Deck 12: Influencing Outcomes: Improving the Quality of Care Delivery

Question 1

The APN is working as a unit director who has a high incidence of medication errors, specifically with heparin. One recent error was a patient given twice the prescribed dose. Which process would be most effective in determining the cause of the error in this situation?

A) Failure Mode and Effects Analysis (FMEA)
B) Root Cause Analysis
C) Lean
D) Positive Deviance

Answer 1

B

Question 2

Which is a nonprofit watchdog organization serving as a voice for healthcare purchases, using their collective influence to foster positive change in healthcare?

A) Leapfrog Group
B) The Joint Commission
C) National League of Nursing (NLN)
D) American Association of Colleges of Nursing (AACN

Answer 2

A

Question 3

Some organizations and foundations provide support for advance practice nurses (APNs) in the form of database information, education initiatives, or printed materials. Which organization is known for providing extensive resources for quality improvement in the form of white papers, multi-media content, and popular tools providing measurement guidance?

A) National Quality Forum
B) National Patient Safety Foundation
C) Institute for Healthcare Improvement
D) American Society for Quality

Answer 3

C

Question 4

__________ is a program of the National Committee for Quality Assurance (NCQA) and facilitates decision making based upon value and cost of service.

A) Pioneers in Quality
B) Agency for Healthcare Research and Quality (AHRQ)
C) Leapfrog Group
D) Health Plan Employer Data and Information Set (HEDIS)

Question 5

The color of belt earned for a Six Sigma organization who serves as a project leader and trains and coaches project team is a _______belt.

A) White
B) Green
C) Black
D) Yellow

Question 6

The standardized language for EHRs is known as NNN, which is a collaboration of NANDA, NIC, and NOC.

Question 7

The Center for Disease Control and Prevention (CDC) established the 5 Million Lives Campaign.

Question 8

Discuss the HEDIS measures of care and provide an example of each.

Question 9

Discuss the three stages of electronic health record (EHR) progression.

Question 10

Define outcome. Which factors influence patient outcomes?

Question 11

Why do you think the discussion about the Doctor of Nursing Practice degree is important as it relates to influencing outcomes?

Question 12

If you were asked to measure the quality of nursing care in acute care settings, what are some of the indicators you would look for?

Question 13

At the start of project planning, advanced nurses should establish a measurement plan in consultation with the project improvement team. What key items should they achieve consensus on before initiating the project?

Question 14

Describe the Plan-Do-Check-Act process, including an overview of the process and discussion of each step.

Question 15

You receive a message from the chief nurse alerting you that the hospital will be initiating the lean process improvement strategy in all units beginning with the new fiscal year. Based on your knowledge of lean thinking, why do you believe the hospital would choose the lean process improvement strategy?