ABQAURP: Quality improvement,
management, and assurance Solved Correctly!!Abraham Flexner Answer- quality should be measured, outcomes are critical evolved from his initial idea.EA Codman MD Answer- Boston surgeon, early 1900s. Founded ACS and Hosp Standardization Program which became JCHO.John Williamson MD Answer- Pioneer leader in health care outcomes research and its implementation, awarded EA Codman award in 2000.Avedis Donabedian MD Answer- individual who brought modern quality assurance techniquest to modern medicine. Emphasized structure, process and outcomes as focal points of analysis of medical care quality.Walter Shewhart Answer- Plan Do Check Act. His main work was statistical quality control.
- Edwards Deming MD Answer- 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
Special Cause Answer- 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 Common Cause Answer- 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.Joseph Juran Answer- Total Quality Control. While many factors influence a system, only a vital few factos will significantly change the system. This is complementary to special cause and common cause.Total Quality Control Answer- trilogy of quality planning, quality control, and quality improvement. emphasizes the need for the entire organization to participate.Philip Crosby Answer- Cost of Non-Conformance to help quanitfy the financial benefits of doing things right the first time.
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