Deck 24: Patient Safety and Quality Initiatives in Informatics

Question 1

An important component of the informatics infrastructure is:

A) establishment and adoption of standards to support semantic interoperability.
B) defined standard value sets, groupings, aligners, and attributes.
C) organizations enabled to set individual standards for quality measurement and reporting.
D) variation in the types of data used to populate the quality metrics.

Answer 1

establishment and adoption of standards to support semantic interoperability.

Question 2

When evaluating quality and patient safety, which approach defines the framework for Patient Safety and Quality Research Design (PSQRD)?

A) Outcomes are driven mainly by Meaningful Use directives.
B) Consideration of current managerial processes has no effect on patient outcomes.
C) Patient safety is best achieved by minimizing changes to existing processes.
D) Quality and safety are based on organizational structure, management and clinical processes, and their linkages to patient outcomes.

Answer 2

Quality and safety are based on organizational structure, management and clinical processes, and their linkages to patient outcomes.

Question 3

Why is the PSQRD a useful framework for research and practice?

A) It explains why using computer applications is the best way to support better patient outcomes.
B) It supports implementation, performance improvement, and rigorous research methodologies.
C) It ensures successful implementation of a clinical process change.
D) It increases communication among clinical staff.

Answer 3

It supports implementation, performance improvement, and rigorous research methodologies.

Question 4

A nurse forgets to walk a patient during the nurse's shift. This is an example of an error of:

A) commission.
B) omission.
C) condition.
D) remission.

Question 5

A nurse gives a patient the wrong drug. This is an example of an error of:

A) commission.
B) omission.
C) condition.
D) remission.

Question 6

A hospital has an integrated clinical decision support system embedded in the EHR. According to Donabedian's model, this would be considered:

A) structure.
B) process.
C) outcome.
D) effectiveness.

Question 7

A nurse uses a CDS system to make an informed clinical decision regarding a drug dosage ordered for a patient. According to Donabedian's model, this would be considered:

A) structure.
B) process.
C) outcome.
D) effectiveness.

Question 8

A unit has been experiencing a high rate of patient falls for the past 3 months. According to Donabedian's model, patient falls would be considered:

A) structure.
B) process.
C) outcome.
D) effectiveness.

Question 9

To automatically track the quality of care, standardized quality measures are needed in order to: (Select all that apply.)

A) use consistent metrics.
B) benchmark.
C) standardize data collection.
D) ensure clinical efficiency.
E) have intuition.

Question 10

Which items are included in the IOM six aims for improvement? (Select all that apply.)

A) Safe
B) Patient-centered
C) Innovative
D) Effective
E) Unintrusive