NMNC 4520 Exam 1 Questions & Answers 2024/2025
What does the use of the CUSP tool provide? - ANSWERSCUSP = comprehensive unit based safety program
What industries other than healthcare began focusing on quality assurance? - ANSWERSauto and aviation
Components of high quality care - ANSWE...
What does the use of the CUSP tool provide? - ANSWERSCUSP = comprehensive unit based safety
program
What industries other than healthcare began focusing on quality assurance? - ANSWERSauto and
aviation
Components of high quality care - ANSWERSAccess to care, competent health care providers, separation
of financial and clinical decisions, organization of health care institutions to maximize quality
Adequate scientific knowledge - ANSWERSEstrogen example - caused cancer due to lack of research
Overuse - ANSWERSNot using efficiently
Underuse - ANSWERSNot using effective and affordable interventions
Misuse - ANSWERSFinancial aspect (billing for treatments that aren't being done)
Long term care - ANSWERSWhy? Growing number of elderly/increased chronic conditions earlier in life
What? Skilled/unskilled/home HC
Improve: cost of care is high, investment of staff, PACE models of care c healthcare team (home health),
address determinants of health, assure providers stay on top of care, prevent illness
What is the intent of Accountability Measures on Consumer Assessment of Healthcare Providers and
Systems (HCAHPS)? - ANSWERSTo measure how well hospitals/care facilities are performing on delivery
of care for very specific medical conditions
, Why is the Swiss Cheese Model a good example of the intent of Quality Management Programs? -
ANSWERSModel accounts for many system processes in place to help avoid error and stop the alignment
of holes - leads to patient harm
Quality nurse wants to know about number of ICU sepsis cases in the last quarter - which type of audit? -
ANSWERSOutcomes audit
At what point of QI process do you need quality audits? - ANSWERSCollection of Data
Purpose of Risk Management - ANSWERSPrevent errors before they occur, identify and correct error,
optimize pt outcomes, prevent pt care problems, mitigates adverse events
Fishbone diagram - ANSWERSTeam agrees on problem statement, team agrees on major categories of
problem, brainstorm possible causes of problem, identify subbranches of problem, nonjudgmental
brainstorming,
identifies slice of Swiss cheese model - then the holes within it
Goal: minimize holes and potential for pt harm, occur in root cause analysis, look at systematic
problem/breakdown
process audit - ANSWERSAppropriate HC provider activities carried out to deliver care
outcomes audit - ANSWERSResult of health care delivery
structure audit - ANSWERSResources/organizational arrangements in place to deliver care
Nursing special report - ANSWERSHigh - value care and nursing/work environment
standards for high-value care: key performance measures, HCAHPS, pay-for-performance, value based
purchasing, press ganey employee engagement survey
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