Deck 01_Regulatory Standards & Organizations

Question 1

What are the components of SBAR communication?

Answer 1

• Situation – what happened
• Background – relevant background info
• Assessment – analysis of problem
• Recommendation – what is needed/desired

Question 2

Identify the role of the following agencies in hospital quality and safety: Joint Commission

Answer 2

Joint commission-Quality

• set standards for what kind of care is given. Facilities need to be approved by the Joint Commission in order to receive medicare reimbursement
• Safety – National Patient Safety Goals
  
  • Example: correct patient identification, prevent infection, use alarms safely

Question 3

Identify the role of the following agencies in hospital quality and safety: Agency for Healthcare Research & Quality (AHRQ)

Answer 3

AHRQ-Agency for Healthcare Research & Quality (AHRQ)

• Use hospital administrative data
  
  • Inpatient mortality for specific procedures/conditions
  • Utilization of procedures
  • Volume of procedures
• looks at hospitals in regards to rate of morbidity. Compares hospitals with other similar facilities to see how bad or how good they doing

Question 4

Identify the role of the following agencies in hospital quality and safety: HCAHPS-Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS)

Answer 4

HCAHPS-Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS)

• Centers for Medicare & Medicaid Services (CMS)
• Patient’s perspective of care
• National, standardized publicly reported
• Data obtained via phone & mail surveys
• Example question:
  
  • During hospital stay, how often did nurses treat you with respect and courtesy?

Center for Medicare/Medicaid services (CMS): collects surveys from patients to see if facilities are giving excellent care. Medicare/Medicaid services will only reimburse for services if patients say they were given excellent care

Question 5

Identify the role of the following agencies in hospital quality and safety: NDNQI-National Database of Nursing Quality Indicators (NDNQI)

Answer 5

NDNQI-National Database of Nursing Quality Indicators (NDNQI)

• collects and evaluates unit-specific nurse-sensitive data. Provides unit-level comparative data (e.g., pressure ulcers, falls)
• Collects & evaluates unit-specific nurse-sensitive data
• Provide unit-level comparative data
• Examples: Pressure ulcers, falls

Question 6

Identify the role of the following agencies in hospital quality and safety: QSEN- Quality & Safety Education for Nurses (QSEN)

Answer 6

QSEN- Quality & Safety Education for Nurses (QSEN)

• Prepare future nurses to improve quality/safety. Guides curriculum in nursing school
• Prepare future nurses to improve quality/safety: guides nursing school GWU
• Knowledge, skill & attitudes (KSAs)
• Patient-Centered care
• Teamwork and collaboration
• Evidence-based Practice
• Quality improvement
• Safety
• Informatics
• Identify and define the five ethical principles.

1. Autonomy
2. Justice
3. Fidelity
4. Beneficence
5. Nonmaleficence

Look at in class notes and clicker questions for these