NURSING 342 FINAL QUESTIONS WITH
ACTUAL SOLUTIONS.
quality - ANSWER: IOM defines it as the degree to which health services for
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individuals & populations increase the likelihood of desired health outcomes & are
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consistent w/current professional knowledge
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quality assurance - ANSWER: began as inspection approach to ensure healthcare
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institutions maintained minimum standards if care. "doing things right". consists of
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chart audits
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clinton's presidential advisory commission - ANSWER: addressed concerns about
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quality care & the need to make changes. purpose was to advise the president about
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the impact of healthcare delivery system changes on quality, consumer protection, &
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availability of needed services
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beginning of QI - ANSWER: quality first:better healthcare for all americans-1998 but
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failed. it stimulated the development of the quality chasm series in 1998
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quality improvement - ANSWER: management philosophy to improve level of
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performance of key processes in organizations. developed by industrial quality
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experts
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key words used interchangeably w/QI - ANSWER: total quality management (TQM)
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continuous quality improvement (CQI) performance improvement (PI)
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concepts of QI - ANSWER: 2 ways to improve quality=structures & processes.
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customer is central to every process, productive work requires work processes. main
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sources of quality defects are problems in the work processes. quality defects are
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costly. focus on most important work process to improve, involve every worker & set
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high standards for performance
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health care quality - ANSWER: IOM provides independent, objective, evidence based
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advice to policy makers, HCPs, private sector & the public
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IOM - ANSWER: 1st comprehensive system to monitor healthcare, judge
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improvement, & determine best strategies to improve healthcare.
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, quality problems - ANSWER: 3 problems used in measurement of quality. misuse-
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avoidable complications that prevent pts from receiving the full potential benefit of a
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service (wrong site sx)
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overuse-potential for harm from the provision of service that exceeds the possible bb bb bb bb bb bb bb bb bb bb bb
benefit (antibiotics)
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underuse-failure to provide a service that would have produced a favorable outcome bb bb bb bb bb bb bb bb bb bb bb
for the pt (hospice)
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IOM rules for 21st century to guide care delivery & improve health care system -
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ANSWER: care based on continuous healing relationships, customization based on pt
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needs/values, pt as source of control, share knowledge, free flow of info, evidence
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based decision making, safety is a system property, need for transparency,
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anticipation of needs, continuous decrease in waste, cooperation among clinicians
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to err is human - ANSWER: focused on safety within the healthcare delivery system.
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system is experiencing frequent important medical errors. 4 messages= magnitude of
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harm resulting from medical errors is great. errors result largely from system failures.
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voluntary & mandatory reporting programs needed to improve pt safety. HC systems
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must focus on error reduction as an important part of their operation
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crossing the quality chasm - ANSWER: focus on developing a new HC system that
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improves care. the system is in need of repair. HCP can't keep up w/rapid changes
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priority areas for national action - ANSWER: care coordination & self
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management/health literacy. continuum of care, preventive care, inpatient/surgical
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care, chronic conditions, end of life care, behavioral care
bb bb bb bb bb bb bb bb bb
leadership by example - ANSWER: examined the federal governments quality
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enhancement processes. concluded that the federal government should lead by
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example & coordinate roles in improving healthcare quality
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who will keep the public healthy - ANSWER: needs for public health in a world
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affected by globalization, rapid travel, scientific/technological advances &
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demographic changes
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health professions education - ANSWER: education of health professions in the bridge
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to quality care. 5 core competencies for all HCPs- provide pt centered care, work in
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interprofessional teams, employ EBP, apply QI, & utilize informatics. example=QSEN
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keeping pts safe: transforming the work environment of nurses - ANSWER: focus on
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nursing care & nurses. examines quality issues from perspective work environment.
bb bb bb bb bb bb bb bb bb bb bb
IOMs quality improvement core competency - ANSWER: identify errors/hazards in
bb bb bb bb bb bb bb bb bb
care, understand & implement basic safety principles-standardization & simplification.
bb bb bb bb bb bb bb bb bb
understand & measure quality of care-structure/process/outcomes & pt needs. design
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& test interventions to change processes & systems of care
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ACTUAL SOLUTIONS.
quality - ANSWER: IOM defines it as the degree to which health services for
bb bb bb bb bb bb bb bb bb bb bb bb bb
individuals & populations increase the likelihood of desired health outcomes & are
bb bb bb bb bb bb bb bb bb bb bb bb
consistent w/current professional knowledge
bb bb bb bb
quality assurance - ANSWER: began as inspection approach to ensure healthcare
bb bb bb bb bb bb bb bb bb bb
institutions maintained minimum standards if care. "doing things right". consists of
bb bb bb bb bb bb bb bb bb bb bb
chart audits
bb bb
clinton's presidential advisory commission - ANSWER: addressed concerns about
bb bb bb bb bb bb bb bb
quality care & the need to make changes. purpose was to advise the president about
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
the impact of healthcare delivery system changes on quality, consumer protection, &
bb bb bb bb bb bb bb bb bb bb bb bb
availability of needed services
bb bb bb bb
beginning of QI - ANSWER: quality first:better healthcare for all americans-1998 but
bb bb bb bb bb bb bb bb bb bb bb
failed. it stimulated the development of the quality chasm series in 1998
bb bb bb bb bb bb bb bb bb bb bb bb
quality improvement - ANSWER: management philosophy to improve level of
bb bb bb bb bb bb bb bb bb
performance of key processes in organizations. developed by industrial quality
bb bb bb bb bb bb bb bb bb bb
experts
bb
key words used interchangeably w/QI - ANSWER: total quality management (TQM)
bb bb bb bb bb bb bb bb bb bb
continuous quality improvement (CQI) performance improvement (PI)
bb bb bb bb bb bb bb
concepts of QI - ANSWER: 2 ways to improve quality=structures & processes.
