L&M Quiz 2

What organization does the Future of Nursing report come from?
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Terms in this set (32)
What organization does the Future of Nursing report come from?
National Academy of Medicine (Institute of Medicine)
What is the goal of the National Academy of Medicine?
help those in the government and private sector make informed health decisions by providing evidence that we can rely on
Watershed Report in 2000
the system is the problem, not nurses. We have to change the system to decrease errors
STEEEP
Safe
Timely
Effective
Efficient
Equitable
Patient-centered
5 competencies of health professionals:
1. provide patient centered care
2. work in interdisciplinary teams
3. Employ evidence-based practice
4. Apply quality improvement
5. Utilize informatics
Where does the AHRQ (Agency for Healthcare and Research Quality) receive funding from?
The federal government
What are never events?
Errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients.
What did the NFQ form its "no-pay" policy on?
Never events
What is "deemed" status for a hospital?
Certified by the joint commission to receive medicare/Medicaid funding
What is Det Norske Veritas?
Joint Commission but make it international
What is QSEN?Quality and Safety education for nurses; has no real authority but a lot of influenceWhat is IHI?Institute for Healthcare Improvement- nonprofit4 traits of the culture of safety:- Know that nurses work in a high-risk environment - Blame free environment - Collaboration through all ranks - Be willing to direct resources to keep pts safeCraftsman mindsetallowing providers to use individual autonomy to prevent standardization with evidence-based practiceSelf-check STAR methodStop Think Act ReviewWhat is a patient safety event?Incident that could or did result in harm to a pt (umbrella term. EX: fall/operation error)What is an adverse event?Unintended harm by an act of commission or omission rather than as a result of disease processWhat is a sentinel event?adverse event that results in permanent disability or death for the ptWhat is root cause analysis?an in-depth analysis of an error to identify causes and possible solutions (required for all sentinel events- looks for what is below the surface to identify what can change in the system)What is benchmarking?a process by which a company compares its performance with that of high-performing organizationsFirst-order change vs second-order change:First-order: expected, good Second-order: unplanned, unexpectedPlanned change model:change occurs in sequential and directional fashion when guided by effective change agentsLevin's 3 stages of change:- Unfreezing (explaining what will happen before change- warm them up to the idea) - Experiencing the change - Refreezing (making sure they won't revert back to previous routine- showing how change is or will be successful)What is force field analysis?the process of determining which forces drive and which resist a proposed changeTrue/false: Non-linear change is not organized, things are always crazy and unexpectedFalse; they are just not as planned out as they should be. Still organized, but unplanned.Behavioral patterns in change:Innovators- thrive on change Early adopters: YAY change! Early majority: receptive to change Late majority: eh, everyone else is doing it Laggards: I'd rather not change Rejecters: NO3 things to lead when facilitating change:Lead relationships Lead processes Lead cultureWhat the purpose of quality improvement?To improve patient outcomesQuality management:the actions should be right the first time we do themManagement is a ___________, improvement is a ___________culture, processTrue/false: the customers in the hospital are only the patientsFalse, we are all customersAccountability measures:core quality measures that accredited hospitals are required to collect and report data of performance on