Quality Improvement

Which are the three factors that most likely contribute to medication errors?​ Select all that apply.​

+ Healthcare providers manually calculating medication dosages​ + Healthcare providers manually entering medication administration times​ + Nurses manually programming smart pumps​

Which current processes potentially contribute to medication errors? Select all that apply.​

+ Lack of alignment between computer physician order entry system standard prescriptions and drug references​ + Smart infusion pump drug libraries do not include all drugs or dosages used for this population​ + Inconsistent use of drug references

A quality improvement team is developing a project to reduce catheter-associated urinary tract infections. The team intends to integrate daily rounding to assess each urinary catheter to determine if it remains necessary and discontinue if not. Which performance measures should the team monitor? Select all that apply.​

+ Length of time urinary catheters remain inserted​ + Percent of clients with a urinary catheter + Documentation of urinary catheter necessity​ + Rates of catheter-associated urinary tract infections

Which performance metrics should the quality improvement team monitor to assess the effects of the change? Select all that apply.​

+ Number of medications administered​ + Number of medication errors reported​ + Number of medications prescribed​

+ Use a drug reference guide + Prescribe medications​ + Administer medications​ + Review medication orders​ + Program the smart infusion pump​

+ healthcare provider / pharmacist / nurse + healthcare provider + nurse + pharmacist / nurse + nurse

+ The number of medication errors reported decreased from 25.7 to 6.7 per 1000 client days​ + Caregiver satisfaction scores improved from an above average rating to an excellent rating​ + The total number of prescription errors decreased from 8% to 2%​ + Nurses were observed manually programming smart pumps​

+ improved outcome + unrelated + improved outcome + declined outcome

+ Testing whether a treatment improves client outcomes + Assessing how well a unit complies with implementing a best practice treatment protocol​ + Developing and implementing a protocol that aligns with the evidence supporting an intervention​ + Implementing processes to improve compliance with a clinical practice standard​

+ nursing research + quality improvement + evidence-based practice + quality improvement

Which is an example of information used to guide a quality improvement project?​

For clients with heart failure on a cardiac unit, the 30-day readmission rate is 40%. The national average is 20%.​

A quality improvement team aims to reduce the incidence of pressure ulcers on a medical surgical unit. How will a literature review support their efforts? ​

Identify strategies that help improve compliance with current evidence-based protocols​

For each potential intervention, indicate whether each intervention is indicated or unnecessary.​ Select only one answer in each row.

Indicated + Select a standardized drug reference guide for all staff to utilize​ + Collaborate with information technology staff to align computerized physician order entry with a standardized drug reference guide​ + Collaborate with information technology staff to align smart infusion pump drug formulary with a standardized drug guide reference​ + Develop professional development for all staff regarding medication safety and practice updates​ Unnecessary + Have a second nurse witness every medication administered in the unit​

The intended outcome of a quality improvement project is

improved client care

A primary care office that aims to increase their vaccination rates by improving client education, displaying poster information in the waiting room, and offering the vaccination for each eligible adult was suggested to improve rates. The national average influenza vaccination rate of adults is 50%, and the office rate is 25%.​

plan

Staff implemented the interventions, and leadership monitored performance metrics. Minor changes to the interventions were made to improve results.​

study

Which is the aim of quality improvement? ​

Assess how well an organization or unit implements a specific standard of care​

Which is an example of how a literature review supports a quality improvement project?

Literature is found that guides successful implementation of catheter-associated urinary tract infection (CAUTI) bundle.​

Which model is often used to support quality improvement project implementation?​

Plan-Do-Study-Act​ model

Staff adopted the most successful interventions, such as adding posters to the exam rooms as a visual reminder, and health care providers and staff began to educate about and offer the influenza vaccination at the beginning of visits. Staff also continued to document in real-time. The performance continues to be monitored.​

act

An interdisciplinary team is implementing a quality improvement project to reduce fall rates on a medical surgical unit. The team identifies measures to evaluate the following: percent of older adults screened for fall risk upon admission, number of times a client fall with injury occurred, frequency that bed alarms were on as indicated, and percent of beds in low position. Which phase of the Plan-Do-Study-Act is the team completing?​

do

The team identified the following performance metrics: 1) the number of adult clients who have appointments, 2) the number of adult clients who are eligible for the vaccine, 3) the number of clients whose health record indicated staff educated the client about the vaccine, and 4) the number of clients who received the vaccine. ​

do