Test 2 Flashcards

1
Q

is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge

A

Quality

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2
Q

Building a Safer Health System was published in 2000 by the IOM and recommended system changes for advocated strategies to reduce the number of errors and improve quality health care

A

To Err is Human

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3
Q

An error that could have caused harm to a patient, but did not, as a result of chance, prevention, or some intervention that mitigated the impact

A

Near Miss

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4
Q

Errors that result in moderate to severe harm to a patient. One of the most common adverse events familiar to nurses involves medication administration

A

Adverse Event

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5
Q

as failure of a planned intervention or action to be completed as intended and includes a variation from the standard of care

A

Medical Error or Adverse Event

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6
Q

A serious adverse event when a patient dies or has a serious, undesirable, and largely avoidable outcome as a result of error

A

Sentinel Event

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7
Q

is used when a patient has been seriously harmed or has died as a result of medical error

A

Root cause Analysis (RCA)

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8
Q

Should ALL errors be reported?

A

YES

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9
Q

is the practice of nursing in which interventions are based on data from research that demonstrates that they are appropriate and successful.

A

Evidence Based Practice

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10
Q

What type of evidence?

focused on testing of a hypothesis through objective observation and validation (randomized control trials)

A

Quantitative

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11
Q

What type of evidence?

answers questions that cannot be answered using a quantitative study (focuses on experiences)

A

Qualitative

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12
Q

What type of evidence?

Using both quantitative and qualitative is called:

A

Mixed Method

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13
Q

What type of evidence?

synthesis of evidence

A

Systemic Reviews

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14
Q

What type of evidence?

summarize research findings and advise in care of patients

A

Practice Guidelines

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15
Q

○ The process used to identify and resolve performance deficiencies. Includes measuring performance against a set of predetermined standards. In healthcare, these standards are set by the facility and consider accrediting and professional standards.

A

Quality Improvement

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16
Q

What Leadership style is this statement?

Makes decisions for the group, communication occurs down the chain of command, work output by staff is high, effective for employees with little to no education

A

Authoritative

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17
Q

What leadership style is this statement?

Includes the group when decisions are made, motivation by supporting staff achievements, communication occurs up and down the chain of command

A

Democratic

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18
Q

What leadership style is this statement?

Makes very few decisions and does little planning, motivation responsible by each staff member, work output low

A

Laissez-faire

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19
Q

Oldest theory and is sometimes called “traditional management theory”.

A

Classical Management Theory

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20
Q

Which Classical Management Theory?

Tend to focus on goals, productivity, the organization is a machine and needs to be run efficiently, production needs to be increased, managers closely supervise, workers have to have the right tools and right equipment to do their jobs, and then focus on training the workers to work more efficiently and performance incentives are used.

A

Scientific Management Theory

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21
Q

Which Classical Management Theory?

The focus is superior, subordinate communication, transmitted from the top to the bottom, very clear chain of command, very explicit rules and regulations for governing activities, use merit and skill as a basis for promotion or reward. There is a emphasis given on lifetime career service and salaried managers. Lot of the modern corporations are ran like this today. The military is a great example.

A

Bureaucratic Management Theory

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22
Q

Which Classical Management Theory?

Focus is on the science of management and principles of an organization applicable in any setting. Mainly concerned with the optimal approach for administrators to achieve economic efficiency.

A

Administrative Management Theory

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23
Q

Focus is on empowering the individual worker. They are their own source of control, motivation, and productivity in the organization. Relationship between managers and workers are the main determinants of efficiency. Emphasizes participatory decision-making increases workers autonomy. Emphasizes training of employees to improve work.

A

Human Relation Management Theory

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24
Q

What are the 3 keys to effective management?

A

Information, interpersonal, and decisional

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25
Q

Speak for the organization to the employees and vice versa

A

Spokesperson

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26
Q

Share information with their patients, staff, and employers

A

Public Relations

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27
Q

Need to keep in mind how their interactions with staff members and administration affects the care provided to the patients for whom they are responsible

A

Networking

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28
Q

Resolve conflicts among employees, patients, and administration

A

Conflict Negotiation and Resolution

29
Q

Provide for the learning and upgrading of the skills of employees

A

Employee Development

30
Q

Share experiences and expertise with staff to help future the growth and development of the employee to do a better job through learning

A

Coaching

31
Q

Conduct formal performance appraisals

A

Employee Evaluation

31
Q

Often given a set amount of money to run units/ departments and must allocate resources wisely

A

Resource Allocation

32
Q

Participate in employment and termination decisions

A

Hiring and Firing employees

33
Q

Look ahead to prepare themselves and their units for future chance in budget, organizational priorities, and patient populations. May need to look at competition and the healthcare system as a whole as well.

A

Planning for the future

34
Q

May be required to analyze and redesign the work of the unit to make them as efficient as possible

A

Job Analysis and Redesign

35
Q

Process by which the parties resolve conflict, agree on actions to take, and pursue outcomes beneficial to all

A

Negotiation

35
Q

Allows expression in direct, honest, and nonthreatening manner. It respects others’ rights. It acknowledges and deals with conflict, recognizes others as equals and provides a direct statement of feelings.

