ULL nursing 104 Exam 2
criminal law and civil law
2 major categories of law for conduct that is considered unacceptable
negligence and malpractice
2 most common unintentional torts are
1. monitoring for early recongniton of adverse events,complications and errors 2. initiating deployment of appropriate care providers for timely intervention and response and rescue of patients in these situations
2 significant nursing functions that most closely affect patient safety,quality of care,and resulting outcomes are as follows:
clinical decision support and computerized provider order entry
2 specific funcionalities recomended by the IOM to improve the quality and safety of health care
unintentional and intentional tort
2 types of torts
most ethical of all professions
2011 gallup poll on professional honesty and ethics reported that the public ranks nursing as the
cooperation competition
All One Team all team members must rely more on____and less on_______
1.improve the quality,safety,and effiecny and reduce health disparaties 2. engage patients and their families in their health care 3.improve care coordination 4.improve population and public health 5.ensure adequate privacy and security protections for personal health information
The first stage of meaningful use forms the foundation for electronic data capture and information sharing and includes 5 priorities that are:
primary source
The system is able to integrate information from multiple sectors and provide decision support;thus the EHR serves as the______________ source of information for patient care and quality improvements in the health care system
common ground
_______________ must be established between the nurse and the patient andfamily,between fellow nurses,between the nurse and other health care providers and between the nurse and other members of society
technology advancements
_______________- have influenced all sectors of civilization across the globe including health care,even in developing countries that have limited access to healthcare
tort
a civil wrong or injury committed by one person against another person or property
complex system
a fully functional EHR is a _________ system
postconventional level
a morally mature individual one of the few to reach moral completeness is an autonomous thinker who strives for a moral code beyond issues of authority and reverence actions are based on principles of justice and respect for the dignity of all human kind and not just on principles of responsibility,duty or self edification
The joint comission
a national agency that conducts surveys of inpatient and ambulatory facilities and certifies their compliance with established quality standards
quality and safety education for nurses QSEN
a national program with the goal of preparing future nurses with the knowledge.skills,and attitudes necessary to continually improve the quality and safety of the healthcare systems
institue for same medication practices
a nonprofit organization that is well known as an education resource for the prevention of medication errors
DNR orders
a nurse has an absolute duty to respect the patients wishes in the case of____________
monetary fines,suspension or revocation of thier liscense and even improsonment in some cases
a nurse who violates the law is subject to penalties like?
defamation of character
a patient has a right to be free from attacks on their reputation
control chart
a slightly more sophisticated tool in helping distinguish between common and special casue variation basically a run chart with statistical control limits added
ethical theory
a system of principles by which a perosn cna determine what should and should not be done
nursing ethics
a system of principles concerning the actions of the nurse in his or her relationship with patients,patients family members,other healthcare providers,policy makers and society as a whole
electronic health records
a system that captures,processes ,communicates,secrues and presents data about the patient.
social justice
acting in accordance with fair treatment regardless of economic status,race,ethnicity,age,citzenship,disability,or sexual oreintation
european
advancements in the wide spread use of HIT first occured in ________ countries
comply with licensing laws
all facilities providing healthcare services must?
analyzing and clearly understanding the process selecting key aspects of the process to imporve establishing trial targets to guide improvement measures collecting and plotting data interpreting results implementing improvment actions and evaluating effectiveness
all improvement models generally have the following in common:
common law
also known as decisional or judge made law created through cases heard and decided in federal and state appellate courts
definition of the term RN description of professional nursing functions standards of competent practice behaviors the represent misconduct or prohibited practices grounds for disciplinary actions fines and penalties the liscening board may levy when an NPA is violated
although NPAs vary from state to state they usually contain the following imformation?
