| Term 
 
        | When discussing quality of care always ask what question? |  | Definition 
 
        | From the perspective of whom? |  | 
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        | Term 
 
        | What is the only correct answer to "What is your error rate?" |  | Definition 
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        | Term 
 
        | Adverse drug reaction a ridiculous term? |  | Definition 
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        | Term 
 
        | What is the rate of impatient medication errors |  | Definition 
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        | Term 
 
        | Is education considered a system change? |  | Definition 
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        | Term 
 
        | T/F the last person involved in an error is responsible for the error |  | Definition 
 
        | No.  People are rarely responsible for errors. |  | 
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        | Term 
 
        | Ernest Codman assessed outcome by |  | Definition 
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        | Term 
 
        | Donabedian assessed out com by |  | Definition 
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        | Term 
 
        | 3 pieces of the Donabedian model framework |  | Definition 
 
        | 1. Structure (setting) 2. Process (How)
 3. Outcome
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        | Term 
 | Definition 
 
        | Identify audience, and make it important to the audience |  | 
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        | Term 
 
        | Attributes of a good metric |  | Definition 
 
        | 1. Clearly defined 2. Information rich
 3. Sensitive to intervention
 4. Actionable
 5. Evidence based
 6. Objective and unbiased
 7. Feasible
 8. Reliable/consistent
 8. Leads to correct conclusion
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        | Term 
 | Definition 
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        | Term 
 | Definition 
 
        | Specific Meaningful
 Attainable
 Relevant
 Time-based
 Evaluated\engaged
 Reevaluated
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        | Term 
 
        | Which hospital is safer? A: 100 errors reported --> 1 system change
 
 B: 10 errors reported --> 5 system changes
 |  | Definition 
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