Summary NR 506NP Week 3 Assignment 1 Quality
Healthcare Measuring NP Performance (BMI
Assessment from HEIDIS Effectiveness of Care) 2024
LATEST CITED AND REFERENCED
1. Providers are more likely to view health care quality as
a. Use of computerized decision support to facilitate evidence-based practice
b. Implementation of a web-based patient satisfaction survey
c. Computerized flow sheets that enable documentation required by regulatory
standards
d. Centralized appointment scheduling system that decreases patient wait time -
ANSWER: a. Use of computerized decision support to facilitate evidence-based
practice
2. Patients and families are more likely to view quality as
a. the application of evidence-based professional knowledge
b. adherence to standards
c. how well the provider communicates
d. use of preventive services - ANSWER: c. how well the provider communicates
3. An example of a structure used to evaluate quality of health care information
technology is
a. A policy describing the prescriber's role and responsibilities with respect to
provider order entry.
b. Data on medication errors noted in the on-line event reporting system
c. Data on how well physicians and nurses document problems on the electronic
problem list.
d. Patient satisfaction with the electronic portal. - ANSWER: a. A policy describing the
prescriber's role and responsibilities with respect to provider order entry.
4. According to the Institute of Medicine Crossing the Quality Chasm, which of the
following is NOT a quality improvement aim?
a. Efficiency
b. Patient Centeredness
c. Effectiveness
d. Innovation - ANSWER: d. Innovation
5. What quality improvement measures must eligible providers report in 2011 to
quality for meaningful use incentive payments?
a. Must report on blood pressure, tobacco status, and adult weight screening as well
as three additional measures from a list of metrics.
b. Must report on a single quality improvement measure of their own choosing
c. Must report on substance abuse, exercise tolerance, and nutritional status.
,d. Must report on advance directives in patients aged 65 and older. - ANSWER: a.
Must report on blood pressure, tobacco status, and adult weight screening as well as
three additional measures from a list of metrics
6. One example of how HIT can enhance patient-centeredness is:
a. Reduce drug errors through computerized provider order entry
b. Increase efficiency through automated vital sign capture
c. Tailor care plan to individual needs through clinical decision support
d. Remind providers of best practices through prompts and flags
e. All the above - ANSWER: e. All the above
7. An example of a workaround that can result in unintended consequences is
a. Reporting patient fall via an on-line event reporting system
b. Having nurses enter prescriber orders because the prescriber is too busy.
c. Use of a patient locator board to track patients
d. Use of paper-based report sheets to communicate changes in patient condition -
ANSWER: b. Having nurses enter prescriber orders because the prescriber is too
busy.
8. Man-made tools that aid or enhance the user's thinking abilities are called:
a. Structures
b. Objects
c. Artifacts
d. Work-arounds - ANSWER: c. Artifacts
1. The following is a basic principle of the science of safety
a. The system is perfectly designed to deliver the results it gets.
b. Workers are largely to blame when mistakes happen.
c. The principles of safe design only refer to technical work.
d. Providers should assume things will go right rather than wrong. - ANSWER: a. The
system is perfectly designed to deliver the results it gets.
2. The premise behind the Swiss Cheese Model is that
a. Opportunities for improvement are There are "holes," vulnerabilities, or hazards in
the health care environment that have an impact on medical error
everywhere
b. There are "holes," vulnerabilities, or hazards in the health care environment that
have an impact on medical error
c. Problems are usually the result of people who don't know what they are doing
d. Hazards are fairly static; one need only look hard to find them - ANSWER: b. There
are "holes," vulnerabilities, or hazards in the health care environment that have an
impact on medical error
3. One of the following is not a system factor that has an impact on patient safety
a. Patient characteristics
b. Time factors
c. Team factors
, d. Provider skill - ANSWER: b. Time factors
4. The following is not a principle of safe design
a. Standardize
b. Create independent checks
c. Add steps
d. Simplify - ANSWER: c. Add steps
5. An example of an independent check is
a. Car alarm sounds when passenger fails to put on seatbelt
b. Reading an instruction manual
c. Taking a test
d. Checking battery life - ANSWER: a. Car alarm sounds when passenger fails to put
on seatbelt
6. Health care work should primarily be geared around
a. Information technology
b. Clinicians
c. Patients
d. Regulators - ANSWER: c. Patients
7. An example of an independent check is:
a. Playing "man-down"
b. Limiting the number of choices of drugs in a drop-down list
c. Requiring two signatures on high alert medications
d. Developing protocols on how to document in electronic records - ANSWER: c.
Requiring two signatures on high alert medications
8. An example of standardization is:
a. Verbal read-backs
b. Requiring two signatures on high alert medications
c. Using a checklist before doing a procedure
d. Eliminating extraneous steps - ANSWER: c. Using a checklist before doing a
procedure
9. The following indicate system factors that have an impact on patient safety:
a. Patient and provider characteristics
b. Task characteristics and the work environment
c. Institutional factors
d. All of the above - ANSWER: d. All of the above
10. HIT teams make wise decisions
a. When there is a strong, knowledgeable leader who can make decisions for them
b. When there is diverse and independent input.
c. When all members of the team think alike
d. When there is no opposition to the prevailing viewpoint. - ANSWER: b. When
there is diverse and independent input.
