Exam 22: Quality Improvement and Patient Safety

Each month data on admission assessments that are based on the following standard are entered: "All patients will be assessed by an RN within 2 hours of admission." The target goal for this standard is 97% compliance.Data are displayed on a graph that shows number and time of admission assessments and compliance variation limits.This pictorial representation is documented using what tool?

Which of the following occurrences would be classified as a sentinel event?

A nurse is assisting with the delivery of twins.The first infant is placed on the scale to be weighed.The physician requests an instrument stat.The nurse turns to hand the instrument to the physician,and the infant falls off the scale.When evaluating the incident,the nurse and her manager list contributory factors such as the need for two nurses when multiple births are known,and the location of the scale so far from the delivery field.These nurses are engaged in what process?

A group of nurses are presenting the importance of high-quality care during a system-wide meeting of medical-surgical nurses.They point out a finding of the Quality Chasm that supports what?

While taking a shower,a patient pushes the emergency light.When the nurse arrives,the patient complains of feeling dizzy and unsteady.The nurse turns to reach for the patient's walker and the patient falls,hitting the right side of the face resulting in loss of vision in the right eye.This scenario represents a _______ event.

Institute for Healthcare Improvement (IHI)proposed a process for quality improvement with steps known as "PDCA." What statement should be made when explaining the steps to a group of nurses interested in improving the process of medication reconciliation for heart failure patients with high rates of recidivism?

An organization's emergency preparedness task force meets to discuss how it should react in case of a terrorist attack and develops a disaster evacuation plan that details how each department will assist individuals in reaching safety.This type of diagram is referred to using what term?

According to the Quality Chasm report what statement is true?

A nurse is asked to "float" to a telemetry floor and is to place a patient on telemetry monitor.The nurse is unfamiliar with placement of EKG leads and would consult which type of chart to learn the correct placement?

Which of the following statements concerning the Institute of Medicine (IOM)competencies is correct?

The number of IV site infections has more than doubled on a nursing unit.The staff determine common causes include the site is cleaned using inconsistent methods,dressing frequently becomes wet when patient showers,IV tubing is not changed every 48 hours per protocol,and inadequate hand washing of RN prior to insertion.A bar graph demonstrates the frequency in descending order,with 80% of infections being attributed to inadequate hand washing.The quality tool used is referred to as what?

What nonprofit organization distributes knowledge related to health care for the purpose of improving health to governmental agencies,the public,business,and health care professionals?

A team of experienced nurses work together to develop algorithms that are converted into checklists to ensure standardization of commonly performed procedures.The focus of this team is primarily on which Institute of Medicine (IOM)competency?

The staff on a nursing unit notes that patient satisfaction varies from month to month.They plot the degree of patient satisfaction each month for 1 year to determine when the periods of greatest dissatisfaction are occurring.The staff uses which type of graph to present this information?

A patient is ordered a low-protein,low-calorie diet but the patient's family brings fish,lentils,and unleavened bread for a meal to observe a cultural practice.The nurse works with the dietitian to adjust the next few meals to accommodate for this variance.What term should be used to identify this situation?

The surgical team arrives in the operating room and one-member states,"Everyone stop.Let's identify the patient and operative site.Now does anyone have any questions or concerns?" This process is referred to by what term?

Nurses,physicians,and social workers finalize the plan of care and coordinate discharge for a homeless person who will need wound care and follow up over the next 4 weeks.Each member contributes based on his or her area of expertise but also recognize other members' strengths.Which of the QSEN competencies are being demonstrated?

Nurses working on an orthopedic unit use personal digital assistants (PDAs)to review medications prior to administration to reduce potential drug interactions.Software is also installed that provides video clips of common procedures performed by nurses.Nurses on this unit are best demonstrating which QSEN competencies?

The National Database of Nursing Quality Indicators (NDNQI)identifies what client focused events as outcome indicator? (Select all that apply. )

A nurse is removing a saturated dressing from an abdominal incision and must cut the tape to remove the dressing.The nurse accidentally cuts the sutures holding the incision,and evisceration occurs.In quality improvement,this incident is best identified using what term?