paternalism
an action an attitude wherein the provider tries to act on behalf of the patient and believes that his or her actions are justified because of a commitment to act in the best interest of the patient
sound mind
an adult of________ has the right to refuse any treatment that has previously been agreed too
deontology
an approach that is rooted in the assumption that humans are rational and act out of principles that are consitent and objective and compel them to do what is right
veracity
an ethical duty to tell the truth
benefience
an ethical principle stating that one should do good and prevent or avoid doing harm
nonmaleficence
an ethical principle stating the duty not to inflict harm
deontology
an ethical theory stating that moral rule is binding
utilitarianism
an ethical theory stating that the best decision is one that brings about the greatest good for the most people
breach in duty is malpractice
an expert witness is required to establish whether the person breached the expected standard of care, in this case the breach in duty would be considered?
slander
an injury to ones reputation casued by the spoken word
unintentional tort
and unintended wrong against another person
the possible benfits
at times the risk for harm must be weighed against the?
often named in the lawsuit
because the student nurse is not yet a licensed professional the faculty member or licensed nurse who is supervising the student is often?
liability
being legally responsible for harm caused to another person or property through ones actions
accountability
being responsible for ones actions
reduction in variation of the care provided facilitation and achievement of expected clinical outcomes reduction in care delays and ultimately lengths of stay in the inpatient setting improvements in cost effectiveness of the care delivered while maintaining or increasing patient and family satisfaction
benefits of using clinical pathways are? (4)
April 2005
by ___________- healthcare institutions had to comply with federal HIPPA regulations
accuracy
by looking for documentation and refrencing comparing information on on website with other sources
link searching
can be helpful once you find a relevant website
cause and effect diagrams
can help determine the potential sources of the problem are list of potential causes arranged by categories to show their potential effect on a problem sometimes is reffered to a fish bone diagram
applied
careful nursing documentation is essential when restraints are______
criminal negligence
case in which the negligence acts constitute a crime
assault
casuing the person to fear that they will be touched without consent
restraints improperly
charges of assaults,battery and false imprisonment may be leveled against nurses who?
identify the goals of quality improvement
clinical indicators help to?
practioner
clinical protocols or algorithms are different from clinical pathways because they represent more of a decision that a _________ might take during a particular episode or need
demands of benficence and those acts and decisions within the healthcare delivery system that might pose threats
common bioethical conflicts results from an imbalance between the?
clinical rules,literature for patient education,evidence based practice guidelines and payer rules to regulate reimbursment
components of an EHR include what?
patient support
computer based patient education and home monitoring where applicable
order entry and order management
computerized provider order entry
altruism
concern for the healthcare of others
loss of job discinplinary action by the state licsesing board nurses license can be suspended or revoked out of pocket fines if their is evidence of violation of NPA attorney fees
consequences that a nurse faces when criminal charges are filled?
98,000
conservative estimates published by the IOM in 2000 suggested that as many as _______ patients die per year as the negligence and malpractice of healthcare providers
clinical decision support
contributes to safety and quality by providing automatic reminders about preventive practices such as immunization,interactions,and elctronic resources for data interpretation and clinical decision
overuse of expensive invasive technology underuse of inxpensive care services error prone implementation of care that could harm patients and waste money
contributing factors cited in the IOM report building a safer health system included the following:
fines or improsonment
crimes are punishable by______ or _______
detail or summary
data can be presented in_________ or ________________- form
clinical pathway or critical pathway
defines the optimal sequencing and timing of interventions by physicans,nurses and other interprofessional team members when providing care fora patient with a particular diagnosis or procedure
conforms to an overriding moral duty violates that moral duty
deontological theory claims that a decision is right only if it____________________ and wrong only if it______________________
ethics
described in terms of should and may and address beliefs about appropriate behaviors within a societal context
medical or physician directive
document that list the desire of a patient in a particular scenario such as wanting to be resuscitated or not
NPA and the licensing boards administratives rules and regulations
each nurse should own a current copy of the?
