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Essentials of Nursing Leadership and Management Ch 11 questions and and answers
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Essentials of Nursing Leadership andManagement Ch 11
6 Steps to safe pt care - correct answer-Critical thinking, plan/report outcomes, make
introduction rounds, plan in partnership w/ pt, communicate plan, and evaluate progress.
Characteristics of quality care - correct answer-Safe, effective, pt centered, timely, efficient,
and equitable.
Purpose of quality improvement - correct answer-Continuously improve capability of
everyone involved to provide high-quality, safe pt care. It is proactive and avoids blame.
Reporting a near miss.. - correct answer-To allow organization to study event and activities
leading and make policy /procedure change to prevent.
Root cause analysis - correct answer-Determine what influenced consequences, establish
linked chains of influence, determine necessary and sufficient influences, whenever feasible,
drill down to root causes, know that there are always multiple root causes.
What are algorithms? - correct answer-Systemic procedures (ACLS)
What are guidelines? - correct answer-Based upon current research strategies and
developed by experts.
What are protocols? - correct answer-Outline procedures or interventions.
What are standards of care? - correct answer-Provides a baseline in quality care.
What are structured care methodologies? - correct answer-Tools for tracking outcomes. It
identifies best practices, facilitates standardization of care, provides a mechanism for
variance tracking, quality enhancement, outcome measurement, outcome research.
What are the 5 IOM competencies needed to be effective as providers and leaders? - correct
answer-Pt-centered care, work in interprofessional teams, employ evidence-based practice,
apply quality improvement, and utilize informatics.
What are the four types of adverse events? - correct answer-Diagnosis, treatment,
preventive, and other (failure to communication, equipment failure, and system failure.
What are the three aspects of quality improvement? - correct answer-Structure- setting
including facility (comfort/safety, layout, support, services), equipment, staff (education,
experience, absence, credentials), and finances(salary, source of funds, adequate to
operate)
Process: activities and decisions to be carried out (appt, assessment, x-ray, admin blood)
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