M 7 Quality Improvement Flashcards
IOM defines quality as having
Effectiveness
Efficiency
Equity
Patient centeredness
Safety
Timeliness
Ways to manage errors in medicine
Electronic med record
Health info tech
Med administration systems
Root cause analysis
Sentinel events
Root cause analysis
Investigation into sentinel event
Why event occurred
Where improvements can be made
Magnet status
Highest credential for nursing facilities
Developed by ANCC
American Nurses Credentialing Center
Magnet status categories
Quality pt care
Nurse excellence
Innovation in nurse practice
Magnet status credential time frame
Monitoring data every 2 years
Recert every 4 years
Qualities of transformational leadership
Listen
Challenge
Influence
Affirm
Environments where professional practice will flourish
Engagement
Professional development
Teaching
Nursing recobnition
Nursing relationships are established with who
Patient
Family
Community
Interdisciplinary team
Why participate in quality improvement
Nursing satisfaction
Patient outcomes
Safety
Cost advantages
HIT
Health information technology
Hardware and software used to improve healthcare
EMR
Telehealth
Escripts
HIT helps by
increasing speed
rapid info sharing
reducing paperwork
securing access
CPOE
Computerized Physician Order Entry
Entering orders into computer
Who identified CPOE
Leapfrog group
CPOE MOA
Med order is integrated with pt info
Med order is checked against pt info
Result is better decision making
EMR
Med info made from many locations
EMRs where mandated via the ARRA which is
American Recovery and Reinvestment Act
Not really a mandate, but took away funding if not participating
EHRs and drug admin
Access to allergies
Reference to previous meds
Best practice, ask pt if they have taken med before
Parts of a med order
Patient
Medication
Dose
Route
Time
Documentation
CPOE and med perscriptions
Eliminates handwriting and prevents errors
Med supply system in hospitals
Unit dosing
Calculation
Bar-code medication administration BCMA
When to check meds
When reaching for package
After retreival against the MAR
Before giving
Maintaining a safe environment with drugs
NEVER leave drugs unattended
Nurse who prepares a med, should administer it, and document it
Calculation proficiency
Monitor pt after giving