review case law
efforts should be made by professional nurses to _____- as it is published and discussed in nursing journals
electronic communication and connectivity
electronic communication between health care team members and other care partners
results management
electronic reports of labatory results
the nurse owed the patient a special duty of care based on the establishment of nurse patient relationship the nurse has breached their duty to the patient actual harm or damage is suffered by the patient there is proximate cause or a casual connection between the breach in the standard of care by the nurse and the patients injury
elements essential to prove negligence or malpractice
laws
enforce a minimal level of conduct by imposing penalties for violations of acceptable behavior
decision support
enhance clinical preformance by providing reminders about prevenitive practices
work enviorment
equally criticlal in its effect on patient safety is the _________ ____________ that supports the interdependence and effective communication among nurses and other healthcare professionals
system approach
examines the environment for conditions that may have contributed to the error and designs preventive actions
wrong site surgery mismatched blood tranfusions
examples of never events
automated blood pressure monitors glucose testing meters peak flow meters pulse oximeters weight scales 2 way digital transport systems
examples of telehealth devices that are being used today:
adopting EHRs
expensive start up cost prevent providers and organizations from doing what?>
simple negligence
expert testimony is not needed for cases of?
malpractice
failure of a professional to meet the standard of conduct misconduct is unintentional
negligence
failure to act in a reasonable and prudent manner
drug trafficking fraud in billing of services for medicare patients theft rape murder
felony acts may be comitted against the federal government and generally involve:
nursing code of ethics
first introduced in the 19 century and has evolved through the years as the profession itself has evolved and as changes in society and health have come about
identify the ethical issues and problems and to understand the issue fully before moving foward in the assesment procedure
first step of assesment
reliablity,confidentiality,privacy,and security of information
for ehr systems to have the greatest impact on cost and quality they must also be interoperable with the ability to exchange information across systems and settings in a standardized manner that protects the____.__________,__________,and _____________ of the information
justify the selection
fourth step of assesment
team work and collaboration
function effectively within nursing and inter-professional teams,fostering open communication,mutual respect and shared decision making to achieve quality patient care
patient centered care team work and collaboration evidence based practice quality improvement safety informatics
health care system to improve quality focuses on 6 core competencies,what are they?
honest and repsectful manner
healthcare consumers today expect accurate and precise imformation that is revealed in an _____ and _____ manner
pareto charts
helps select key aspects on which to focus on in the process is a type of bar graph with the height of bars reflecting the frequency with which events occur or the effects the event has on a process problem
values
ideas of life,customs and ways of behaving that society regards as desirable
notify the primary provider
if a patient under the nurses care refuses the treatment the nurse has the duty to
secure moral thought
if the need for basic trust is met in infancy,children can begin to develop the foundation for?
aggravate the current condition and complicate future care result in permanent physical or mental impairment or disability result in complications leading to death in the case of a competent elder prompt notification of the immediate family would be a reasonable and prudent action
if the primary provider has not arrived before the patient leaves the nurses notes should reflect the specific advice given the patient, which should include the fact that leaving the facility could :
unanticipated outcomes to patients
in 2001 TJC established a new patient safety care standard requiring that institutions have a process in place to disclose?
does not
in cases of intentional torts the plantiff______ have to prove that the nurse breached a special duty or was negligent
conduct is deemed so reckless
in most states a nurse can be prosecuted when the _______________________- that the action results in serious harm or death to the patient
only following the providers orders
in no case may a nurse provide the defense of?
safety and quality
in the QSEN project ________and _______- were defined as seperate competencies to emphasize patient safety as the new standard of care.
nature of the therapy or procedure expected benefits and outcomes of the therapy or procedure potential risks of the therapy or procedure alternative therapies to the intended procedure and their risk and benefits risk of not having the procedure
in the case of routine as well as speciallized care the primary provider must disclose the following:
inconvient distressing harmful
in the past truth telling was sometimes viewed as _____.________,or even_______ to patients and families this was held for many years
no case notify the provider
in___________ should the nurse proceed with initiating any part of the therapy that he or she is responsible for implementing if they have reason to believe the patient hasnt been given informed consent they should?
safety issues
inconsistent skills in commmunicating with various members of the health care team can contribute to___ _____.