A

Assertive Communication

36
Q

Anybody requiring treatment must pay for it on the spot. Common in developing countries where no formal statewide system exists.

A

Out of pocket model

37
Q

Funded by insurance payments made by employers and employees. Most hospitals and health services are private institutions although the funds are considered public. Covers those who are employed and pay into it.

A

Bismarck Model

38
Q

Funded by direct income tax deductions. Healthcare staff (Doctors and nurses) are employees by the state. Advantage is the healthcare services are free to all, cost are kept low since the government is the only purchaser. Disadvantage: there is a long waiting list for treatment.

A

Beveridge Model

39
Q

Government is the single payer for all health services. Every citizen pays into a stated operated insurance scheme. Not for profit and no claim is denied. Health service providers are privately owned. Advantages: Provides healthcare for all. Hospitals only have to deal with a single funding provider. Disadvantages: Long waitlist for medically necessary treatments. Can be as long as a year.

A

National Health Insurance Model

40
Q

Professional standards review organizations (PRSO) were introduced to review the quality, quantity, and cost of hospital care through medicare

A

Cost Containment

41
Q

Fixed rate system. Monetary incentives to reduce the length of stay.

A

Prospective Payment Systems

42
Q

Encourages cost-effectiveness in a growing health care system. Participants pay a flat rate usually though an employer to belong to a managed care organization

A

Capitated Payment Systems

43
Q

Provides comprehensive preventative and treatment services to a specific group of voluntarily enrolled persons. Focus is on health maintenance and primary care.

A

Managed Care Organizations (MCO’s)

44
Q

Limits an enrollee’s choice to a list of “preferred” providers and hospitals. Enrollee pays more out of pocket expenses by using a provider not on the list

A

Preferred Provider Organizations (PPO’s)

45
Q

Limits an enrollee’s choice to providers belonging to one organization. Enrollee may or may not be able to use outside providers at an additional cost.

A

Exclusive Provider Organization (EPO)

46
Q

Federally funded program for persons older than 65

A

Medicare

47
Q

What are the 3 parts of Medicare?

A

Part A: hospital coverage
Part B: Covers providers and out outpatient
Part D: Prescription coverage

48
Q

Federally funded but state operated medical assistance program

A

Medicaid

49
Q

Who decides eligibility for medicaid?

A

the state

50
Q

Traditional fee for service plan. Policies are typically expensive. Most have deductibles that the client must meet before insurance pays.

A

Traditional private Insurance

51
Q

Supplemental insurance for coverage of long-term care services. Set number of dollars for an unlimited time or for as little as two years. Cost is very expensive. Good policy has a minimum waiting period of two years for eligibility. Pays for skilled nursing, intermediate, or custodial care and home care

A

Long Term Care Insurance

52
Q

What is medicare deducted from?

A

Social Security

53
Q

occurs when a nurse fails to competently perform medical duties and that failure harms the client

A

Malpractice

54
Q

Wrongful acts that cause someone to suffer harm (negligence, assault, battery)

A

Tort

55
Q

Most commonly encountered tort for all health professionals. Damage is death, physical, pathological, and/or psychiatric injury that a nurses negligence has on the client

A

Negligence

56
Q

Intentional act of making someone fear that you will cause them harm. You do not have to actually harm them to commit assault.

A

Assault

57
Q

The intentional act of causing physical harm to someone. Unlike assault, you don’t have to warn the victim or make the victim fearful before you hurt them for it to count as battery

A

Battery

58
Q

Someone who raises concern about a wrongdoing. Someone who exposes information about illegal, illicit, unsafe, waste, fraud, or abusive behavior/activites

A

Whistleblower

59
Q

Prohibits employers from taking any retaliation action against an employee for filing a claim or providing information related to occupational safety and healthy

A

North Carolina General Statute 95-241 (Whistleblower Protection)

60
Q

A proactive, team-based process to prevent errors from occurring before they actually happen

A

Failure mode and effects analysis

61
Q

The study of people performing functions with an analysis of errors and their causes, circumstances, and other surrounding factors to improve outcomes

A

Human Factor Anaylsis

62
Q

A mechanism to report events that are inconsistent with routine operations (policies/procedures) or patient-care processes

A

Medical Error Reporting

63
Q

The abstract, overreaching philosophical way of understanding ethics. How do we know what is right or wrong? What is the truth?

A

Meta-ethics

64
Q

The use of concepts and principles to guide decision making about specific actions in determining what is right or wrong when interacting with other people

A

Normative Ethics

65
Q

The application of theories and systems of ethics developed by ethics to real-world situations. Broken into specialized fields such as health care ethics, legal ethics, bioethics, or business ethics. Use most by nurses and other health care providers in resolving ethical dilemmas.

A

Applied Ethics

66
Q
A