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HCM520 Quality and Patient Safety
Final Review Guide
Modules 1-7; 9-14
Fall 2025
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Module 1
▸ Know the major principles and concepts used in defining and measuring quality.
▸ Know the basic concepts of healthcare quality to a real-world healthcare setting.
▸ Know the role of the book To Err is Human and how it impacted policy makers,
regulators, providers, consumers through the patient safety experience
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Module 2
▸ Know the quality measures and tools that focus on medical malpractice.
▸ Know the ‘Swiss cheese’ model and its importance in preventing accidents and
improving safety
▸ Know the role of leaders in terms of promoting high-reliability organizations
▸ Know the intricacies of effective communication and teamwork as they relate to
healthcare quality and improvement.
▸ Know the different types of variation in medical practice
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Module 3
▸ Be able to describe how variation is different in healthcare than industrial
improvement
▸ Know the tools for analyzing variation data: league tables and caterpillar charts,
forest plots, statistical process control (SPC)
▸ Know the difference between unwarranted and warranted variation
▸ Know the differences between descriptive, enumerative, and analytic statistics, and
how each type is applied to healthcare quality improvement
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Module 4
▸ Know the goals of physician profiling and provider registries
▸ Know what benchmarking is and its purpose
▸ Know the Key features of a teamwork, the characteristics of effective teams and the
approaches defining communication
▸ Know how healthcare organizational infrastructure and staffing influence quality.
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Module 5
▸ Know the difference between scorecard, benchmark, dashboard, histogram
▸ Know the purpose of quality measures and metrics in healthcare
▸ Know various tools for data gathering and what each tool gathers (ie: surveys obtain
anonymous feedback about quality)
▸ Be able to explain how to make scorecard data useful
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Module 6
▸ Know about patient experience data and its relation to outcomes and safety
▸ Know the difference between population health and public health
▸ Know what data strategies identify patient needs (ie: randomization,
segmentation, etc)
▸ Know the reason and importance of information credibility
▸ Be able to list/describe three key areas of patient experience improvement
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Module 7
▸ Know the applications of simulation for healthcare, patient safety, and quality
▸ Know the terminology commonly used in the simulation landscape (fidelity,
realism, facilitator, etc)
▸ Know the methods, including the use of information technology, for reducing or
preventing errors and adverse events.
▸ Know what simulation is used for
▸ Identify and differentiate the three major categories of diagnostic cognitive
errors—faulty knowledge, faulty data gathering, and faulty synthesis
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Module 9
▸ Know the Accreditation Council for Graduate Medical Education’s Clinical Learning
Environment Review Program
▸ Know about the Key Drivers to Improve Safety Culture
▸ Know the six specific areas of the Clinical Learning Environment Review program
▸ Know the key drivers of the safety culture
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Module 10
▸ Know why Is quality the board’s responsibility
▸ Know about governance in healthcare organization and its role in patient safety
and quality
▸ Know the relationship between the board and hospital management for ensuring
quality
▸ Know the best practices for quality oversight
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Module 11
▸ Know about measuring adverse outcomes and how to best improve quality
▸ Know Health IT Use in Healthcare Quality and SafetyKnow
▸ Know the common health IT interventions for best clinical decision making
(alerts, customized health IT solutions, bar-codes, Clinical decision support, etc)
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Module 12
▸ Know the measurement Cycle (Collect-Analyze-Review (CAR) and its purpose in
healthcare
▸ Know the importance and steps of measurement in the Model for Improvement
model
▸ Know the Donabedian’s framework for evaluating healthcare quality
▸ Know what continuous quality improvement depends on
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Module 13
▸ Know the concept of healthcare quality, including its key dimensions, principles of safe
and cost-effective care
▸ Know the component of the Institute for Healthcare Improvement’s triple aim
▸ Describe the relationship between healthcare quality and safety and explain how system
design can prevent errors and manage patient care variability.
▸ Know retrospective and prospective approaches to healthcare quality improvement
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Module 14
▸ Know the definitions of safety and reliability according to the National Academy of
Medicine
▸ Explain how safety and reliability are emergent properties of healthcare systems that
arise from the consistent interactions of multiple system components
▸ Know a complete safety management system for healthcare would include
▸ Know the different tools developed for project management (Driver diagram,
Fishbone diagram, Gantt chart, etc)
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Thank You!
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