criminal acts
increasing number of nurses are being charged with
clinical actions or outcomes of clinical care
indicators focus on__________ they should not focus on procedures that support clinical care
advance directive
individuals desires regarding end of life care these wishes are generally made through a living will
no
infants have___ concept of right and wrong
health imformation and data
information to make sound clinical decisions such as past medical histroy,lab test,allergies,current medications and consent forms
american with disabilities act
intent of this law is to end discrimination against qualified persons with disabilities by removing barriers that prevent them from enjoying the same opportunities available to persons without disabilities
bioethics
interdisciplinary field within the health care organization that has developed only in the past 4 decades nursing ethics is a part of this has developed with the age of modern medicine specifically with the development of homo-dialysis and organ transplantation
evidence based practice
intergrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care
information communication
interoperablity of systems and linkages for exchange of data across disparate systems
intentional torts
involes the direct violation of a persons legal rights
EMTALA
is applicable to people coming to nonED settings such as urgent care clinics
beneficent
is to promote goodness,kindness and charity
ask the patients premission
it is essential that the nurse ask______ to proceed before initiationg any procedure particulary those of an invasive nature
uphold the highest standards of practice and care assume full personal and professional resposibility for every action commit to mantaining quality in the skill and knowledge base of the profession
it is the nurses ethical obligation to do what things>
standard of care
knowledge and skill that an ordinary,reasonably prudent person would possess and exercise in the same of similar circumstances
health insurance portability and accountability act(HIPPA)
law is to ensure confidentiality of the paitents health information sets guidlines for maintaining the privacy of healthcare data
common law
law that is created through the decision of judges as opposed to laws enacted by legislative bodies
damages awarded in malpractice case
laws have been enacted that sheild individual health care workers employed in federal or state facilities from personal responsibility for?
good samaritan imunity
laws may limit a nurses liability ir shield the nurse from a malpractice claim id the nurse renders assistance in an emergency that occurs outside of the employment setting
statutes
laws that are written by legislative bodies such as Congress or state legislatures are enacted as____________.
living will
legal document a competent adult makes known of there wishes regarding care that will be provided in the final stages of a terminal illness
durable power of attorney
legal document that authorizes the patient to name the person who will make the day to day and final end of life decisions once he or she is decisionally incompetent
fines and punitive damages jail time
legal remdies for intentional torts include____ and _____ although some rise to the level of a criminal act and may result in_________
fines improsonment some states execution
legal remedies for crimes include:
advanced search
limit your searching to educational where you are more likely to find info related to research and evidence based practice ex google scholar
felony
major offenses
child abuse prevention and treatment act
mandates all states to meet specific uniform guidelines to qualify for federal funding of child abuse programs requires reporting of specific health problems and the suspected or confirmed abuse of infants or children
AMA form
many agencies request that a pateint sign a __________ when they intend to leave in contradiction to the plan of care and despite the absence of a discharge order
run charts
measuring data over time to evaluate patterns in process variation also known as time plots are graphs of data points as they occur over time
reporting and population health management
meet public and private sector reporting requirments at the federal,state and local levels,address internal quality improvement incenitives
strenous and often costly
meeting the guidelines for meaningful use of EHRs is __________- and often _________ for community based ambulatory services and small inpatient centers
brute force
method of searching where you type in what you think might logically be a web address and see what happens
safety
minimizes risk of harm to patients and providers through system effectiveness and individual preformance
misdemeanors
minor offenses
illegal practice of medicine failing to report child or elder abuse falsification of patients medical records assault and battery and physical abuse of patients
misdemeanors that nurses are commonly charged with
moral and ethical requirment
most contemporary professionals believe that telling the truth in personal communication is a ____ and ________ requirment
kohlberg theory
most widely accepted theory on moral development
information presentation
must be mangaed to ensure that authorized caregivers and others with legitimate uses have the information they need in their preferred presentation form
conventional
not all people develop beyond the ___________ level
educate the public about the use of advance directives
nurses and other healthcare educators have an ethical obligation to ?
