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Ch. 18 Quality and Safety Exam Questions and Answers
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Ch. 18 Quality and Safety Exam Questions and Answers
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Ch. 18: Quality and Safety ExamQuestions and Answers
The iidegree iito iiwhich iihealth iiservices iifor iiindividuals iiand iipopulations iiincreases iithe
iilikelihood iiof iidesired iihealth iioutcomes iithat iiare iiconsistent iiwith iicurrent iiprofessional
iiknowledge iiis iiknown iias iithe: ii
a. iicare iidelivery iiquotient. ii
b. iiexcellence iiindex. ii
c. iiquality iiof iihealth iicare. ii
d. iistandard iiof iicare. ii- iiAnswers ii-ANS: iiC iiQuality iiof iihealth iicare iiis iidefined iias iithe
iidegree iito iiwhich iihealth iiservices iifor iiindividuals iiand iipopulations iiincreases iithe
iilikelihood iiof iidesired iihealth iioutcomes iithat iiare iiconsistent iiwith iicurrent iiprofessional
iiknowledge
A iinursing iiquality iiimprovement iisupervisor iiis iiproposing iito iienhance iithe iicurrent
iiquality iiimprovement iiprogram. iiOne iiof iithe iimost iiimportant iithemes iithat iia iinursing
iiquality iiimprovement iisupervisor iishould iiconsider iiis: ii
a. iibudgetary iiconsiderations. ii
b. iicollaboration iibetween iihealth iicare iiteams. ii
c. iiregular iistaff iitraining iiprograms. ii
d. iisuggestions iifrom iipatients. ii- iiAnswers ii-ANS: iiB iiCollaborative iipartnerships iiare
iipart iiof iithis iiimperative iiand iishape iithe iiway iiprofessional iinurses iiact iiclinically iiand
iihow iithey iiparticipate iiin iiperformance iiand iiquality iiimprovement iiefforts. iiAs iithe
iicomplexity iiof iicare iiincreases, iimultidisciplinary iiand iiinter-professional iiteamwork iiis
iiused iito iisolve iicomplex iiproblems iiin iipractice
To iiprovide iithe iibest iicare iito iievery iipatient iievery iiday iithrough iiintegrated iiclinical
iipractice, iieducation, iiand iiresearch iiis iian iiexample iiof iia(n): ii
a. iiaccountability iiagreement. ii
b. iimission iistatement. ii
c. iiorganizational iistandard. ii
d. iivision iiand iivalue iiproposal. ii- iiAnswers ii-ANS: iiB iiThe iimission iistatement iiof iian
iiorganization iiis iia iiconcise iistatement iithat iianswers iithe iiquestion: iiWhat iibusiness iiare
iiwe iiin iitoday?
Hospitals iimust iisubmit iispecific iiquality iiperformance iidata iiregarding iiMedicare
iipatients iior iirisk: ii
a. iian iiincrease iiin iifederal iitax. ii
b. iidecreased iipayments. ii
c. iifewer iiphysician iireferrals. ii
d. iisanctions iiby iiThe iiJoint iiCommission ii(TJC). ii- iiAnswers ii-ANS: iiB iiIn ii2011, iiCMS
iideveloped iithe iiHospital iiValue-Based iiPurchasing iiProgram, iiwhich iiapplied iito
iipayments iibeginning iiin iifiscal iiyear ii2013 iifor iidischarges iioccurring iion iior iiafter
, iiOctober ii1, ii2012. iiUnder iithe iiprogram, iiCMS iimakes iivalue-based iiincentive
iipayments iito ii3500 iiacute iicare iihospitals iibased iieither iion iihow iiwell iithe iihospitals
iiperform iion iicertain iiquality iimeasures iior iihow iimuch iithe iihospitals' iiperformance
iiimproves iion iicertain iiquality iimeasures iifrom iitheir iiperformance iiduring iia iibaseline
iiperiod. iiReimbursement iiis iibased iion iiquality iiof iicare, iinot iiquantity. iiThe iihigher iia
iihospital's iiperformance iior iiimprovement iiduring iithe iiperformance iiperiod iifor iia iifiscal
iiyear, iithe iihigher iithe iihospital's iivalue-based iiincentive iipayment iifor iithe iifiscal iiyear
iiwould iibe
Responding iito iia iicode iicalled iiin iithe iipsychiatric iiunit iiwhere iishe iiworks, iia iistaff iinurse
iifinds iithat iia iipatient iihas iicommitted iisuicide. iiThe iistaff iinurse iicorrectly iiidentifies iithis
iias ii
a: iia. iibenchmark iiincident. ii
b. iiquality iiimprovement iiissue. ii
c. iiperformance iibreach. ii
d. iisentinel iievent ii- iiAnswers ii-ANS: iiD iiSpecific iisentinel iievent iioutcomes iiare
iiconsidered ii"reviewable" iiby iiTJC. iiReviewable iisentinel iievents iiare iievents iithat iihave
iiresulted iiin iian iiunanticipated iideath, iipermanent iiharm, iior iisevere iitemporary iiharm
iiand iiinclude iisuicide iiof iiany iipatient iireceiving iicare, iitreatment, iiand iiservices iiin iia
iistaffed iiaround-the-clock iicare iisetting.
Which iicomment iiby iithe iinurse iimanager iiwould iiindicate iithat iithe iihospital iiplaces iia
iihigh iivalue iion iipatient iisafety? ii
a. iiWe iihave iisafety iiposters iithroughout iithe iihospital iithat iiencourage iipeople iito iireport
iiproblems. ii
b. iiWe iihave iimonthly iisafety iiin-services. ii
c. iiWe iiencourage iipatients iiand iifamilies iito iiparticipate iiin iitheir iicare. ii
d. iiAll iiemployees iiare iirequired iito iiupdate iitheir iiknowledge iiof iisafety iipractices iieach
iiyear. ii- iiAnswers ii-ANS: iiC
Nurse iileaders iiwill iicontinue iito iiplay iian iiimportant iirole iiin iidesigning iicare iidelivery
iisystems iithat iipromote iipatient iiand iifamily iiengagement ii(Pelletier ii& iiStichler, ii2014a).
iiVarious iitoolkits iihave iibeen iideveloped iito iiassist iistaff iinurses iiand iimanagers iiwho
iidesire iito iiengage iipatients iiand iitheir iifamilies iiin iihospitals ii(AHRQ, ii2013c; iiPelletier ii&
iiStichler, ii2014b) iiand iiambulatory iiand iiprimary iicare
Which iiof iithe iifollowing iiresponses iifrom iithe iinurse iimanager iiis iiconsistent iiwith iia
iiculture iithat iipromotes iipatient iisafety? ii
a. iiWe iimake iisure iithat iiwe iidon't iihave iiany iierrors iion iithis iiunit. ii
b. iiWe iiidentify iiwho iimade iithe iierror iiand iitake iicorrective iiaction. ii
c. iiWe iiprovide iiremedial iitraining iifor iiall iistaff iion iithe iiunit iiwhen iithere iiis iian iierror. ii
d. iiWe iireport iiany iimedical iierror iior iinear-miss iito iihelp iius iifind iithe iiroot iicause iiof iithe
iiproblem. ii- iiAnswers ii-ANS: iiD iiHealth iicare iiorganizations iithat iiembrace iia iifair iiand
iijust iiculture iiidentify iiand iicorrect iithe iisystems iior iiprocesses iiof iicare iithat iicontributed
iito iithe iimedical iierror iior iinear-miss. iiManagers iibelieve iithat iimore iihealth iicare
iiprofessionals iiwill iireport iimore iierrors iiand iinear-misses iiwhen iithey iiare iiprotected iiby
iia iinon-punitive iiculture iiof iimedical iierror iireporting, iiand iithis iiwill iifurther iiimprove
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