NURS 478: Midterm Exam Questions With
Complete Answers
Define Safety, Adverse Event, and Error according to Institute of Medicine (IOM) -
ANSWER Safety: freedom from accidental injury
Adverse Event: injury resulting from a medical intervention, not due to the underlying
condition of the patient
Error: an unintentional deviation of protocol or not execution a proper plan
7 ways to prevent medication errors - ANSWER - adequate communication
- drug label reading
- use of drug delivery systems
- education: patient and staff
- double check high alert medications
- minimize interruptions during medication administration
- minimize fatigue & sleep loss
What are the 4 different responses to medication errors? - ANSWER - Shock
- Disbelief
- Belief
- confrontation with the reality of the error
IOM criteria for quality healthcare - ANSWER *STEEEP*
Safe
Timely
Effective
,Efficient
Equitable
Patient-Centered
QSEN definition for safety - ANSWER minimize risk of harm to patients and providers
through both systems effectiveness and individual performance
JCAHO 7 National Patient Safety Goals - ANSWER - Identify patients correctly
- Improve staff communication
-Prevent Infection
- Use medicines safely
- Identify patient safety risks
- Use alarms safely
- Prevent mistakes in surgery
National Patient Safety Goal for CAUTIS - ANSWER - Pause & validate need for foley
catheter
- Involve 2nd person for foley insertion
- Evaluate continued need DAILY
- Empower nursing staff to discontinue ASAP
QSEN Competency Focuses on what three areas? - ANSWER - Knowledge
- Skills
- Attitudes
Internal & External Factors affecting Safety - ANSWER - Health information Technology
- Growing use of Consumer Health Info. Technology
- Patient safety resources/research
, - EBP guidelines
- Legislative and regulatory initiatives
-purchaser and consumer efforts
- strong leadership for safety: just culture
- measurement and metrics
-systems theory approach
- human factor engineering
- high reliability organizations
- CLAS contributing factors
What are nursing sensitive quality indicators? - ANSWER - patient satisfaction
- patient satisfaction with overall care
- nosocomial infection rate
- nurse staff satisfaction
- mix of RN, LPN, PCT
- total nursing care hours provided per patient day
- pressure ulcers
- patient falls
- patient satisfaction w/ pain management
What is benchmarking? - ANSWER This looks at the best practice, compares with other
organizations, and then creates interventions to meet those best patient outcomes.
Practices
Services
Products
Complete Answers
Define Safety, Adverse Event, and Error according to Institute of Medicine (IOM) -
ANSWER Safety: freedom from accidental injury
Adverse Event: injury resulting from a medical intervention, not due to the underlying
condition of the patient
Error: an unintentional deviation of protocol or not execution a proper plan
7 ways to prevent medication errors - ANSWER - adequate communication
- drug label reading
- use of drug delivery systems
- education: patient and staff
- double check high alert medications
- minimize interruptions during medication administration
- minimize fatigue & sleep loss
What are the 4 different responses to medication errors? - ANSWER - Shock
- Disbelief
- Belief
- confrontation with the reality of the error
IOM criteria for quality healthcare - ANSWER *STEEEP*
Safe
Timely
Effective
,Efficient
Equitable
Patient-Centered
QSEN definition for safety - ANSWER minimize risk of harm to patients and providers
through both systems effectiveness and individual performance
JCAHO 7 National Patient Safety Goals - ANSWER - Identify patients correctly
- Improve staff communication
-Prevent Infection
- Use medicines safely
- Identify patient safety risks
- Use alarms safely
- Prevent mistakes in surgery
National Patient Safety Goal for CAUTIS - ANSWER - Pause & validate need for foley
catheter
- Involve 2nd person for foley insertion
- Evaluate continued need DAILY
- Empower nursing staff to discontinue ASAP
QSEN Competency Focuses on what three areas? - ANSWER - Knowledge
- Skills
- Attitudes
Internal & External Factors affecting Safety - ANSWER - Health information Technology
- Growing use of Consumer Health Info. Technology
- Patient safety resources/research
, - EBP guidelines
- Legislative and regulatory initiatives
-purchaser and consumer efforts
- strong leadership for safety: just culture
- measurement and metrics
-systems theory approach
- human factor engineering
- high reliability organizations
- CLAS contributing factors
What are nursing sensitive quality indicators? - ANSWER - patient satisfaction
- patient satisfaction with overall care
- nosocomial infection rate
- nurse staff satisfaction
- mix of RN, LPN, PCT
- total nursing care hours provided per patient day
- pressure ulcers
- patient falls
- patient satisfaction w/ pain management
What is benchmarking? - ANSWER This looks at the best practice, compares with other
organizations, and then creates interventions to meet those best patient outcomes.
Practices
Services
Products
