Question 1

The Quality Improvement committee is designing a process-based evaluation regarding the number of medication errors. What will be included in this evaluation? Standard Text: Select all that apply.

Accepted Answer

A)  Time of day when errors are occurring 
B)  Numbers of staff providing medications 
C)  Names of staff who are making the errors 
D)  Patient status when errors are being made 
E)  Metrics regarding documentation of medications Correct A,B,D

Question 2

The staff development trainer is planning to evaluate the effectiveness of a training program provided to staff nurses. What will the trainer need prior to conducting this evaluation? Standard Text: Select all that apply.

Accepted Answer

A)  Identify goals 
B)  Establish outcomes 
C)  List of participants 
D)  Determine metrics 
E)  Dates of instruction Correct A,B,D

Question 3

The nursing staff has received training on a new process to reduce intravenous access line infections. When would the staff development trainer evaluate the effectiveness of this instruction?

Accepted Answer

A)  Immediately after the class 
B)  The next day 
C)  In two days 
D)  In a week Correct D

Question 4

The nurse manager wants to use a questionnaire to gather data about a metric. What could be done to determine the reliability of the questions on this evaluation tool?

Accepted Answer

A)  Share the questionnaire with other nurses who are content experts. 
B)  Ask the staff development department to analyze the questions. 
C)  Use the test with different people and match the responses. 
D)  Examine the consistency of repeat findings. Correct

Question 5

A healthcare organization is collecting data to determine the progress of meeting identified metrics. To make sure that the data represents the stakeholders' interests, what would be done at this time?

Accepted Answer

A)  Publish the data in the hospital newsletter. 
B)  Release the data to the media for reporting. 
C)  Share the data with a small group of stakeholders. 
D)  Report the data to the Board of Directors during the next meeting. Correct

Question 6

The nurse manager is coordinating evaluation tools to measure the outcomes of patient care. Which tool would be used to for an outcome-based evaluation?

Accepted Answer

A)  Number of line items outside of the budget 
B)  Number of patient falls within the last month 
C)  Number of patient telephone calls received about discharge medications 
D)  Number of instances where intravenous fluids were not available for patient care Correct

Question 7

The Quality Improvement committee is planning to measure the number of incorrectly documented medication doses on a patient care area. Which method would be used to collect this data?

Accepted Answer

A)  Focus group 
B)  Questionnaire 
C)  Computer system 
D)  Satisfaction survey Correct

Question 8

The manager of a telehealth department is analyzing the metrics to determine the number of successful patient telephone calls for the week. How will the manager use this information?

Accepted Answer

A)  Budget for staffing 
B)  Identify the need for supplies 
C)  Analyze the telephone bill charges 
D)  Determine if goals have been met Correct

Question 9

The Human Resources department is planning staff nurse interviews to measure the success of the new employee benefit package. Which type of questions would be the most beneficial for the human resources staff to use for these interviews?

Accepted Answer

A)  Summary 
B)  Open-ended 
C)  Calculations 
D)  Fill in the blank Correct

Question 10

The nurse manager is designing an evaluation based upon the number of metrics achieved. Which type of evaluation is the manager designing?

Accepted Answer

A)  Goal 
B)  Metric 
C)  Process 
D)  Outcome Correct

Question 11

A healthcare organization did not consider all of the stakeholders' goals when establishing annual metrics for performance. What can occur when data is being collected about goal achievement?

Accepted Answer

A)  Waste time and effort 
B)  No goals will be achieved 
C)  Too much data will be collected 
D)  Metrics will be positively skewed Correct

Question 12

The director of nursing is selecting tools to measure outcomes of patient care. What will the director keep in mind when making the tool selection? Standard Text: Select all that apply.

Accepted Answer

A)  People available to score the instrument 
B)  Instrument not used as punishment 
C)  Ease of completing the instrument 
D)  Validity of the instrument 
E)  The right instrument Correct

Question 13

The nurse manager is concerned that the staff is not exposed to many skills that have been instructed by the staff development department. Which can be done to ensure the staff is able to perform the skill should the situation arise in patient care?

Accepted Answer

A)  Schedule monthly review sessions. 
B)  Assign two staff nurses to complete each technical skill. 
C)  Assign staff to review the procedure manual each shift. 
D)  Design an annual competency evaluation with the staff development department. Correct

Question 14

A healthcare organization is notified by a drug manufacturer that a specific group of medications will no longer be available for patient use through the hospital pharmacy. The organization will need to contract with another drug manufacturer for similar drugs at a higher cost. Which stakeholders is this situation affecting? Standard Text: Select all that apply.

Accepted Answer

A)  Dietary 
B)  Patients 
C)  Physicians 
D)  Pharmacist 
E)  Insurance company Correct

Question 15

An organization is referring to the Institute of Medicine's goals when identifying metrics to measure patient safety. Which goals would the organization most likely select as metrics? Standard Text: Select all that apply.

Accepted Answer

A)  Equitable 
B)  Morbidity 
C)  Length of stay 
D)  Bedside manner 
E)  Number of staff Correct

Question 16

The Quality Improvement committee designed a global triggering tool to report the number of times an ampule of Dextrose 5.0.% is prescribed. Once the trigger occurs through the electronic medical record which action would occur next?

Accepted Answer

A)  Name of the physician would be reported 
B)  The name of the patient would be recorded 
C)  Further investigation for an adverse event would occur 
D)  The patient's diagnosis would be matched for appropriateness Correct

Exam 6: Evaluating a Program: Metrics and Stakeholders