cultural change
nurses are in the perfect position to lead this _____ ______
shape, the design, purchase and implementation of technology
nurses can and should play crucial roles in organizations to help _________,__________,and_______________ of technology to match clinical needs throughout the organization
assault battery and false improsonment
nurses have also been charged with a variety of offenses when unlawfully detaining patients including:
no other strategies are effective in protecting the patient
nurses may lawfully apply restraints in an emergency when in there independent judgement________-
reasoned thought process and sound judgement
nurses promises require a commitment to develop a _____ _____ _____ and________ ______________ in all situations that take place within this important relationship
patient has given permission
nurses should also document that___________ for the treatment or procedure
may
nursing care in life threatening emergencys ___ breach the standard of care required under ordinary circumstances
invasion of privacy
occurs when a persons private affairs is made public without consent
crime
offense against society,defined through written criminal statues or codes
implenmetation cost
one of the major barriers to EHR is what>
Utter v. united hospital inc 1977
one of the most important cases to establish the expected conduct of nurses was ____________ it affirmed that nurses were required to exercise independent judgments to prevent harm when caring for patients.
nurse practice act protect the public and make the individual nurse accountable for their actions
one of the most important state laws governing nurse practice is the? what is the aim of regulating practice in this manner?
converting paper documents to electronic and establishing the network infastructure to support EHRs
other cost related barriers include complex implementation processes such as?
standaardized processes
otherwise reffered to as best known methods or best known practices
participate in their own healthcare decisions accept or refuse medical treatment make advance health care directives
paitent rights under the paitient self determination act include:
a patients right to self determination
paternalism interferes with a patients right to?
issuing a formal reprimand establishing a period of probation levying fines limiting,suspending or revoking a nurses license
penalties that licensing boards may impose for violations of an NPA include the following:
conventional level
people begin to internalize their view of themselves in response to something more meaningful and interpersonal desire to be viewed as good or bad wanting to please and help others and show respect for authority
automy
personal freedom and the right to make choices
informed consent
physician or advanced practice nurse has the duty to disclose information so that the patient can make intelligent decisions. madated by federal statue amd state law and is grounded by common law
relies on memory continous use of resources as their needed
point of care technology is an essential component of nursing practice as it moves from practice that relies on__________to one that emphasizes___________________-
consistent position on specific or related issues
principles can permit people to take a ? these principles are sufficently comprehensive to provide an analytic framework by which moral problems can be evaluated
Computerized provider order entry
process by which the physician or another health care provider directly enters orders for client care
root cause analysis
process for identifying the basic or casual factors that underlie variation in performance including the occurence or possible occurence od a sentinel event focuses primarily on systems and processes not individuals
unstable unpredictable not in statistical control
processes that demonstrate both common cause variation and special cause variation are______.___________,and ________________
stable predictable and statistically in control
processes the demonstrates common cause variations are__________,__________________,and_____________________
risk manager
professional who tracks accidents and injuries that occur in the facility may assist nurse managers in the development id effective policies and procedures to improve practice is knowledgeable about federal and state administrative rules and regulations affecting healthcare systems,licensing laws and healthcare case law
national database of nursing quality indicators//\\\\\ 1. provide comparative data to healthcare organizations to support quality improvement activites 2. to develop national data to better understand the link between nurse staffing and patient outcomes
program collects designated indicators that strongly affect pateint clinical outcomes for 2 major purposes which are?
security
provide better protection of confidential health information that paper based systems because such systems incorporate controls
imformation processing
provide for effective retrevial and processing of fata into useful information
common law and case law
provides courts with guidelines for deciding future cases
codes of ethics
provides implicit standards and values for the professions
should not
quality improvement _______ __________- be considered a separate function within the role of care provider but rather an ongoing part pf the professional role for all health care professionals
patient centered care
recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patients values,references and needs
sentenial event standard
requires an organizations to carry out designated steps to fully understand the factors and systems associated with adverse patient events,given that certain defining characteristics have been confirmed
human dignity
respect for inherent worth and uniquness of individuals and populations
imprisonment
restraint of any kind is a form of?
