Competency: 304.2: Assess findings from quality reviews of reported events to design and implement system improvements through root cause analysis.

The actions the healthcare community takes in response to adverse medical events and patient safety concerns are of paramount importance. The new knowledge acquired and the processes implemented become dispersed throughout patient care. In this competency you will work through the regulatory and Quality Improvement steps that follow adverse medical events.

Assignment

Read chapter 16 from Hoyt

Directions

Create a three-column table for the Six Aims for Improvement, adopted from the Institute of Medicine’s Crossing the Quality Chasm (2001). Using the failed system you described in the previous competency (304.1), fill in examples of when each of the six criteria was met or not met (or could be improved). Column one should list the six aims and their definitions, column two should list instances when the aim was met, column three should be instances when the aim was not met.