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Ch. 23 Community
Terms in this set (64)
The healthcare industry has borrowed and applied models o continuous quality improvement from which industry?
Which term refers to an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof?
Which resource comprises nurse-sensitive indicators collected at the nursing unit level and provides the ability for participants to benchmark performance with national averages?
National Database of Nursing Quality Indicators (NDNQI)
Which group decision-making approach has the goal of creating a virtually error-free healthcare delivery environment?
Which organization released a report based on the issue of medical errors that launched a major national focus on the safety of healthcare systems and processes?
Institute of Medicine (IOM)
Which data can benchmarks help identify?
Which term refers to the comparison of information that allows an organization to evaluate its own performance in relation to others?
Which tools can be used to assess consumer satisfaction? Select all that apply.
Focus group discussions
Which is an example of a sentinel event?
Patient suicide on the unit
Which element reflects quality measures that produce the greatest positive effect on patient outcomes?
According to the Agency for Healthcare Research and Quality (AHRQ) STEPPS and STEPPS 2.0 programs, which skill is an essential safety initiative?
Which process has had the most significant effect on the development of quality improvement systems in health care?
The nurse manager is reviewing documentation and notices several nurses are not using approved abbreviations. The nurse manager's review is an example of which process?
The nurse manager has concerns with the handoff process between nurses at shift change. Which tool would the nurse use to assess the situation?
Failure mode and effects analysis
Which type of error takes place if the wrong blood type is given to a patient during a blood transfusion?
The nurse manager has been assigned to work with the quality improvement team. Which task is appropriate for the nurse manager to delegate to a staff nurse?
Generate ideas for quality improvement efforts
The nurse manager of the emergency department is trying to implement a new quality management (QM) program to eliminate unnecessary waste of time and resources. Which program would the nurse manager consider for this initiative?
Which designation is given to an organization with low staff burnout rates and high-quality patient care?
Which are the three categories of healthcare quality and standards?
Structure, process, and outcome
A patient asks the nurse why the hospital has the "high-reliability organization" designation. Which is the best reply by the nurse?
The hospital has achieved the highest quality and safety standards."
The nurse should anticipate participating in which process after a sentinel event?
Root cause analysis
Which member of the healthcare team is primarily responsible for early warning monitoring?
Which type of event is demonstrated when the nurse realizes that a medication that he or she is about to give is actually one the patient is severely allergic to?
Which action by a nurse manager best contributes to quality improvement?
Reviewing employee satisfaction surveys
The Consumer Assessment of Healthcare Providers and Systems Hospital Survey is a reported survey of patient perspectives on care they experienced during a hospital stay that includes which factors? Select all that apply.
Communication with physicians
Cleanliness of hospital environment
Once a quality improvement (QI) topic is identified, the nurse leader will take which action? Select all that apply
Assemble an interprofessional team
Which process refers to evaluating and controlling risks to the institution to reduce or prevent future loss?
Enterprise risk management (ERM)
Outcomes should be monitored against which types of benchmarks?
Internal and external
Which step is completed first in the quality improvement (QI) process?
Selecting a clinical activity to review
Which obstacle would prevent a nurse from making an objective decision?
Which entities establish consensus benchmarks? Select all that apply.
Which intervention would be most effective if the nurse wants to improve the rate of healthcare providers reporting errors?
An anonymous error reporting system
Benchmarking is a useful strategy for which processes? Select all that apply.
Identifying performance gaps
Understanding internal processes
Comparing an institution to others
The nurse leader is reviewing nurse satisfaction data graphs from the National Database of Nursing Quality Indicators (NDNQI). Which analysis of the data is required by the nurse? Select all that apply. Some correct
Determine if an improvement is required.
Recognize the current level of performance.
Compare performance to professional comparisons.
Determine the relationship of the current level to the strategic goal.
Which step can the nurse take to address complaints about long wait times for receiving a call back from healthcare providers?
Approach the quality improvement committee for review.
A consumer would like to review information regarding the quality of care of a healthcare agency. Which organization would the consumer contact to obtain this information?
The Joint Commission
Which task does the nurse anticipate performing when asked to start a quality assurance program?
Chart review and audits
Which benefit of participation in the unit's quality management (QM) program does the manager include in a discussion with the staff? Select all that apply.
Improved job satisfaction
Fewer resource constraints
Reduction of malpractice lawsuits
Which element must be included when initiating a quality improvement (QI) program? Select all that apply.
