Exam 22: Understanding Quality, risk, and Safety

A nurse is explaining the pediatric unit's QI program to a newly employed nurse.Which of the following would the senior nurse include as the primary purpose of QI programs?

As a nurse manager,you know that the satisfaction of patients is critical in making QI decisions.You propose to circulate a questionnaire to discharged patients,asking about their experiences on your unit.Your supervisor cautions you to also consider other sources of data for decisions because:

The nurse educator of the pediatric unit determines that vital signs are frequently not being documented when children return from surgery.According to QI,to correct the problem the educator,in consultation with the patient care manager,would initially do which of the following?

In determining the relationship between injury-producing falls and proposed preventive measures as part of the QI process,a QI team might turn to which of the following for confirmatory evidence?

Patient perceptions are useful in:

The QI process begins with:

At Hospital Ajax,staff members are reluctant to admit to medication errors because of previous litigation and a culture that seeks to assign blame.This culture demonstrates:

Hospital ABCD is a Magnet hospital.This designation has been applied to Hospital ABCD because it:

A nurse manager wants to decrease the number of medication errors that occur in her department.The manager arranges a meeting with the staff to discuss the issue.The manager conveys a philosophy of total quality management (QM)by:

Before beginning a continuous QI project,a nurse should determine the minimal safety level of care by referring to which of the following?

The nurse manager is performing a root-cause analysis related to medication administration errors with insulin.A root-cause analysis is very similar to the QI process except that a root-cause analysis is:

The outcome statement "Patients will experience a 10% reduction in urinary tract infections as a result of enhanced staff training related to catheterization and prompted voiding" is:

Which of the following is not a principle of high reliability organizations?

The nurse manager is concerned about the negative ratings that her unit has received on patient satisfaction surveys.The first step in addressing this issue from the point of view of quality improvement is which of the following?

Examples of sentinel events include (Select all that apply.)

A nursing unit is interested in refining its self-medication processes.In beginning this process,the team is interested in how frequently errors occur with different patients.To assist with visualizing this question,which organizational tool is most appropriate?

A new graduate is asked to serve on the hospital's quality improvement (QI)committee.The nurse understands that the first step in quality improvement is to:

Your institution has identified a recent rise in postsurgical infection rates.As part of your QI analysis,you are interested in determining how your infection rates compare with those of institutions of similar size and patient demographics.Such a determination is known as:

The chief executive officer asks the nurse manager of the telemetry unit to justify the disproportionately high number of registered nurses on the telemetry unit.The nurse manager explains that nursing research has validated which statement about a low nurse-to-patient ratio?

With the rise of workplace violence in the emergency department,the nurse manager decides that she should work with the risk manager in violence prevention.The nurse manager should: