4
C157 Success
Quiz
The surgery department’s monthly case review revealed the need
for the development of an innovation to better meet surgical patient
outcomes. Which of the following would the Masters-prepared nurse
need to consider having input from as part of the innovation
development?
(2/2 Points)
Surgical technician, risk manager and surgeon
Surgeon, scrub nurse and patient
Correct Answer: Surgeon, scrub nurse and patient CU 1.2 Apply processes used in
the
development and implementation of a healthcare project or innovation. Topic: teams,
quality improvement Rationale: The innovation should be is based on the input of
those members who have the most direct interest/involvement with the issue, the
major stakeholders. In healthcare today, patients are largely represented using data
from EMR/systems such as patient satisfaction results.
Referring physician, circulating nurse and patient
Surgeon, risk manager and scrub nurse
2
The Masters-prepared nurse needs to assign a staff
member to assist in the development of a quality
improvement program for a new healthcare service.
Which staff member is most appropriate for this
project?
(0/2 Points)
a newly hired staff member who has demonstrated competence and has time to
complete the task
P a g e 1 | 38
, 4
a motivated staff member who is actively seeking
promotion a competent staff member who has good
interpersonal skills
a knowledgeable staff member who works best on defined tasks
Correct Answer: a competent staff member who has good interpersonal skills
Rationale: This is a question about delegation. The objective is to give a task to
someone who can handle it efficiently, effectively and without a lot of oversight--so
that the delegator does not turn in to the doer! In this option, the staff member who
needs defined tasks would likely not have the level of initiative needed to start a
new program. CU 1.2 Identify team membership and function in the development of
an innovation. Topic: interdisciplinary teams, QI
3
The Masters-prepared nurse is a member of the
discharge planning team that regularly monitors the
number of inappropriate referrals, the timeliness of
discharge planning, and the number of days of discharge
P a g e 2 | 38
, 4
provide the members with directives on how to solve the problem
facilitate a discussion between the groups to enable them to problem-solve
Correct Answer: facilitate a discussion between the groups to enable them to
problem- solve Rationale: Option b is the best response; the QI department would
be well within their bounds to facilitate discussion and point out potential options
for the two departments. This response supports the development of a culture of
safety and helps
the MSN Leader to promote teamwork central to the idea of this culture. CU 1.2
Identify team membership and function in the development of an innovation. Topic:
leadership and conflict resolution
assign the task to an uninvolved manager
refer the problem to the facility-wide quality council
5
When implementing a new quality improvement innovation, the committee identifies a
need for change in the medication reconciliation process and creates a new
documentation form that covers all essential elements of the process. The committee
also develops a way to assess monthly compliance when using the new form. These
tasks represent which step of the PDSA model?
(2/2 Points)
Planning a change.
P a g e 3 | 38
, 4
Correct Answer: Planning a change Rationale: The Planning stage is where you
identify the change you wish to implement in order to bring about an improvement.
The pilot testing is the aspect in which you actually “test” the process improvement
plan on a smaller scale. Implementing the tested change would occur after the PDSA
cycle is completed and the process improvement plan deemed effective to
implement on a larger scale. Sustaining a change is maintaining the current process
improvement while still collecting evidence to ensure that the process is truly
working. CU 1.2 Apply processes used in the development and implementation of a
healthcare project or innovation. Topic: PDSA understanding the model
Pilot testing a change.
Implementing a tested change.
Sustaining a change.
6
An acute care hospital wants to revise their HIPAA privacy
policy. The HIPAA privacy policy allows personal health
information to be shared with any person designated by
the patient. Clinical staff members are concerned because
expanding access to patient information will result in
additional work prior to directing visitors to answer
questions regarding a patient's care. Hospital
administration is considering this change to enhance
patient-centered care. How should this change be
evaluated to determine if it is successful?
(0/2 Points)
compare quality care metrics of medication reconciliation pre-policy and post-
policy change
compare quality care metrics between the acute hospital and the skilled nurse
facility
compare patient satisfaction metrics between pre-policy and post-policy change
compare clinical staff satisfaction metrics between pre-policy and post-policy
change
Correct Answer: compare patient satisfaction metrics between pre-policy and post-
policy change Rationale: We need to look at the main point of the question being
evaluation of a process improvement plan, we will look towards the aspect of
“patient- centeredness” which is often evaluated by patient satisfaction (not clinical
P a g e 4 | 38
C157 Success
Quiz
The surgery department’s monthly case review revealed the need
for the development of an innovation to better meet surgical patient
outcomes. Which of the following would the Masters-prepared nurse
need to consider having input from as part of the innovation
development?
(2/2 Points)
Surgical technician, risk manager and surgeon
Surgeon, scrub nurse and patient
Correct Answer: Surgeon, scrub nurse and patient CU 1.2 Apply processes used in
the
development and implementation of a healthcare project or innovation. Topic: teams,
quality improvement Rationale: The innovation should be is based on the input of
those members who have the most direct interest/involvement with the issue, the
major stakeholders. In healthcare today, patients are largely represented using data
from EMR/systems such as patient satisfaction results.
Referring physician, circulating nurse and patient
Surgeon, risk manager and scrub nurse
2
The Masters-prepared nurse needs to assign a staff
member to assist in the development of a quality
improvement program for a new healthcare service.
Which staff member is most appropriate for this
project?
(0/2 Points)
a newly hired staff member who has demonstrated competence and has time to
complete the task
P a g e 1 | 38
, 4
a motivated staff member who is actively seeking
promotion a competent staff member who has good
interpersonal skills
a knowledgeable staff member who works best on defined tasks
Correct Answer: a competent staff member who has good interpersonal skills
Rationale: This is a question about delegation. The objective is to give a task to
someone who can handle it efficiently, effectively and without a lot of oversight--so
that the delegator does not turn in to the doer! In this option, the staff member who
needs defined tasks would likely not have the level of initiative needed to start a
new program. CU 1.2 Identify team membership and function in the development of
an innovation. Topic: interdisciplinary teams, QI
3
The Masters-prepared nurse is a member of the
discharge planning team that regularly monitors the
number of inappropriate referrals, the timeliness of
discharge planning, and the number of days of discharge
P a g e 2 | 38
, 4
provide the members with directives on how to solve the problem
facilitate a discussion between the groups to enable them to problem-solve
Correct Answer: facilitate a discussion between the groups to enable them to
problem- solve Rationale: Option b is the best response; the QI department would
be well within their bounds to facilitate discussion and point out potential options
for the two departments. This response supports the development of a culture of
safety and helps
the MSN Leader to promote teamwork central to the idea of this culture. CU 1.2
Identify team membership and function in the development of an innovation. Topic:
leadership and conflict resolution
assign the task to an uninvolved manager
refer the problem to the facility-wide quality council
5
When implementing a new quality improvement innovation, the committee identifies a
need for change in the medication reconciliation process and creates a new
documentation form that covers all essential elements of the process. The committee
also develops a way to assess monthly compliance when using the new form. These
tasks represent which step of the PDSA model?
(2/2 Points)
Planning a change.
P a g e 3 | 38
, 4
Correct Answer: Planning a change Rationale: The Planning stage is where you
identify the change you wish to implement in order to bring about an improvement.
The pilot testing is the aspect in which you actually “test” the process improvement
plan on a smaller scale. Implementing the tested change would occur after the PDSA
cycle is completed and the process improvement plan deemed effective to
implement on a larger scale. Sustaining a change is maintaining the current process
improvement while still collecting evidence to ensure that the process is truly
working. CU 1.2 Apply processes used in the development and implementation of a
healthcare project or innovation. Topic: PDSA understanding the model
Pilot testing a change.
Implementing a tested change.
Sustaining a change.
6
An acute care hospital wants to revise their HIPAA privacy
policy. The HIPAA privacy policy allows personal health
information to be shared with any person designated by
the patient. Clinical staff members are concerned because
expanding access to patient information will result in
additional work prior to directing visitors to answer
questions regarding a patient's care. Hospital
administration is considering this change to enhance
patient-centered care. How should this change be
evaluated to determine if it is successful?
(0/2 Points)
compare quality care metrics of medication reconciliation pre-policy and post-
policy change
compare quality care metrics between the acute hospital and the skilled nurse
facility
compare patient satisfaction metrics between pre-policy and post-policy change
compare clinical staff satisfaction metrics between pre-policy and post-policy
change
Correct Answer: compare patient satisfaction metrics between pre-policy and post-
policy change Rationale: We need to look at the main point of the question being
evaluation of a process improvement plan, we will look towards the aspect of
“patient- centeredness” which is often evaluated by patient satisfaction (not clinical
P a g e 4 | 38