currency
review the website for evidence that the information it contains is current look for dates compare last update of website with current literature
authority
reviewing the authors credidentials
autonomy
right to self determination
preconventional
rules imposed by some source of authority moral decisions made in response to threat or punishment
administrative processes
scheduling systems,billing and claims management,insurance eligibilityand inventory management
understanding of good and bad
school age children will begin to make choices about how they act based on a _______________
literature resources
scientific and research information usually require _____________ resources that can be found in schollary data bases such as MEDLINE or the cummulative index to nursing and allied health literature(CINAHL)
identify and analyze available alternatives for action
second step of assesment
contiunity of care reduce cost
shared records promote___________--- across systems and potentially ________ _________ by eliminating duplicate diagnostic testing and services
individual blame approach system approach
shifting from an ____________ approach to a _________ approach allows the integration of all the competencies that include the patient and family as partners in creating a safer system
bioethical dilema
situations that pose a choice between perplexing alternatives in the delivery of healthcare because of the lack of a clear sense of right and wrong
safe timely effectivee efficent equitable patient centered
six guiding aims sometimes called STEEEP
minimal standard of the maintence of the physical plant basic operational aspects of major departments essentatial aspects of patients rights and the informed consent process
specific language usually is contained within health faciality licensing statutes regarding the following issues:
contionous quality improvement
stage 2 of meaningful use focuses on___________ and became effective in 2014
licensing boards
state legislatures have given___________ the authority to hear and decide administrative cases against nurses when there is an alleged violation of an NPA or the nursing boards rules and regualtions
adults
strive to make sences of the contradictions and learn to develop their own set of morals and values as autonomous people begin to make choices based on an internalized set of principles that provide them with the resources they need to evaluate situations in which they find themselves
accomodated
tables,graphs,narrative,and other forms of information presentation must be ______________
nursing education standards and the license examination
the 6 competencies were incorporated into?
malpractice claim
the AMA form may provide the facility with a reasonable defense against a __________- if the patients condition worsens or an injury is sustained and a malpractice claim is filed
health information and data capture results management order entry and order management decision support electronic communication and connectivity patient support administrative processes reporting and population health management
the IOM recommends that EHR system offers the following 8 functionalities:
medication safety self assestments
the ISMP has also developed___________,to allow nurses and other health care professionals to access the medication safety practices in their work setting.
ANA
the ___________- established th national data base of nursing quality indicators
home care
the ____________ _________ arena is seeing significant changes as a result of telehealth
interopreability
the ability to share and transfer patient data seamlessly from one provider to the next
existing moral values and their revelance to society
the adolescence questions?
flowcharts
the analysis of a work process indespensiable tools in mapping out what actually occurs during the process versus what is intended
clinical indicators
the basic foundation of the monitoring and evaluation process required by QM principles is in the use of ____________
risk and benefit
the benefience-nonmaleficence principle is largely a balance of?
nursing case law
the body of written opinions about nurses is known as
truthful communication protect
the challenge today is to mesh the need for _____________ with the need to _______________
data capture
the collection and entry of data into the EHR
punitive damages
the court may award special damages meant to punish the nurse for the outrageous conduct each state has established standards to determine when these may be awarded
values and value based behavior
the development of ________________- and ______________- is essential for professional nursing
ethics acculturation
the didactic and experimental process of developing ethical reasoning abilities as a part of ongoing professional preparation
suspected or actual patient client injury,abuse or neglect
the federal government requires nurses and other healthcare providers to report specific types of_________
least restrictive restraint have been executed
the goal when a restraints are clinically indicated is to use the___________- and only when all other strategies to ensure patient safety have been __________
overstated
the importance of nursing case law in establishing the current standard of practice cannot be____________
patient self determination act
the law requires all federally funded hospitals to give patients written notice on admission to the health care facility of their decision making rights and making policies regarding advance health care directives in their state and in the institution to which they have been admitted also provides guidance to nurses who often are in the best position to discuss these issues with the paitient
claims of negligence or intentional wrongdoing
the medical directive if executed properly provides the physician with immunity from___________ or_______________ in the patients death
universal adoption
the movement toward meaningful use EHR along with financial incentives is designed to promote _______ _________- of EHRs in the united states
gross negligence
the negligence act of the nurse is so reckless and reflects such a conscious disregard for the patients welfare
notify the provider prevent the indiviual in leaving
the nurse has the duty to________- and appropriate nursing staff when a competent patient intends to leave against medical advice but may not in any way ____________________-
no authority
the nurse has______--- to detain the patient even if there is likely hood of harm or injury as a result of discontinuing therapy
failing to file a report the results in damages to a person
the nurse may be liable in a civil suit for?
