Nursing Quality and Safety Exam With Accurate Solutions

Nursing Quality and Safety Exam With Accurate Solutions Model for improvement steps - 1. Set an aim 2. Establish measures 3. Identify changes 4. Test changes 5. Implement changes The Model for Improvement begins with three questions designed to clarify the following concepts A. Will, ideas, and execution B. Plan, do, act C. Mission, goal, strategy D. Aims, measures, changes - D. Aims, measures, changes An orthopedic clinic in a busy metropolitan area would like to improve its patient scheduling process. More specifically, the clinic wants to improve its efficiency and the satisfaction of its patients. Applying the Model for Improvement to the clinic's improvement goal, which of the following is the most reasonable aim statement? A. Implement two PDSA cycles within six months of beginning the project B. Modify the scheduling process to allow both front desk staff And nurses to directly schedule appointments C. Create an efficient process for scheduling return appointments at the time of checkout D. Increase the number of patients reporting they are "very satisfied" with the clinic's scheduling by 50 percent within six months - D. Increase the number of patients reporting they are "very satisfied" with the clinic's scheduling by 50 percent within six months An orthopedic clinic in a busy metropolitan area would like to improve its patient scheduling process. More specifically, the clinic wants to improve its efficiency and the satisfaction of its patients. After assembling a team and working through the three questions of the Model for Improvement, the orthopedic clinic decides to implement an automated reminder phone call 24 hours prior to each clinical appointment. The clinic's improvement team hopes that this small change will improve scheduling. What is the team's next step? A. Test their change plan using the PDSA cycle B. Take a well-deserved break C. Develop their project-level measures D. Report their results to clinic leadership and prepare a poster for a national meeting - A. Test their change plan using the PDSA cycle When trying to improve a process, one reason to use PDSA cycles rather than a more traditional version of the scientific method (such as a randomized, controlled trial) is that A. PDSA cycles are easier to run with a large team of people B. The results of PDSA cycles are more generalizable than other methods C. PDSA cycles provide a mechanism to adjust improvement ideas as the project progresses D. All of the above - C. PDSA cycles provide a mechanism to adjust improvement ideas as the project progresses Which of the following statements is true? A. The Model for Improvement is appropriate for many types of clinical improvement efforts B. The Model for Improvement is one of multiple improvement models applicable to health care C. Lean is a helpful methodology for improving value and reducing waste in health care D. All of the above - D. All of the above An aim statement should include the following A. Specific time frame, team membership, and numeric goals B. Numeric goals, specific time frame, and the patient population or system affected C. Patient population or system affected, estimated cost of improvement, and numeric goals D. All of the above - A good aim statement helps improvement teams answer which question from the Model for Improvement? Brenda, the office manager at a dental practice, noticed many patients were missing their appointments. With the support of her colleagues, she decided to conduct a small improvement project to improve the process for reminding patients of upcoming visits, with the goal of having fewer "no shows." During a team meeting, Brenda's team members review her aim statement. Which of the following comments from a team member would most strongly suggest Brenda has selected an appropriate aim? A. "It will be very simple to achieve." B. "It is very unlikely to change as the project evolves." C. "It feels like a very meaningful project for both the patients and the practice." D. All of the above - C. "It feels like a very meaningful project for both the patients and the practice." Having a clear aim statement is important in quality improvement work because A. Professional guidelines require clear aim statements to prevent health care-related infections B. Aim statements provide a clear and specific goal for the team or organization to reach C. Aim statements remove all obstacles from quality improvement projects D. All of the above - B. Aim statements provide a clear and specific goal for the team or organization to reach Brenda, the office manager at a dental practice, noticed many patients were missing their appointments. With the support of her colleagues, she decided to conduct a small improvement project to improve the process for reminding patients of upcoming visits, with the goal of having fewer "no shows." Which of the following is the most effective aim statement for this project? A. Within three months, we will email patients before their appointments, which will decrease the number of patients who miss appointments B. We will ensure all patients have an up-to-date email address on file and send email reminders the day before appointments C. Within three months, 90 percent of patients will show up for their appointments D. We will improve our reminder process so that no patients will miss appointments unless there is an emergency - C. Within three months, 90 percent of patients will show up for their appointments A good aim statement helps improvement teams answer which question from the Model for Improvement? A. What are we trying to accomplish? B. How will we know a change is an improvement? C. How good, for whom, by when? D. What change can we make that will result in an improvement? - A. What are we trying to accomplish? Defining a family of measures helps you answer which of the three questions of the Model for Improvement? A. What are we trying to accomplish? B. How will we know that a change is an improvement? C. What changes can we make that will result in improvement? D. None of the above - B. How will we know that a change is an improvement? As a nurse manager of a medicine unit in an academic hospital, you're aware that your unit has a high rate of patient readmissions. In fact, 36 percent of the patients discharged from your unit are readmitted to the hospital within 30 days. After reviewing the literature, you become aware that this rate is quite high compared to national standards. Working with other members of your unit, you develop a plan to call patients on the phone within 48 hours of discharge, with the aim of cutting readmission rates to 18 percent. Which of the following is the best example of a process measure that the team may collect as part of this improvement effort? A. The percentage of patients receiving a call within 48 hours of discharge B. The reasons for readmission to the hospital C. The cost of the labor associated with the calls D. The rate of patients being readmitted within 30 days - A. The percentage of patients receiving a call within 48 hours of discharge