Chapter 11 - Quality and Safety
Medical errors account for 250,000 deaths per year. It is estimated that as many as 50%
of these errors may be preventable. What steps would you take to avoid a medication
error?
1. Review the patient's medication administration record during bedside shift report
2. Ask your colleagues to get your medication so that you can give it on time
3. Call the pharmacist
4. Review the medication administration policy - ANS - 1
Review of the medication administration record (MAR) with the off-going nurse allows
you to review the list of medications and learn of any issues, possible reactions to
medication, or missed doses
Nursing standards of care and the organization's policies and procedures greatly
decrease risk to patient safety. Which of the following steps can a nurse take to further
reduce risk?
1. Submit event or incident reports for near misses
2. Follow medication administration policies and procedures
3. Always report significant data on care to patients and providers in a timely manner
4. All of the above - ANS - 4
Structured care methodologies (SCM) are:
1. Nursing tools designed to identify best practices and facilitate standards of care
2. Used to create a stable stet of performance indicators to measure outcomes
3. Used to assist employees with wellness and injury prevention
4. Helpful when making staffing assignments - ANS - 2
SCMs facilitate the standardization of patient care and provide a mechanism for quality
enhancement, outcomes measurement, and research that informs nursing practice
Studying errors and identifying how they occur helps organizations improve patient
safety. Which category of errors is the most useful in identifying and remedying
vulnerabilities in an organization?
Medical errors account for 250,000 deaths per year. It is estimated that as many as 50%
of these errors may be preventable. What steps would you take to avoid a medication
error?
1. Review the patient's medication administration record during bedside shift report
2. Ask your colleagues to get your medication so that you can give it on time
3. Call the pharmacist
4. Review the medication administration policy - ANS - 1
Review of the medication administration record (MAR) with the off-going nurse allows
you to review the list of medications and learn of any issues, possible reactions to
medication, or missed doses
Nursing standards of care and the organization's policies and procedures greatly
decrease risk to patient safety. Which of the following steps can a nurse take to further
reduce risk?
1. Submit event or incident reports for near misses
2. Follow medication administration policies and procedures
3. Always report significant data on care to patients and providers in a timely manner
4. All of the above - ANS - 4
Structured care methodologies (SCM) are:
1. Nursing tools designed to identify best practices and facilitate standards of care
2. Used to create a stable stet of performance indicators to measure outcomes
3. Used to assist employees with wellness and injury prevention
4. Helpful when making staffing assignments - ANS - 2
SCMs facilitate the standardization of patient care and provide a mechanism for quality
enhancement, outcomes measurement, and research that informs nursing practice
Studying errors and identifying how they occur helps organizations improve patient
safety. Which category of errors is the most useful in identifying and remedying
vulnerabilities in an organization?
