An undesirable and usually unanticipated event,
such as a death or patient, an employee, or a visitor in a healthcare
Data collected and reported by organizations as a
sum or total over a given time period, for example, monthly or quarterly.
The process of preparing
the results or conclusions of a study. An analysis usually is performed by
doing mathematical calculations known as statistics.
Used to study the functioning of a process.
Continuous measurement of a process, product, or
service compared to those of the toughest competitor, to those considered
industry leaders, or to similar activities in the organization in order to
find and implement best practices.
An organizational culture characterized by a
shared vision, shared leadership, and empowered workers, cooperation among
organizational units as they work to improve processes, a high degree of
openness to feedback and data, and optimization of the organizational whole
versus its many parts.
Raw facts and figures.
Evidence Based Practice
Applying the best available research results (evidence) when making decisions about health
care. Health care professionals who perform evidence-based practice use
research evidence along with clinical expertise and patient preferences.
Systematic reviews (summaries of health care research results) provide
information that aids in the process of evidence-based practice.
Failure Mode and Effect Analysis (FMEA)
A systematic way of examining a design
prospectively for possible ways in which failure can occur. It assumes that
no matter how knowledgeable or careful people are, errors will occur in some
situations and may even be likely to occur.
The documentation for any unusual problem,
incident, or other situation that is likely to lead to undesirable effects or
that varies from established policies and procedures or practices. Synonym:
A measure used to determine, over time,
performance of functions, processes, and outcomes.
An interpreted set of data; organized data that
provides a basis for decision-making.
The accuracy, consistency, and completeness of data
The sum of all the scores or values divided by the
total number of function or process.
To collect quantifiable data about a dimension of
performance of a function or process.
The systematic process of data collection, repeated
over time or at a single point in time.
A planned, systematic, and ongoing process to
gather and organize data and aggregate results.
The result of the performance (or nonperformance)
of a function or process(es).
Freedom from accidental or preventable insures
produced by medical care.
The way in which an individual, group, or
organization carries out or accomplishes it important functions and
A measure, such as a standard or indicator, used
to assess the performance of a function or process of an organization.
To formulate or describe the approach to achieving
the goals related to improving the performance of the organization.
Plan-Do- Study-Act (PDSA)
A four-part method for discovering and correcting
assignable causes to improve the quality of processes.
A goal-directed, interrelated series of actions,
events, mechanisms or steps.
Mechanisms utilized to make improvements to a process
through the use of continuous quality improvement methods
An act or omission that naturally and directly
produces a consequence. It is the superficial or obvious cause for an
The most fundamental reason for the failure or
inefficiency of a process.
Root Cause Analysis
Processes for identifying the basic or causal
factor(s) that underlie variation in performance, including the occurrence or
possible occurrence of a sentinel event.
Safety of Culture
A commitment to safety that permeates all levels
of an organization from frontline personnel to executive management
A finite part of a statistical population whose
properties are studied to gain information about the whole.
Statement of structure and process expectations
necessary to enhance quality care.
An unexpected occurrence involving death or
serious physical or psychological injury, or the risk thereof. A systematic
way of examining a design prospectively for possible ways in which failure
can occur. It assumes that no matter how knowledgeable or careful people are,
errors will occur in some situations and may even be likely to occur.
Signals for detecting likely adverse events
The degree to which an instrument measures what it
is intended to measure
A measure of the differences in a set of
The differences in results obtained in measuring
the same phenomenon more than once.
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