Exam 17: Managing Quality and Safety

An agency has not created a continuous quality improvement program. Which of the following actions should the agency take to help ensure quality care within the institution?

What is the primary goal of total quality management?

In which of the following ways does licensing differ from accreditation? (Select all that apply.)

A nurse has identified a need to increase the quality assurance efforts within the home care agency. Which of the following has most likely occurred?

The staff was informed that a PRO (Professional Review Organization) would be making an unannounced visit in a few hours. Which of the following would the hospital nurse expect the PRO team to examine?

A home health care agency has major problems but does not want consumers to know about these problems while the agency decides what should be done to improve them. Employees are not told to lie, but they are advised not to share information. Which of the following is the most likely outcome of this situation?

The quality improvement team reviews the records of clients on a monthly basis to determine whether protocols for pain assessment were followed. Which of the following best describes the major drawback to the team's approach?

Which of the following information can be gathered by reviewing a community health report card?

How does continuous quality improvement (CQI) differ from quality assurance?

An agency is beginning to implement a general approach for quality improvement. Which of the following activities would the agency most likely implement?

The quality improvement team reviews the records of clients on a monthly basis to determine whether protocols for pain assessment were followed. Which of the following best describes this activity?

A wealthy factory owner says, "I don't care about the poor. I just want the best care available for me and my family. Why should I care whether other people get health care or not?" Which of the following would be the most appropriate response by the nurse?

Which of the following is accomplished through the use of traditional quality assurance?

A nurse is invited to join the utilization review team to help the agency avoid giving unnecessary care. Which of the following difficulties would the nurse most likely confront as client records are reviewed?

The pharmacist sent up the wrong medication for the patient. The nurse filled out an incident report when the error was discovered. Which of the following best describes the likely outcome when the quality improvement team reviews the incident report?

A home care nurse is encouraging the administration of the agency to increase their quality assurance efforts. Which of the following best describes a negative outcome from this activity?

The management team of the Central County Community Health Agency wants to analyze the cost of homebound client services. Which of the following records are most likely to provide useful data?

Which of the following best explains why evaluation of client outcomes resulting from nursing intervention is so difficult?

Which of the following led to the development of the National Health Quality Improvement Act?

A nursing committee is responsible for evaluating the process of health care agency in their quality assurance efforts. Which of the following techniques would most likely be used by the committee members? (Select all that apply.)