SOLUTIONS RATED A+
✔✔What are some barriers to implementing evidence - ✔✔practice environment:
liability, organization, financial (organization)
prevailing opinion (social)
knowledge and attitudes (professional)
✔✔What is a gap analysis? - ✔✔Assessment of practice model that is compared with
best practice model
actual vs potential performance
✔✔What is the goal of gap analysis - ✔✔understand differences between current and
best practices
✔✔What is quality improvement - ✔✔systematic and continuous actions that lead to
measurable improvement in health care services and health status of targeted patient
groups
✔✔What are the key components of a successful QI program - ✔✔works as system and
processes
focuses on patients
focuses on being part of team
focuses on use of data
✔✔What are the 5 rights of medication administration - ✔✔right patient
right drug
right dose
right route
right time
✔✔What are some measurables associated with National Quality Forum for ICU care -
✔✔ADEs
CAUTI
CLABSI
SSI
VAP
Stroke
Acute MI
✔✔What are the leapfrog groups - ✔✔voluntary hospital quality and safety survey
✔✔what is the joint commission - ✔✔independent, not for profit organization that sets
standards for accreditation in health care
, ✔✔what are the national patient safety goals - ✔✔identify patients corrects (use 2 ways)
improve staff communcation
use medications safely
use alarms safely
prevent infection
identiy pt safety risks
prevent mistakes in surgery
✔✔What does CMS do - ✔✔ensure effective up to date health care coverage and
promote quality care for beneficiaries
hospitals must submit data measures or accept reduction in payment
✔✔What is ISMP? - ✔✔nonprofit
targets medication error prevention and safe medication use
✔✔What are the 5 key areas of ISMP - ✔✔knowledge
analysis
education
cooperative
communication
✔✔What is involved in the LEAN strategy for QI? - ✔✔define problem
map current processes
identify operation barriers
develop future state process
process control strategy
✔✔What does plan do check act cycle do? - ✔✔way to identify ideas for change
✔✔What is the difference between DUEs and MUEs? what do they do - ✔✔ensure
optimal medication therapy management to improve patient safety and outcomes
DUE: drug or disease specific
MUE provides broader scope, focuses on drug or class of drugs, process, outcome,
specific emphasis on improving patient outcomes
✔✔What can an MUE identify? - ✔✔gaps in practice or patient safety
✔✔What is the difference between an interventional and noninterventional MUE? -
✔✔interventional: concurrently or prospectively