Quality Improvement Practice
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The nurse is evaluating the effectiveness of changes made to
improve quality of care.
Which procedure is the nurse conducting?
Quality assurance
Total quality management
Continuous quality improvement
Quality management plan
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Ans: Quality assurance
Implemented changes must be evaluated to assess
their impact on patient care, patient outcomes,
patient and clinical satisfaction, and resource
utilization. Data related to the original problem must
be collected and are then analyzed on the basis of
benchmark standards to determine whether
standards are being met. This is called quality
assurance. A quality management plan is used to help
healthcare facilities integrate new programs, models,
and technologies with the primary care services that
are already in place. Total quality management (TQM)
is a comprehensive management philosophy used to
improve quality and productivity by using data and
statistics to improve processes. Continuous quality
improvement (CQI) is a structured organizational
process for including personnel in planning and
executing a continuous flow of improvements to
provide quality health care that meets or exceeds
expectations.
The hospital management is concerned about feedback
regarding long waiting times for treatment in the emergency
department and forms a committee to resolve the issue.
Which should be the first task by the leader of the committee
to solve the problem?
Form a Continuous Quality Improvement team to define the
desired outcome.
Reevaluate emergency room waiting times.
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Collect baseline data to determine if a problem exists.
Ask the director of operations for solutions.
Ans: Form a Continuous Quality Improvement team
to define the desired outcome.
The first step in the Continuous Quality
Improvement (CQI) process is to assemble a team of
individuals who are stakeholders in the problem to
form a CQI team to define the desired outcome. From
there, the nurse can measure performance against
the desired outcome, analyze the results, provide
feedback, implement a solution, and evaluate its
effectiveness. If the nurse were to collect baseline
information without determining the desired
outcome, they might not measure the relevant
indicators. CQI is about including the team in the
problem-solving process, rather than dictating what
needs to be accomplished. By including the team in
the problem solving, it is more likely they will buy
into the solutions. Asking the operations manager for
solutions is not the best way to resolve the issue, and
reevaluating the wait time will only help after
implementation of the first plan of action to reduce
that issue.
The nurse recognized making a medication error and
immediately reported it to the unit supervisor.
Which response from the supervisor should the nurse expect
in an environment that promotes quality?
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