarded as culmination of hte quality process rather than an indivisual unique aspect. - correct answer ✅Total Quality Management
unanticiped death, unrelated major loss of function, IP suicide, rape, infant abduction, hemolytic transfusion rxn, wrong site surgery. - correct answer ✅Sentinel Events determinal proximal cause and the root cause. Addresses cultural factors and these are required for analysis. - correct answer ✅Root Cause Analysis Japan, focused initially on production systems. Based on data and continuous improvement, aheived by process flow and eleiminated unnecessary steps or those that don't add value. - correct answer ✅LEAN quality approach using data driven info to eliminate defects, i.e.,achieve a theoretical "6 standard deviations" bt the mean an dnearest specification limit. The process must not produce more than 3.4 defects per million opportunities. Customer driven.