allow certain disclosures of paitent data
the patient safety and quality improvement act was enacted to do what?
storage
the physical location of data
1. substantial knowledge exists about how to achieve better performance than currently prevails 2. strong examples already exist of organizations that have applied that knowledge and broken through to substantial improvements 3. the stakes are high and relevant to the most crucial strategic needs of health care
the premise behind break through thinking and its resulting action is threefold:
autonomy
the principle of respect for a person sometimes labeled as the primary moral principle
pediatric textboks
the process of learning from right and wrong is often described in?
help accredited organizations address specific areas pf concern in regards to patient safety
the purpose of TJCs national patient safety goals it to?
suboptimal
the quality of health care in the united states is_________
level of moral development of those professionals
the rightness and wrongness of the complex and confounding health care decisions that are being made today depends on the ____________________ entrusted with the tough decisions
ethical theory and ethical principles
the study of___________and___________________ can provide a basis for moving forward as a morally mature professional nurse
66%
the unsettling IOM report to ERR is Human revelaed that up to __ of health care errors are related to poor working relationships and commmunication
federal and state statues accrediting bodies
the use of chemical and physical restraints is governed by____ and _____ and__________ such as TJC
share freely information and experiences with others allow an internet user to become and author of content
these Web 2.0 tools are designed to?
adolescents
they become more aware of the contradictions they see in the value systems of adults
select one alternative
third step of assesment
medication errors reporting program Merp
through ___________ health care professionals across the nation voluntarily and confidentially report medication errors and hazardous conditions that could lead to errors
Robert wood johnson foundation
through support from the ____________________ the national quality and safety education for nurses project was created to develop and facilitate the execution of changes in nursing education to offer new oppurtunties for faculty development,and to learn from a 15-school pilot collaborative
interaction and meaningful communication
today however for trust to develop between providers and patients there must be truthful_____ and _______ communication
imitate behavior seen in others
toddlers will_________ even though they do not comprehend the meaning of the behavior.
civil law
tort law,deals with conduct considered unaceptable
statutory law and common law
two major sources of law are?
quick and dirty searching
type your search term into a search engine like google
battery
unauthorized or the actual harmful or offensive touching of a person
false improsonment
unlawful restraint or detention of another person against their own will actual force is not necessary to support a charge of this
quality improvement
use data to monitor the outcomes of care processes and use improvement methods to design and test changes to contiually imrove the quality and safety of health care systems
biometric technologies
use human characteristics such as finger prints,retinas,irises,voices,and facial patterns to authenticate or grant access to data or information
informatics
use information and technology to communicate,manage knowledge,mitigate error and support decision making
telehealth
use of telocommunications technology to acess, diagnose,and in some cases test persons who are at a distance from the health care provider
criminal penalties and civil monetary penalties
violation of HIPPA regulations may be subject to what?
criminal offense government authorites
violation of law is a ________ offense against the general public and is prosecuted by who?
quality scientific approach all one team
what are the 3 QM cornerstones?
freedom and informed consent
what concepts are grounded in the principle of autonomy?
intended to support individuals in expressing their prefrences about medical treatment and making decisions abour end of life care
what did the patient self determination act intend to do?
