Exam 17: Managing Performance and Outcomes Using an Organizational Quality Improvement Model

The nurse manager is aware that the incidences of falls on her unit are too high prior to, during, and after shift reports. She has decided to incorporate a quality improvement methodology called the PDSA cycle. Identify what the PDSA cycle is and use it to create a quality improvement plan to decrease the number of falls that are occurring on the unit.

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Question 1

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The PDSA cycle starts with three questions (Ransom et al., 2005):
(1) What are we trying to accomplish?
(2) How will we know that a change is an improvement?
(3) What changes can we make that will result in improvement?
As these questions are being answered, testing needs to be done to evaluate the effect of a proposed change and to learn about different alternatives. The goal is to increase the ability to predict the effect that one or more changes would have if they were implemented. The plan for testing should cover who will do what, when they will do it, and where they will do it. Using the PDSA cycle encourages ongoing quality improvement.

Which one of the following statements applies to employees who work in an organization that encourages empowerment and promotes a culture of employee ownership?

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Question 2

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Which of the following is one of the primary benefits of adopting quality concepts and principles?

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Question 3

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Which of these acronyms stands for a model that describes a stepwise process of how to move through the improvement process?

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Question 4

Which step in the FOCUS process asks the question, "What is the problem?"

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Question 5

The nurse manager is aware that the incidences of medication errors on her unit are too high. She has decided to incorporate a quality improvement methodology called FOCUS. Identify what FOCUS is and use it to create a quality improvement plan to decrease the number of medication errors by registered nurses that are occurring on the unit.

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Question 6

Which of the following is an example of a direct cost?

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Question 7

Which one of the following statements best describes the concept of quality?

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Question 8

Which of these terms could include the example of a client who is having a chest X-ray done?

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Question 9

Which one of the following people has made an important contribution to the science of improvement?

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Question 10

If you were a manager planning to use the FOCUS method to examine a process in your agency, in which step would you find a flowchart most useful?

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Question 11

Which of the following may result from inspection systems that reward or punish random variation?

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Question 12

Which one of the following statements is a general principle of performance improvement?

(Multiple Choice)

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Question 13

Which of the following is the term for a visual display that outlines the major steps in an improvement process?

(Multiple Choice)

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Question 14

Which one of these acronyms stands for a model that outlines a methodology for improvement?

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Question 15

Which of the following is an important feature of quality improvement (QI) efforts in today's highly complex and changeable health care organizations?

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Question 16

Which one of the following groups is an example of an internal customer?

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Question 17

What is the term for an unexpected occurrence involving death or serious physical or psychological injury to a client?

(Multiple Choice)

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Question 18

Which of the following acronyms represents another term for total quality management?

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Question 19

The nurse demonstrates an understanding of the main focus of quality assurance when she makes which following statements?

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Question 20

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Exam 17: Managing Performance and Outcomes Using an Organizational Quality Improvement Model

Which one of the following statements applies to employees who work in an organization that encourages empowerment and promotes a culture of employee ownership?

Which of the following is one of the primary benefits of adopting quality concepts and principles?

Which of these acronyms stands for a model that describes a stepwise process of how to move through the improvement process?

Which step in the FOCUS process asks the question, "What is the problem?"

Which of the following is an example of a direct cost?

Which one of the following statements best describes the concept of quality?

Which of these terms could include the example of a client who is having a chest X-ray done?

Which one of the following people has made an important contribution to the science of improvement?

If you were a manager planning to use the FOCUS method to examine a process in your agency, in which step would you find a flowchart most useful?

Which of the following may result from inspection systems that reward or punish random variation?

Which one of the following statements is a general principle of performance improvement?

Which of the following is the term for a visual display that outlines the major steps in an improvement process?

Which one of these acronyms stands for a model that outlines a methodology for improvement?

Which of the following is an important feature of quality improvement (QI) efforts in today's highly complex and changeable health care organizations?

Which one of the following groups is an example of an internal customer?

What is the term for an unexpected occurrence involving death or serious physical or psychological injury to a client?

Which of the following acronyms represents another term for total quality management?

The nurse demonstrates an understanding of the main focus of quality assurance when she makes which following statements?

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