Exam 18: Implementing Healthcare Quality Improvement

Which organizations are subject to accreditation by the Joint Commission? Select all that apply.

During a meeting with nurse managers, the risk manager for the hospital says, "Approximately 60% of our patient care errors can be directly attributed to poor handoffs." What situation should the nurse managers address to improve these statistics?

The risk manager of a healthcare organization is concerned about the amount of violence against healthcare workers that is occurring nationwide and would like to offer education sessions to staff. Which groups of staff are most at risk for experiencing violence and therefore should receive this education earlier rather than later in the schedule? Select all that apply.

Place the key steps of the continuous quality improvement (CQI) process in their most logical order. A) Collect data. B) Implement the plan. C) Develop a plan. D) Analyze and summarize data. E) Implement corrective actions. F) Share data with staff.

The quality improvement director is scheduling education sessions for new employees about Joint Commission Accreditation visits. The director should explain that which group is most likely to be interviewed during the accreditation visit?

The nurse has taken a position in the utilization review (UR) department of a hospital. This nurse can expect to be involved in evaluating which care components? Select all that apply.

The nurse executive announces to the nurse managers that the hospital will soon begin using failure modes and effects analysis (FMEA) to analyze errors. What should the nurse managers tell the staff about this new initiative?

After four nurses retire, the small hospital has insufficient nurses to staff the hospital 24 hours a day, seven days per week. A nursing assistant begins to assume many nursing activities to help with the staffing problem. Who is breaking the law in this case?

The hospital Administrative team holds an employee meeting to announce that the hospital will support the use of quality report cards. What should the employees expect from this announcement? Select all that apply.

The administration of a healthcare organization (HCO) is concerned about the increasing costs of Joint Commission accreditation. One administrator suggests, "Let's just withdraw from the process." What should the administrative staff consider prior to acting on this suggestion? Select all that apply.

The nurse made a medication error. Which statement reflects the traditional "blame game" approach to such errors? Select all that apply.

Which patient is most likely to benefit from using a rapid-response team (RRT)?

Failure to rescue (FTR) is most commonly a result of which other failure?

Which initiative focuses on unit safety?

The healthcare corporation is considering using benchmarking as a way to improve quality. What concept is essential to this process?

Measurement of access to care integrates ________, ________, and ________.

The risk manager is providing education on identifying sentinel events for the nursing staff. Which scenarios would be good examples for the risk manager to use? Select all that apply.

The hospital's risk management department has identified patient falls as the event most likely to result in financial risk to the organization. Which activities should this group initiate? Select all that apply.

The newly licensed nurse asks a more experienced nurse if it is advisable to carry personal malpractice insurance. Which reply, made by the experienced nurse, is the most accurate?

The risk manager has noted an increase in error rate for a nursing unit over the last year. Which factors should the risk manager investigate? Select all that apply.