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Specialties » Obstetric and Neonatal Quality and Safety (ONQS)

Obstetric and Neonatal Quality and Safety » ONQS (Code 28)

Description

• Methods to assess organization, institutional and environmental culture and patient experience
• National Quality and Safety standards and clinical guidelines
• Quality and Safety metrics to identify state of performance, gaps and opportunities

• Quality and Safety aims, tools, checklists and communication strategies
• Team function, leadership, empowerment
• Training exercises, learning principles, mock codes and simulation
• Advocating for ongoing resources, risk assessment
• Inform and disseminate outcome data, benchmarking and transparency

• Selecting and monitoring key quality metrics
• Identify population, measures and data collection
• Integration into workflow, error prevention strategies and auditing

• Tools of evaluation (Fishbone, flow chart, run chart, control charts)
• Evaluate the balance between quality, outcomes and cost
• Strategies for sustainment and positive change

• Adverse events, disclosure, transparency, patient trust and mitigation
• Professionalism and ethical principles

Keywords

Accountable human error (at risk, reckless, intentional harm)

Adverse events and event reporting

Assessment strategies

Benchmarking

Blameless human error (inadvertent)

Care transitions

Clinical practice guidelines in obstetrical and neonatal care

Data collection strategies (Process tools, Huddle tools, Trigger tools & Chart review)

Data on key quality indicators (i.e., benchmarking/accountability)

Data standardization and retrieval

Debriefing

Difference between quality improvement projects and research

Dimensions of quality (Donabedian)

Domains of quality

Elements of effective disclosure

Errors and Risk reduction strategies (i.e., Bundles, Checklists, Flow sheets, Barcodes)

Ethical principles (Fairness, truthfulness, justice, beneficence, nonmaleficence, autonomy)

Gap analysis

Goal statements (i.e., specific, measurable, achievable)

Handoffs

Human factors that impact the work environment

Human psychology and cognition

I-PASS

Identification of waste

Improvement process

Improvement tracking (i.e., Data definitions, Data collection, Analysis)

Incident/safety reports

Institutional processes (Regulatory, Certifications, Accreditation & Peer-review)

Interplay between costs, quality and value

Leadership

Legal/statutory and national quality and safety standards in obstetrical and neonatal care

Mentoring

Methodologies of data display

Methods for determining human resource needs

Metrics

Models for improvement (i.e., PDSA/PDCA, Improve, Six sigma, Lean)

Opportunities for improvement

Organizational culture (Culture & Just culture)

Outcomes and performance improvement (i.e., Run charts, Control charts)

Participation and shared decision making

Principles of simulation (Unit drills, Simulated care processes)

Project team formation and dynamics

Psychological harm experience by the patient and second victims

QNS data to various stakeholders (i.e., Annual reports, publication, public reporting)

Quality and safety principles and terminology

Quality assurance versus quality improvement

Quality versus safety

Risk adjustment

Safety climate

SBAR

Standardization of EMR

Standardized communication

Steps in project sustainability (i.e., Communication, Reporting, Ongoing ownership)

Structural design standards (i.e., Resource placement, Signage)

System error

System goals

Systems thinking

Team development

Technology in quality improvements

Threats to implementation and sustainability (i.e., Competing priorities, Project fatigue, Knowledge degradation)

Types of error

Types of metrics (i.e., outcome, process, structure, access)