Nursing Quality and Safety Final Exam With Complete Solution

Nursing Quality and Safety Final Exam with Complete Solution Numerous reports like medical errors is the leading cause of patient death in the US. Which of the following statements is the greatest error leading to medical errors? - the majority of medical errors are system failures A system failure approach to avoidable errors recognizes that? - humans are fallible and errors are to be expected Errors in healthcare are the leading cause of death in injury. Current research reveals that tracking and trending errors assist with process and system problem identification. Unfortunately studies also reveal a lack of hospital staff compliance with reporting. Hospital staff do not report for all of the following reasons: - staff feel that sometimes they dont have enough time, staff fear corrective action, staff do not believe that it will lead to an improvement, lack of understanding of patient harm. IOM (Institute of Medicine) to Err is Human: Building a safer health system is a report that? - led to an increase awareness of US medical error and focused on patient safety issues An adverse event? - a patient injury from a medical intervention Which of the following are the appropriate steps to follow immediately after an adverse event is identified? - care for the patient What are the four phases of the improvement cycle? - P-plan, D-do, S-study, A-act When an error occurs which of the following is the proper order for prioritization? - care for the patient In 2001, the IOM (Institute of Medicine) released a report Crossing the Quality Chasm in healthcare for the 21st century that defined the 6 key dimensions of our healthcare system: - safe, timely, effective, efficient, equitable, and patient centered care What is the handoff tool used for effective communications? - SBAR Edward Deming is related to? - the science of improvement The following span of number of events including the test cycle such as a specific number of patient encounters is known as? - scale which of the of the following terms refers to the variety of conditions under which a test occurs such as different combinations of patient, staff and environmental conditions? - Scope which of the following steps in the model of improvement uses the PDSA? - step 4 The quality improvement approach that combines methods of thinking with an understanding of statistical analysis, a people focus, and a learning approach based on the information generated from other elements is known as? - System of profound knowledge which of the following is a graphic representation of the relationship between 2 variables that identifies and helps understand cause and effect relationship and helps determine outliers? - scatter plot In order to create a stable predictable quality and improvement system it is necessary to separate common causes of variation from which of the following? - special causes Histogram chart? - Pareto chart? - Scatter plot? - Stewhart / Control chart? - run chart? - Recall from the video a nurse giving a paralytic drug instead of an antacid, this medication error could have been prevented if the nurse had? - followed the rights of medication administration Medicare will no longer provide reimburse for HAC's (hospital acquired conditions). An example of a HAC includes all of the following except? - complication of surgery According to the video Chasing Zero, ___________ is the largest barrier to preventing mistakes. - fear Medical errors account for: - 60% of all adverse events. Hospital acquired conditions as we know are undesirable situations or conditions that affect a patient and that arose during a stay in the hospital or at the medical facility. The following are all examples of HAC's except? - wrong identification band on a patient There are multiple agencies dedicated to patient safety: - FDA, AARQ, OSHA, AHRQ, NIOSH, JCAHO, DNV GI, MERS, MedMARx A critical component of quality is? - Patient safety The domains of quality are? - safe, freedom from accidental injury, practice consistent with current medical knowledge (Evidence-Based Practice), and customization The physician writes an order for 20 mg of a drug but he meant to write for 2 mg. Which of the following is the execute error called? - slip