Deck 10: Quality, Safety, and Prescriptive Authority

Question 1

Describe achievements by Florence Nightingale that serve to establish her position as the first quality improvement expert in the healthcare field.

Answer 1

Achievements by Florence Nightingale that support her position as the first quality improvement expert in the healthcare field include tracking hospital death rates, which included a depiction of unnecessary military deaths caused by unsanitary conditions. Nightingale was also an innovator in the collection, tabulation, interpretation, and graphical display of descriptive statistics.

Question 2

The nurse practitioner develops a quality assurance (QA) program related to hand hygiene protocols. Which outcome best describes a central aim of the QA program?

A) Demonstrating healthcare team members' adherence to hand hygiene protocols
B) Motivating healthcare team members to learn about updated standards related to hand hygiene
C) Improving healthcare team members' adherence to hand hygiene protocols
D) Capturing lessons learned about healthcare team members and barriers to effective hand hygiene

Answer 2

Demonstrating healthcare team members' adherence to hand hygiene protocols

Question 3

The nurse practitioner (NP) delivers a presentation about Quality and Safety Education for Nurses (QSEN) competencies related to safety. To illustrate knowledge-based competencies related to safety, which information does the NP discuss?

A) Valuing one's own role in preventing errors
B) Appreciating the cognitive and physical limits of human performance
C) Using organizational error reporting systems
D) Examining human factors and other basic safety design principles

Answer 3

Examining human factors and other basic safety design principles

Question 4

Discuss the origin and central tenets of the Planetree Model for promoting patient-centered care.

Question 5

The nurse practitioner (NP) implements a quality improvement (QI) initiative aimed at enhancing staff nurses' ability to recognize signs and symptoms of substance abuse among patients. Staff nurses are given a pretest and post-test to evaluate learning. During which stage of the Plan-Do-Study-Act (PDSA) framework does the NP analyze pre-test data?

A) Plan
B) Do
C) Study
D) Act

Question 6

Summarize the role of The Joint Commission in promoting patient safety.

Question 7

Explain the nature and purpose of TeamSTEPPS.

Question 8

When writing medication prescriptions, the nurse practitioner (NP) refrains from using certain abbreviations as specified by which organization?

A) The Joint Commission
B) U.S. Food and Drug Administration
C) Robert Wood Johnson Foundation
D) Agency for Healthcare Research and Quality

Question 9

The nurse practitioner prescribes opioid analgesia for an adult patient who undergoes surgical repair of an ankle fracture. Which data is acceptable for inclusion in the medication order?

A) 5.0 mg
B) qd
C) MSO4
D) IV

Question 10

Discuss patient adherence to a medication treatment plan including risks of inadequate adherence and strategies for assessing compliance.

Question 11

The mission of AHRQ is to improve the quality, safety, efficiency, and effectiveness of healthcare for Americans. Review the AHRQ website and examine current initiatives, research findings and reports, and funding for grants.

Question 12

Various quality improvement methodologies are used in clinical practice. Compare and contrast these methodologies.

Question 13

Care coordination occurs throughout the span of the care continuum. Explore the concept of care coordination in your setting and beyond. Consider how you may enhance your NP role in care coordination.

Question 14

Conduct a quality improvement project utilizing the PDSA methodology.

Question 15

There are many patient safety organizations in existence. Explore these organizations and discuss their relevance for improving patient safety.

Question 16

Consider how you can be a champion for patient safety in your organization.

Question 17

Review the laws and regulations regarding nurse practitioners writing schedule II and III medications in your state.