bb bb bb bb bb bb bb bb bb bb bb
customer is central to every process, productive work requires work processes. main
bb bb bb bb bb bb bb bb bb bb bb bb
sources of quality defects are problems in the work processes. quality defects are
bb bb bb bb bb bb bb bb bb bb bb bb bb
costly. focus on most important work process to improve, involve every worker & set
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
high standards for performance
bb bb bb bb
health care quality - ANSWER: IOM provides independent, objective, evidence based
bb bb bb bb bb bb bb bb bb bb
advice to policy makers, HCPs, private sector & the public
bb bb bb bb bb bb bb bb bb bb
IOM - ANSWER: 1st comprehensive system to monitor healthcare, judge
bb bb bb bb bb bb bb bb bb
improvement, & determine best strategies to improve healthcare.
bb bb bb bb bb bb bb bb
, quality problems - ANSWER: 3 problems used in measurement of quality. misuse-
bb bb bb bb bb bb bb bb bb bb bb
avoidable complications that prevent pts from receiving the full potential benefit of a
bb bb bb bb bb bb bb bb bb bb bb bb
service (wrong site sx)
bb bb bb bb
overuse-potential for harm from the provision of service that exceeds the possible bb bb bb bb bb bb bb bb bb bb bb
benefit (antibiotics)
bb bb
underuse-failure to provide a service that would have produced a favorable outcome bb bb bb bb bb bb bb bb bb bb bb
for the pt (hospice)
bb bb bb bb
IOM rules for 21st century to guide care delivery & improve health care system -
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
ANSWER: care based on continuous healing relationships, customization based on pt
bb bb bb bb bb bb bb bb bb bb bb
needs/values, pt as source of control, share knowledge, free flow of info, evidence
bb bb bb bb bb bb bb bb bb bb bb bb bb
based decision making, safety is a system property, need for transparency,
bb bb bb bb bb bb bb bb bb bb bb
anticipation of needs, continuous decrease in waste, cooperation among clinicians
bb bb bb bb bb bb bb bb bb bb
to err is human - ANSWER: focused on safety within the healthcare delivery system.
bb bb bb bb bb bb bb bb bb bb bb bb bb
system is experiencing frequent important medical errors. 4 messages= magnitude of
bb bb bb bb bb bb bb bb bb bb bb
harm resulting from medical errors is great. errors result largely from system failures.
bb bb bb bb bb bb bb bb bb bb bb bb bb
voluntary & mandatory reporting programs needed to improve pt safety. HC systems
bb bb bb bb bb bb bb bb bb bb bb bb
must focus on error reduction as an important part of their operation
bb bb bb bb bb bb bb bb bb bb bb bb
crossing the quality chasm - ANSWER: focus on developing a new HC system that
bb bb bb bb bb bb bb bb bb bb bb bb bb
improves care. the system is in need of repair. HCP can't keep up w/rapid changes
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
priority areas for national action - ANSWER: care coordination & self
bb bb bb bb bb bb bb bb bb bb
management/health literacy. continuum of care, preventive care, inpatient/surgical
bb bb bb bb bb bb bb bb
care, chronic conditions, end of life care, behavioral care
bb bb bb bb bb bb bb bb bb
leadership by example - ANSWER: examined the federal governments quality
bb bb bb bb bb bb bb bb bb
enhancement processes. concluded that the federal government should lead by
bb bb bb bb bb bb bb bb bb bb
example & coordinate roles in improving healthcare quality
bb bb bb bb bb bb bb bb
who will keep the public healthy - ANSWER: needs for public health in a world
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
affected by globalization, rapid travel, scientific/technological advances &
bb bb bb bb bb bb bb bb
demographic changes
bb bb
health professions education - ANSWER: education of health professions in the bridge
bb bb bb bb bb bb bb bb bb bb bb
to quality care. 5 core competencies for all HCPs- provide pt centered care, work in
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
interprofessional teams, employ EBP, apply QI, & utilize informatics. example=QSEN
bb bb bb bb bb bb bb bb bb bb
keeping pts safe: transforming the work environment of nurses - ANSWER: focus on
bb bb bb bb bb bb bb bb bb bb bb bb
nursing care & nurses. examines quality issues from perspective work environment.
bb bb bb bb bb bb bb bb bb bb bb
IOMs quality improvement core competency - ANSWER: identify errors/hazards in
bb bb bb bb bb bb bb bb bb
care, understand & implement basic safety principles-standardization & simplification.
bb bb bb bb bb bb bb bb bb
understand & measure quality of care-structure/process/outcomes & pt needs. design
bb bb bb bb bb bb bb bb bb bb
& test interventions to change processes & systems of care
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