Healthcare Measuring NP Performance (BMI
Assessment from HEIDIS Effectiveness of Care) 2024
LATEST CITED AND REFERENCED
1. Providers are more likely to view health care quality as
a. Use of computerized decision support to facilitate evidence-based practice
b. Implementation of a web-based patient satisfaction survey
c. Computerized flow sheets that enable documentation required by regulatory
standards
d. Centralized appointment scheduling system that decreases patient wait time -
ANSWER: a. Use of computerized decision support to facilitate evidence-based
practice
2. Patients and families are more likely to view quality as
a. the application of evidence-based professional knowledge
b. adherence to standards
c. how well the provider communicates
d. use of preventive services - ANSWER: c. how well the provider communicates
3. An example of a structure used to evaluate quality of health care information
technology is
a. A policy describing the prescriber's role and responsibilities with respect to
provider order entry.
b. Data on medication errors noted in the on-line event reporting system
c. Data on how well physicians and nurses document problems on the electronic
problem list.
d. Patient satisfaction with the electronic portal. - ANSWER: a. A policy describing the
prescriber's role and responsibilities with respect to provider order entry.
4. According to the Institute of Medicine Crossing the Quality Chasm, which of the
following is NOT a quality improvement aim?
a. Efficiency
b. Patient Centeredness
c. Effectiveness
d. Innovation - ANSWER: d. Innovation
5. What quality improvement measures must eligible providers report in 2011 to
quality for meaningful use incentive payments?
a. Must report on blood pressure, tobacco status, and adult weight screening as well
as three additional measures from a list of metrics.
b. Must report on a single quality improvement measure of their own choosing
c. Must report on substance abuse, exercise tolerance, and nutritional status.
,d. Must report on advance directives in patients aged 65 and older. - ANSWER: a.
Must report on blood pressure, tobacco status, and adult weight screening as well as
three additional measures from a list of metrics
6. One example of how HIT can enhance patient-centeredness is:
a. Reduce drug errors through computerized provider order entry
b. Increase efficiency through automated vital sign capture
c. Tailor care plan to individual needs through clinical decision support
d. Remind providers of best practices through prompts and flags
e. All the above - ANSWER: e. All the above
7. An example of a workaround that can result in unintended consequences is
a. Reporting patient fall via an on-line event reporting system
b. Having nurses enter prescriber orders because the prescriber is too busy.
c. Use of a patient locator board to track patients
d. Use of paper-based report sheets to communicate changes in patient condition -
ANSWER: b. Having nurses enter prescriber orders because the prescriber is too
busy.
8. Man-made tools that aid or enhance the user's thinking abilities are called:
a. Structures
b. Objects
c. Artifacts
d. Work-arounds - ANSWER: c. Artifacts
1. The following is a basic principle of the science of safety
a. The system is perfectly designed to deliver the results it gets.
b. Workers are largely to blame when mistakes happen.
c. The principles of safe design only refer to technical work.
d. Providers should assume things will go right rather than wrong. - ANSWER: a. The
system is perfectly designed to deliver the results it gets.
2. The premise behind the Swiss Cheese Model is that
a. Opportunities for improvement are There are "holes," vulnerabilities, or hazards in
the health care environment that have an impact on medical error
everywhere
b. There are "holes," vulnerabilities, or hazards in the health care environment that
have an impact on medical error
c. Problems are usually the result of people who don't know what they are doing
d. Hazards are fairly static; one need only look hard to find them - ANSWER: b. There
are "holes," vulnerabilities, or hazards in the health care environment that have an
impact on medical error
3. One of the following is not a system factor that has an impact on patient safety
a. Patient characteristics
b. Time factors
c. Team factors
, d. Provider skill - ANSWER: b. Time factors
4. The following is not a principle of safe design
a. Standardize
b. Create independent checks
c. Add steps
d. Simplify - ANSWER: c. Add steps
5. An example of an independent check is
a. Car alarm sounds when passenger fails to put on seatbelt
b. Reading an instruction manual
c. Taking a test
d. Checking battery life - ANSWER: a. Car alarm sounds when passenger fails to put
on seatbelt
6. Health care work should primarily be geared around
a. Information technology
b. Clinicians
c. Patients
d. Regulators - ANSWER: c. Patients
7. An example of an independent check is:
a. Playing "man-down"
b. Limiting the number of choices of drugs in a drop-down list
c. Requiring two signatures on high alert medications
d. Developing protocols on how to document in electronic records - ANSWER: c.
Requiring two signatures on high alert medications
8. An example of standardization is:
a. Verbal read-backs
b. Requiring two signatures on high alert medications
c. Using a checklist before doing a procedure
d. Eliminating extraneous steps - ANSWER: c. Using a checklist before doing a
procedure
9. The following indicate system factors that have an impact on patient safety:
a. Patient and provider characteristics
b. Task characteristics and the work environment
c. Institutional factors
d. All of the above - ANSWER: d. All of the above
10. HIT teams make wise decisions
a. When there is a strong, knowledgeable leader who can make decisions for them
b. When there is diverse and independent input.
c. When all members of the team think alike
d. When there is no opposition to the prevailing viewpoint. - ANSWER: b. When
there is diverse and independent input.