Which program would the nurse consult to review the emergency department's performance compared with other emergency departments around the country?
The National Database of Nursing Quality Indicators
Which statement reveals why an evidence-based practice (EBP) model is helpful to a nursing manager who is developing a quality improvement project?
It follows a basic problem-solving process.
Which represents the correct method and best practice for standardized documentation?
Situation, Background, Assessment, and Recommendation
Which problem-solving approach should a nursing unit use when it is experiencing an increased number of patient falls?
The nurse manager has set a goal to reduce phone calls after discharge by improving patient teaching. Which is the best technique for the nurse manager to share with the team for improving patient recall?
Asking the patient to explain the instructions in their own words discharge
Which is likely to be performed if a hospital's surgeon operates on the wrong side of the body?
Which chart is best for the nurse to use to illustrate the process of diagnostic testing referral by fertility providers?
The quality improvement (QI) team is discussing the increasing rate of medication errors. The team has met with representatives from the hospital and collected data from the past 10 years. Which action is best for the team to take next?
Set a specific goal for improvement.
Which is an example of a nursing-sensitive indicator in a quality improvement program?
Number of pressure ulcers
The novice nurse is practicing writing outcomes for patient care. Which outcome written by the novice nurse demonstrates understanding of defining outcomes?
"The patient will demonstrate increased tolerance for activity by ambulating in the hall for more time each day."
Which tool can best assist the nurse in making a decision regarding management of a patient's pain?
Which are principles of quality improvement? Select all that apply.
Quality management operates most effectively within a democratic structure.
Managers and workers must be committed to quality improvement.
Quality improvement focuses on outcomes.
Decisions must be based on data.
The nurse employed at an outpatient clinic has organized a brainstorming session to discuss concerns related to patient cancellations and no shows. Which type of chart would the nurse select to help organize the results of the session?
The nurse manager is reviewing benchmark data on postoperative pain and patient satisfaction. The data show severe postoperative pain and moderate patient satisfaction. Which nursing responsibilities does this paradox reinforce? Select all that apply.
Ensuring pain relief
Advocating for patients
Correcting patient misconceptions
Implementing evidence-based pain-management strategieș
Which source would the nurse consult for the latest evidence- based research to update clinical practice guidelines? Select all that apply.
The Joint Commission
The state's nurse practice acts
The National Academy of Medicine
Internal performance measurement data
Which statement needs correction when discussing a recent near- miss event during a quality improvement meeting?
"It is the doctors' fault because they never call us back when we need them at night."
The nurse manager compared the occurrence of postoperative infections on the surgical unit with other organizations. Which statement would be included in a presentation about the nurse manager's benchmarking review of postoperative infections?
"Benchmarking helps identify which standards and outcomes we should measure our progress against."
The nurse manager led a committee that developed quality improvement initiatives for the hospital. Which group of employees would the nurse manager include when distributing a memo and training materials to review on the initiatives?
The entire clinical staff
The nurse manager is reviewing National Database of Nursing Quality Indicators (NDNQI) benchmark data on nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infections. The nurse's unit significantly outperforms the benchmark on this measure, despite similar sterilization and hand-washing protocols. Which is the most likely explanation for the difference?
The nurse manager's unit excludes present-on-admission data from nosocomial infection data, whereas other institutions do not.
Which nursing activities would be subject to process standards in a quality assurance program? Select all that apply.
Pain assessment will be completed 30 minutes after pain medication administration.
A nursing admission will be completed within 24 hours of a patient admission.
Postoperative patients will be discharged in a wheelchair at the hospital's front door.
The surgical team is distraught after accidentally removing the wrong leg during an amputation. Which member of the quality improvement team should be sent to provide support to the surgical team?
The senior leader
Five months ago, the quality improvement team implemented a plan to reduce wait times in the emergency department. The team has now received several complaints about long wait times for x-rays and blood tests. Which is the best response by the team?
Reconvene to discuss other options.
Which statement by a nurse indicates the need for further teaching about quality management and quality improvement programs?
"The goal of quality improvement is to determine who is at fault for an error."
During an interview, the potential nurse manager is asked about performing risk management activities on the unit. Which is the best reply by the nurse?
"I will make regular safety rounds to ensure compliance with standards."
Which the first step the nurse takes when initiating a quality improvement program in a private medical facility?
Collect data about errors and patient outcomes
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