Week 10

Which set of data should be represented using a simple bar graph?

A comparison of nursing turnover under two different nurse managers

Which factors led to an increased focus on health care quality in the United States?

A rise in the cost of insurance Public disclosure of safety issues

Which organizations maintain databases with nursing-sensitive data to be used for improving health care outcomes?

American Nurses Association California Nursing Outcomes Coalition United States Department of Veterans Affairs

Which principle is common to all quality improvement (QI) models?

An emphasis on patient needs

Which task is important to the lean model of quality improvement (QI)?

Customizing the workflow according to patient needs

The nurse leader, using the quality improvement (QI) process, proposes modifications to health care delivery on the unit to increase efficiency. Which step should the nurse leader take first?

Determine areas of care needing improved efficiency.

Which activities exemplify steps in the benchmarking process?

Evaluating which processes could be performed more efficientlyIdentifying a process issue to benchmark is the first step in benchmarking. Evaluating processes that could be done in a more efficient manner is one way to identify issues to benchmark. Correct Comparing current processes against those of a successful competing organization Assembling a team that consists of the nurse manager, staff nurse, pharmacist, and infection control to determine the best way to improve patient satisfaction

The nurse is monitoring a post-operative patient and is concerned by periods of high blood pressure that seem to occur during certain periods of the day. Place the steps in the order in which they should be taken to address this variation.

Identify Use Measure Determine Take

A student on the high school track team is newly diagnosed with asthma. Although a bronchodilator has been prescribed, the student reports wheezing and shortness of breath after each practice. Prioritize the modifications to the patient's care to improve breathing and decrease asthma symptoms.

Identify if the student's breathing and asthma symptoms have improved since diagnosis. Ask if the student has been using an inhaler as instructed. Have the student demonstrate correct use of the inhaler. Instruct the student to use the inhaler as directed to improve breathing and decrease asthma symptoms.

Which statement describes a concurrent audit?

Implemented while the patient is receiving care

Which is a benefit of the principle of patient-focused care with respect to the QI model?

Instilling confidence and trust in patients

Hospital team members teach the staff to work more efficiently without sacrificing patient care. Which health care initiative is this hospital using?

Performance improvement (PI)

The nurse manager is concerned that charting is not being completed correctly by the nurses. The nurse manager should use which audit tool to evaluate this problem?

Process audits

Which is an example of a standard used in benchmarking?

Reducing medication errors in hospitalized patients to an acceptable rate determined by Medicare

Which strategy for collecting data should the nurse apply when evaluating nursing outcomes?

Reviewing the number of patients with heart failure who have quit smoking after receiving counseling

A health care provider takes steps to reduce medical errors during patient care. This is an example of which National Academy of Medicine goal to enhance the quality of health care?

Safety

How is a check sheet used when making organizational improvement decisions?

To record raw data

Which scenario describes the use of core measures for benchmarking?

Training more nurses to review discharge instructions for patients with congestive heart failure to decrease the readmission rate of these patients Congestive heart failure readmission rate is a core measure identified by the Joint Commission for benchmarking.

PI Organizational efforts to improve corporate performance -focuses on increasing competence and productivity -identifies and analyzes performance problems -future performances CQI -Improving health care by establishing appropriate procedures for high-quality care before mistakes are made -Group of employees from different departments decide how care will be provided QI -Systemic actions that use data to monitor assess, and improve health care quality -required an interprofessional collaborative team effort -based on using currently available information to improve health care

Using recent global studies to identify and address major safety issues QI Creating an organizational taskforce to anticipate and avoid safety issues CQI Acting to improve productivity while maintaining patient safety PI