Detailed Explanation:
A control chart is ideal for reporting process improvements over time, as it demonstrates both stability and variations in a process.
Option D: Control Chart
Control charts visually display changes in a process post-intervention, making them ideal for reporting ongoing performance to quality committees.
Options A, B, and C:
Histograms and scatterplots show data distribution but not process control, while flowcharts illustrate process steps rather than improvements.
References:
Control charts are recommended in quality management for tracking and reporting process improvements, as noted in CPHQ materials and healthcare quality tools.

The measurement of the percent of time a comprehensive exam is completed within 96 hours of admission is an example of a process measure. Process measures evaluate the methods or steps taken to deliver healthcare.
They focus on the actions performed to achieve desired outcomes and are a way to assess whether specific processes are being followed correctly to ensure quality care.
* Understanding Process Measures: Process measures indicate what the healthcare providers do to maintain or improve health, such as the rate of compliance with a clinical guideline or the frequency of performing a certain procedure within a specific timeframe.
* Relevance to the Scenario: In this case, measuring the completion of a comprehensive exam within 96 hours of admission assesses whether a critical step in the patient care process is being consistently executed, reflecting adherence to best practices.
* Comparison to Other Measure Types:
* A. Structure measures refer to the attributes of the settings in which care is provided, such as facilities, equipment, and staff.
* B. Outcome measures assess the results of healthcare services, such as improvement in patient health status.
* D. System measures could encompass broader aspects of healthcare delivery but are not specifically focused on individual care processes.
References: National Association for Healthcare Quality (NAHQ) documentation highlights the importance of process measures in monitoring compliance with established procedures and ensuring the delivery of high- quality care.
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* Failure mode and effects analysis (FMEA) is a tool for conducting a systematic, proactive analysis of a process in which harm may occur12.
* In an FMEA, a team representing all areas of the process under review convenes to predict and record where, how, and to what extent the system might fail12.
* FMEA is used to identify all possible failures in a design, a manufacturing or assembly process, or a product or service, and to study the consequences of those failures2.
* FMEA is a prospective assessment that identifies and improves steps in a process and reasonably ensures a safe and clinically desirable outcome1.
* FMEA is a common process analysis tool that can help healthcare quality professionals to prevent errors, reduce variation, and improve patient safety1234.
* FMEA is applied when a new or modified process, function, or service with an associated hazard has not yet been implemented, or when improvement goals are planned for an existing process, function, or service2.
* FMEA procedure involves the following steps2:
* Assemble a cross-functional team of people with diverse knowledge about the process, product, or service, and customer needs.
* Identify the scope and boundaries of the FMEA.
* Fill in the identifying information at the top of the FMEA form.
* Brainstorm potential failure modes and their causes and effects.
* Assign a risk priority number (RPN) to each failure mode based on the severity, occurrence, and detectability of the failure.
* Prioritize the failure modes for action based on the RPNs.
* Identify and implement corrective actions to eliminate or reduce the high-risk failure modes.
* Evaluate the results and monitor the effectiveness of the actions.
* Update the FMEA as needed. References: 1: Failure Modes and Effects Analysis - Ministry of Health 2: What is FMEA? Failure Mode & Effects Analysis | ASQ 3: Failure Mode and Effects Analysis | Digital Healthcare Research 4: Healthcare FMEA | Healthcare Failure Mode & Effects Analysis - Quality-One

Structural measures in healthcare quality assess the context in which healthcare is delivered, evaluating the capacity, systems, and processes of a healthcare provider to provide high-quality care12. They are used to assess the infrastructure of the facility or organization, including the physical equipment and facilities, technology, and human resources of a healthcare setting2.
An example of a structural measure is the number or proportion of board-certified physicians1. This measure gives consumers a sense of a health care provider's capacity to provide high-quality care1.
Therefore, option B, "proportion of board-certified physicians on staff," is an example of a structural measure.
Options A, C, and D are not structural measures. Average medication administration time and rate of healthcare-acquired infections are process and outcome measures respectively, as they reflect what a provider does to maintain or improve health and the impact of the health care service or intervention on the health status of patients1. The percent of documents without errors could be considered a process measure, as it reflects the procedures and protocols followed in the healthcare setting.