Exam 21: Managing Quality and Risk

With the rise of workplace violence in the emergency department,the nurse manager decides that she should work with the risk manager in violence prevention.The nurse manager should

Your institution has identified a recent rise in postsurgical infection rates.As part of your QI analysis,you are interested in determining how your infection rates compare with those of institutions of similar size and patient demographics.Such a determination is known as

Hospital ABCD is a Magnet™ hospital.This designation has been applied to Hospital ABCD because it

A method commonly used in quality assurance to monitor adherence to established standards is

As a nurse manager,you know that the satisfaction of patients is critical in making QI decisions.You propose to circulate a questionnaire to discharged patients,asking about their experiences on your unit.Your supervisor cautions you to also consider other sources of data for decisions because

The chief executive officer asks the nurse manager of the telemetry unit to justify the disproportionately high number of registered nurses on the telemetry unit.The nurse manager explains that nursing research has validated which statement about a low nurse-to-patient ratio?

A new graduate is asked to serve on the hospital's quality improvement (QI)committee.The nurse understands that the first step in quality improvement is to

The nurse manager is performing a root-cause analysis related to medication administration errors with insulin.A root-cause analysis is very similar to the QI process except that a root-cause analysis is

The nurse educator of the pediatric unit determines that vital signs are frequently not being documented when children return from surgery.According to QI,to correct the problem,the educator,in consultation with the patient care manager,would initially do which of the following?

A nursing unit is interested in refining its self-medication processes.In beginning this process,the team is interested in how frequently errors occur with different patients.To assist with visualizing this question,which organizational tool is most appropriate?

Patient perceptions are useful in

The nurse gives an inaccurate dose of medication to a patient.After assessment of the patient,the nurse completes an incident report.The nurse notifies the nursing supervisor of the medication error and calls the physician to report the occurrence.The nurse who administered the inaccurate medication understands that

In determining the relationship between injury-producing falls and proposed preventive measures as part of the QI process,a QI team might turn to which of the following for confirmatory evidence?

A health care organization is committed to improving patient outcomes as part of the QI process and examines its executive structure and organizational design.This approach recognizes which model of QI?

The nurse manager is concerned about the negative ratings that her unit has received on patient satisfaction surveys.The first step in addressing this issue from the point of view of quality improvement is which of the following?

At Hospital Ajax,staff members are reluctant to admit to medication errors because of previous litigation and a culture that seeks to assign blame.This culture demonstrates

An example of an effective patient outcome statement is

Before beginning a continuous QI project,a nurse should determine the minimal safety level of care by referring to which of the following?

A nurse is explaining the pediatric unit's QI program to a newly employed nurse.Which of the following would the senior nurse include as the primary purpose of QI programs?

Examples of sentinel events include