scope and limitations of professional nursing practice
what does the nursing practice act define?
concerns of the uses and releases of medical information particularly to private entities such as insurance companies.
what led to the passage of HIPPA?
res ipsa loquitur the thing speaks for itself
when the negligent act clearly lies within the range of a jurys common knowledge and experience the doctrine of ____- may be applied
emotional distress
when the nurses behavior is so outrageous that it leads to emotional shock of patients the court can compensate the patient for_________________-
objectivity
whether the purpose of the website is clear or not information presented as factual or opinion primary or secondary in origin
usability
whether the site is well designed and stable easy for users to maneuver content should be error free and readable
physician
who do you have to collabarate with to formulate a DNR?
physican
who should serve as the team leader in disclosure situations?
emergency medical treatment and active labor law
"antidumping law" prohibits the refusal of care for indigent and uninsured paitents seeking medical assistance in an ED also prohibits the transfer of unstable patients including women in labor from one facility to another
consequneces rewards punishment
By the time children reach school age rhey have learned that behavior has____ and that good behavior is associated with___ and bad behavior is associated with______
eliminating lost orders and illegiable handwritting
CPOE contributes to safety and quality of health care by?
improved communication more readily acessible knowledge requirment for key pieces of information assistance with calculations checks preformed in real time assistance with medication monitoring decision support rapid resource to and tracking of adverse events
CPOE functions also contribute to medical error and prevention through the following:
privacy and security of patient data
HIPPA regulations focus on____________________________,including standard formats for transmitting electronic patient information
greatest barrier
Interoperability is quite possibly one of the _______ ___________ to the sucessful implementation pg a universal system of EHRs in the united states
implement decision support goals,measure quality indicators and outcomes
Stage 3 of meaningful use focuses on______________- became effective in 2015
federal statute
The EMTALA is an example of a ?
privacy officer policies and procedures
The HIPPA requires that all organizations and facilities that gather or collect personal health information are required to name an individual as _________ and develop __________ and __________ to ensure the privacy and security of PHI
financial incentives
The american recovery and reinvestment act directed the meaningful use of EHR systems for hospital and physician practice settings and provided for _________ ______________ from the CMS to providers who adopt and use EHRs that meet the meaningful use standards
effective and efficent
_______-and _______ internet searching is a must in todays information overloaded society
california
________ became the first state to enact a law that mandates the establishment of minimum nurse paitent ratios in acute care facilities no other state has followed
the united states
_________ is considered to have the worlds most technologically advanced health care system delivered by a dedicated and highly skilled workforce it is also the most expensive system in the world
Real time
__________ ___________- data capture is particularly important in the management of numerous chronic diseases
clinical indicators
__________ are aspects of clinical care that can be measured to show the degree to which care is or is not carried out as it should be
indicators
__________ are not meant to define quality but rather to point the way to assestment of areas in which quality issues may be present
topdown flow chart
__________ simply lists the main steps and substeps of a process in linear function
medicare
___________ is administered by the centers for medicare and medicaid services and has the authority to establish new rules and regulations to enhance patient safety and quality and reduce the cost of care.
federal false claims act
___________ makes it an offense to submit a false claim to the government for payment of health care services
web 2.0
___________ tools such as social media,collaboration sites,interactive websites and internet bulletin boards or blogs encourage individuals to be more involved and knowledgeable about there own health
hospitals
___________ were some of the first health related organizations to seriously explore the potential value in adopting a total quality mindset in the 1980s
market competition
____________ competition has been identified as one barrier to universal adoption and interoperable EHRs in the united states
federal laws
____________ has a major effect on nursing practice and mandating a minimal standard of care in all health care settings that receive federal funds
security
____________ is a paramount for healthcare data`
meaningful use
_____________ refers to a complex set of capabilities and standards to be met by EHR use in a series of 3 stages over several years/
patient care
______________ is dependent on effective inter-professional communication to support the coordination of activities that promote efficiency and safety
