Lesson 2

Question 1

overall goal of QSEN phases

Answer 1

prepare future nurses with knowledge, skills, and attitudes necessary to improve the quality and safety of the health care systems in which they work

Question 2

Guiding Principles for Patient Engagement

Answer 2

-9 core principles that support HCP in their practice of patient-centered, quality care

Question 3

Who developed the Guiding Principles for Patient Engagement?

Answer 3

Alliance for Quality Care (NAQC) and supported by Robert Wood Johnson Foundation with the aim of “patient relationship as the cornerstone of patient safety and quality”

Question 4

9 core principles of guiding principles for patient engagement

Answer 4

1. confidentiality
2. mutual responsibilities and accountabilities
3. levels of engagement
4. advocacy
5. respecting boundaries
6. appreciation of pt’s rights
7. mutuality
8. healthcare literacy
9. appreciation of diverse backgrounds

Question 5

Six Rights

Answer 5

1. right patient
2. right drug
3. right dose
4. right time
5. right route
6. right documentation

Question 6

Three Label Checks

Answer 6

compare the MAR to the medication label 3x prior to administration

Question 7

Steps of the “Three Label Checks” may…

Answer 7

vary depending upon medication distribution system, however rule remains the same

Question 8

Patient Identifiers

Answer 8

1. ID bracelet, photos in EHR
2. name alert precautions, warnings highlighted
3. ID bracelets coded for allergy status
4. w/ no ID bracelet, nurse must accurately identifying the individual by other means when administering a medication

Question 9

QSEN Initiatives

Answer 9

1. patient- and family-centered care
2. collaboration and teamwork
3. evidence-based practice
4. quality improvement
5. safety
6. informatics

Question 10

The Joint Commission Patient Safety Goals

Answer 10

• “do not use” abbreviations list
• focus on problems in health care safety and how to solve them
• no trailing zero
• no naked decimals

Question 11

TJC Patient Safety Goals include…

Answer 11

• ambulatory healthcare
• hospitals
• lab services
• long-term care
• office-based surgeries

Question 12

ISMP

Answer 12

Institute of Safe Medical Practice

• error prone abbreviations, symbols, and dose designations
• high alert medications

Question 13

Black Box Warning

Answer 13

• FDA’s strongest labeling requirement

- warns HCP of risks associated with certain drugs

Question 14

Creating a culture of safety

Answer 14

• teamwork
• collaboration
• remember shared goals
• incorporating the guiding principles for patient engagement

Question 15

medication reconciliation

Answer 15

• verify
• clarify
• reconcile
• communicate