Nursing 251 Quality Improvement Review Questions and Correct Answers
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Course
Nurs 251
Institution
Nurs 251
Statistics: According to a recent 2016 study, ______ errors are the third leading cause of death with over 250,000 per year Medical -> Medication-related errors for hospitalized patients cast $16.4 billion annually
The Institute of Medicine created 6 aims for the healthcare system to guide impr...
Nursing 251 Quality Improvement
Review Questions and Correct Answers
Statistics:
According to a recent 2016 study, ______ errors are the third leading cause of death
with over 250,000 per year ✅Medical
-> Medication-related errors for hospitalized patients cast $16.4 billion annually
The Institute of Medicine created 6 aims for the healthcare system to guide
improvements. What are they? ✅1. Safe - Preventing injuries
2. Timely - Reduce waits and delays
3. Effective - Providing services based on scientific knowledge to all who could benefit
and refraining from providing services to those not likely to benefit
4. Efficient - Preventing waste
5. Equitable - No change in care d/t personal characteristics
6. Patient centered - Including patient and families in care
What 3 points make up the cornerstone of quality management? ✅1. Perspective of
organization's quality by customer
2. Scientific approach
- Decisions based on sound, valid data
3. "All one team" approach
First national, standardized, publicly reported survey of patients perspectives of hospital
care. It is a survey instrument and data collection methodology for measuring patients
perception of their hospital experience. ✅Hospital Consumer Assessment of
Healthcare Providers and Systems (HCAHPS)
- Shows the consumer's perspective on an organization's quality
What are the 4 goals of HCAHPS? ✅1. Produce data about pts perspectives of care
that allow objective and meaningful comparisons of hospitals on topics that are
important to consumers
2. Creates incentives for hospitals to improve quality of care
3. Enhances accountability in health care
4. Impacts Medicare reimbursement via Value Base Purchasing
What are the 7 major areas of patient experience/satisfaction that are looked at when
taking the HCAHPS? ✅- Nurse communication
- Physician communication
- Responsiveness of hospital staff
- Cleanliness, quietness of the hospital environment
- Pain management
- Communication about medications
, - Discharge information
One solution to increase patient satisfaction and quality of care if hourly rounding. What
4 things does hourly rounding help with? ✅- Decrease in call lights
- Improved patient satisfaction
- Decreased pt falls (Estimated cost/fall = 11,000)
- Decreased skin breakdown
What are 4 hallmark points of effective quality control programs? ✅- Support from top
level administrators
- Commitment from the organization in terms of fiscal and human resources
- Quality goals reflect search for excellence rather than minimums
- Process is ongoing and continuous, always working to succeed
Balancing costs and quality in healthcare is an ongoing struggle in healthcare. Cost
containment refers to effective and efficient delivery of services. What 3 areas do we
need to consider for cost containment? ✅- Generation of revenues for organization
productivity
- Does not mean inexpensive/cheap
- Producing good results from the amount of money spent
Performance that is measured against predetermined standards. It applies to the entire
interdisciplinary healthcare team and supportive personnel. ✅Quality of care
Higher spending does not necessarily result in higher-quality care. Sometimes high
spending represents what 3 things? ✅1. A duplication of services
2. An overutilization of services
3. The use of technology that exceeds a particular patient's needs
T or F ; The US spends more per person on healthcare than any other country in the
world and we do not rank in the top for healthcare. ✅True!
Rankings:
- 26th for infant mortality
- 26th and 27th respectively for female and male adult mortality
- 31st for life expectancy
What are the three major types of budgets used in the hospital? ✅1. Personnel
2. Operating
3. Capital
The largest of the budget expenditures is the ______ because health care is labor
intensive. ✅Personnel budget: Workforce
-> It should be possible to stay within a staffing budget and meet the needs of the
patients and staff to deliver quality care.
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