Exam (elaborations)
NUR 2243 ( LATEST 2024 / 2025 ) | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
- Course
- Institution
NUR 2243 ( LATEST 2024 / 2025 ) | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
[Show more]
Content preview
NUR 22431. 1) Goal of IOM Report
Answer
Break status quo / cycle of inaction
b) Safety gaps will not be tolerated
c) Address resistance to change
d) Address insurmountable barriers
e) Ensure healthcare is of healing and comfort with no acceptance of harm
2. IOM Comprehensive approach to healthcare quality and safety improvement created a
model which
includes
Answer
a) Domains of Quality
b) External Drivers (need to be balanced
3. The domains of quality are
Answer
a) Safety/Safe care processes- freedom from accidental injury
b) Practice consistent with current medical knowledge (evidence based practice)
c) Customization (patient centered)
4. 4) Issues that effect safety in healthcare
,Answer
a) Misuse (most common)- avoidable complication
b) Overuse
c) Underuse
5. 5) The external drivers that influence quality improvement
Answer
a) Regulatory and Legislative
b) Economics and other incentives
6. 6) Definition of healthcare quality (quality and safety always go together CANNOT
separate)
Answer
a) Processes and outcomes that meet or exceed the needs and desires of the population
7. 7) State of healthcare 1999
Answer
a) Medical errors 8th leading cause of death, estimated as much as 98K deaths annual
8. An error is defined as the failure of a planned action to be completed as intended (i.e., error
of
execution) or the use of a wrong plan to achieve an aim (i.e., error of planning).
They are a systems issue.
Answer
, a) Class of errors
i) Diagnostic
ii) Treatment
iii) Preventative failure (e.g. monitoring or follow-up)
iv) Other failure (e.g. equipment)
b) Types of errors/Unsafe acts
i) Error in execution
(1) Slip-observable (wrote wrong drug)
(2) Lapse- non observable (not remembering something)
(3) Violation is unsafe act and deliberate although may feel justified
ii) Error in Planning 1
(1) Mistake, rule based or knowledge based- planned action was wrong, e.g. lack of knowledge
or assessed incorrectly
iii) Active error-felt immediate, at front line, frontline operator
iv) Latent error-removed from direct control, in system, *pose greatest threat- e.g. poor design
instillation, management structure
c) Most common medical error is medication error
9. 9) Why do errors happen-Systems Approach
Answer
a) Multiple contributing factors
b) Complex systems- System-set of independent elements, both human and non- human,
interacting to achieve a common goal
c) Any element in system may belong to other systems
d) System failure- due to multiple failures that occur in an unanticipated interaction create
chain of events in which faults grow and evolve
e) Accident- event that involves damage to defined system that disrupts ongoing or future
output of that system, an unintentional incident
10. Adverse event is an injury caused by medical management rather than the underlying
condition of
the patient. An adverse event attributable to error is a "preventable adverse event."
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller gradexam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78140 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now