Quality and Safety acronyms quick guide

When we talk about quality and safety and how it’s measured, there are a lot of acronyms. But what do they all stand for and why are they important to quality and safety?

We’ve compiled a list of some of the most important quality and safety acronyms so we can all work together to better understand quality and safety initiatives within UI Health Care.

CAUTI: Catheter associated urinary tract infections

CAUTI is an infection that can occur in patients who have urinary catheters during their hospital stay. This is considered a healthcare acquired infection.

CLABSI: Central line associated bloodstream infection

CLABSI is an infection that can occur in patients who have an IV line placed in a large vein in the arm or chest. With this infection, bacteria are able to grow in the blood of the patient. This is considered a health care acquired infection.

C. Diff: Clostridium difficile

C. diff (Clostridium difficile) is a type of bacteria that causes an infection of the large intestine, resulting in severe diarrhea. This can be a health care acquired infection.

CAUTI, CLABSI, and C. diff rates are used to evaluate hospital quality on a national level.

FMEA: Failure modes effects analysis

This is a systematic, proactive method for evaluating a process to identify where and how it may fail, and to assess the relative impact of different failures. The goal is to identify parts that are most in need of change. Typically, the purpose of FMEA is to identify specific ways a product, process or service might fail. It is designed to prevent tragedy by identifying potential failures.

HAI: Health care associated infection

An HAI is an infection that a person gets while they are a patient in the hospital.

HAPI: Hospital acquired pressure injury

This is a localized injury to the skin and/or underlying tissue that occurs during an inpatient hospital stay.

HCAHPS: Hospital Consumer Assessment of Healthcare Providers and Systems

HCAHPS (pronounced ‘H-CAPS’) is a series of patient surveys rating their health care experiences. This survey is required by the Centers for Medicare and Medicaid Services (CMS) for all hospitals in the United States. They are important to quality and safety measures because they measure patient satisfaction, the extent to which a patient feels good about the health care they received. HCHAPS data is used to evaluate hospital quality on a national level.

LOS: Length of stay

This measures the number of days in a hospital for an admitted patient. It can be further clarified as average LOS, expected LOS, and actual LOS. A lower LOS is usually better for patients because it decreases the risk of developing healthcare associated infections. It also allows us to be more efficient, freeing up beds to treat more patients.

PSN: Patient Safety Net report

The PSN is a term used for the report an employee can file to report concerns about system issues, errors, near misses, and other problems identified in the work place. The report is reviewed by a member of the Quality Improvement Program (QuIP) team and area leadership, who provides appropriate follow-up.

QuIP: Quality Improvement Program

The Quality Improvement Program consolidates three hospital-based groups: Operations Excellence; Clinical Quality, Safety, and Performance Improvement; and Nursing Quality. This program helps to ensure that every patient at UI Health Care receives care free of all preventable harm, is based on the latest evidence, and is consistent with their wishes and expectations.

QSOS: Quality and Safety Oversight Subcommittee

The Quality and Safety Oversight Subcommittee coordinates quality activities across the enterprise and reviews and analyzes the improvement activities on a continuing basis. It is led by the chief nurse executive (CNE) and chief medical officer (CMO).

SOT: Safety Oversight Team

SOT is a multidisciplinary leadership group that reviews significant events at a system level to minimize risk of recurrence. It is chaired by the chief quality officer or one of the associate chief quality officers.

SSI: Surgical site infection

SSI is an infection that occurs in patients after surgery in the part of the body where the surgery took place.

RCA: Root cause analysis

A structured review process for identifying the cause or contributing factors to an adverse event, outcome, or other critical incident. We use root cause analysis as an opportunity to learn how to prevent adverse events from happening in the future.