Chapter 6

Question 1

process of addressing and resolving areas of deficit or problems, systematic/continuous actions that lead to measurable improvement

Answer 1

quality improvement

Question 2

plan
do
study
act

Answer 2

continuous QI steps

Question 3

indicator
structure
process outcome

Answer 3

areas of measurement

Question 4

tool used to measure the performance of structure, process, outcome

Answer 4

indicator

Question 5

physical environment, organization, management

Answer 5

structure

Question 6

connected w/ actual delivery of care

Answer 6

process

Question 7

involve and results of care already given

Answer 7

outcome

Question 8

improves quality of care they provide

Answer 8

national initiatives

Question 9

mandatory national pt safety goals
(identify pt correctly, improve staff communication, use meds safely, prevent infection, check pt meds, identify pt safety risk, prevent mistakes in surgery)

Answer 9

joint commission

Question 10

32 Q measuring pt experience after discharge
medicare reimbursement related to scores
(P4P - pay for performance, VBP - value based purchasing)

Answer 10

HCAPS (hospital consumer assessment of healthcare provider and systems)

Question 11

aid RN in pt safety and QI efforts by providing research based national comparative data on nursing care and relationship to pt outcome

Answer 11

NDNQI

Question 12

identify - get info on incident
analyze - what was the cause
evaluate
develop a plan for reducing frequency/severity of of accident

Answer 12

risk management

Question 13

med errors, complications from dx/tx, falls, pt or fam dissatisfaction, refusal of tx or signing consent

Answer 13

high risk areas

Question 14

used to analyze severity, frequency, cause of occurrences

Answer 14

incident reporting

Question 15

environment for reporting errors w/o fear of undue retribution

Answer 15

just culture

Question 16

methods to work backward through an event to examine every action that led to error

Answer 16

root cause analysis

Question 17

what’s the problem
why did it happen
what specifically could have been done to prevent

Answer 17

root cause questions

Question 18

PT : what pt factors contributed
PERSONNEL : what personnel actions contributed to the event
POLICIES : are there policies for this type of event
PROCEDURES : are there standard procedures for this type of event
PLACE : did the workplace environment contribute to the event
POLITICS : did institutional/outside politics play a role in the event

Answer 18

the P’s

Question 19

strengths (internal +)
weakness (internal -)
opportunities (external +)
threats (external -)

Answer 19

SWOT analysis