Deck 13: Quality Improvement and Evidence Based Patient Care

Question 1

Some key benefits of adopting quality improvement methods and principles are:

A)empowering staff and providing an outlet for critical theory
B)viewing every problem as an opportunity to improve, and improving staff satisfaction
C)decreasing necessary expenses from lost business, and helping customers think you care about them
D)involving staff in how work is planned and done, and increasing the customer's perception that you care about them by designing processes that meet the provider's needs

Answer 1

viewing every problem as an opportunity to improve, and improving staff satisfaction

Question 2

A sentinel event is:

A)a major change in a patient's status
B)an unexpected incident involving a death or serious physical or psychological injury to a patient
C)a way to identify processes for improvement based on an analysis of care over a long period of time
D)an occurrence involving a sentinel or someone who is watching

Answer 2

an unexpected incident involving a death or serious physical or psychological injury to a patient

Question 3

A _____ is a method used by performance improvement teams to share their work with others,and can be placed in a high-traffic area and used when an improvement process is complete or "in process" to communicate information.

A)clinical value compass
B)dashboard
C)balanced scorecard
D)storyboard

Answer 3

storyboard

Question 4

A systematic process of organization-wide participation and partnership in planning and implementing improvement methods to understand and meet customer needs is called:

A)QI
B)QA
C)QM
D)TM

Question 5

Nurse Q has gathered data on his patient's behaviors and status regarding pain management while on his shift.These include: nonverbal behaviors,respiratory rate,and pain rating.Which phase of the PDSA cycle is Nurse Q working under?

A)planning phase
B)doing phase
C)studying phase
D)acting phase

Question 6

The primary difference between QA and QI is:

A)QI is reactive, and QA is proactive
B)QA's emphasis is on maintaining minimum standards of care, and QI's emphasis is on identifying real and potential problems
C)QA documents quality, and QI reports incidents and errors
D)QI is more of a single program, and QA is more of a management approach

Question 7

_____ is when each worker receives input from suppliers,adds value,and then passes it to the next supplier; this is done as a chain or series of processes.

A)CQI
B)Productive work
C)QA
D)A movement

Question 8

To increase the ability to predict the effect that one or more changes would have if they were implemented is a goal of:

A)FOCUS
B)QA
C)PDSA
D)Risk management

Question 9

Two groups which can advise and plan QI strategies are:

A)teams and clinical practice councils
B)teams and educational councils
C)teams and quality councils
D)teams and advisory councils

Question 10

The question What changes can we make that will result in improvement? is an integral part of:

A)TQM
B)PI
C)FOCUS
D)PDSA

Question 11

"The ______ model provides a way for the nurse to organize information needed not only to care for the patient,but also to evaluate the care provided." This is a definition of which model?

A)Model for Improvement
B)University of Colorado Hospital
C)Mayo Clinic
D)Samaratin Hospital Quality Practice

Question 12

The acronym FOCUS is a type of process improvement methodology.What does FOCUS stand for?

A)Focus, Organize, Understand, Substantiate
B)Focus, Opportunity, Continuous, Utilize, Substantiate
C)Focus, Organize, Clarify, Understand, Solution
D)Focus, Opportunity, Continuous (process), Understand, Solution

Question 13

One of the ways health care organizations can improve quality is to:

A)employ only RNs
B)eliminate defects in the work process
C)establish a monitoring process
D)establish a QI department

Question 14

An operational benchmark will review:

A)outcomes of length of stay
B)outcomes of patient care
C)case management
D)risk management

Question 15

One primary difference between _____ and _____ is "doing it right" versus "doing the right thing."

A)CQI and QA
B)QI and QA
C)QA and TQM
D)QA and TM

Question 16

The University of Colorado Hospital Model categorizes information according to several sources of evidence that are linked to a research core.Which source of evidence does not necessarily belong?

A)patient preference
B)clinical expertise
C)cost-effective analysis
D)comparison analysis data

Question 17

Outcomes research:

A)is used in EBP
B)studies mortality and end-of-life issues
C)is a way of evaluating the goal/outcome of an educational program
D)provides evidence concerning the continuum of disease processes

Question 18

PDSA is:

A)a national quality improvement campaign
B)process, demonstrate, supervise, and analyze
C)an acronym for an EBP model
D)part of the 100,000 Lives Campaign

Question 19

Nurse Z has been assigned to care for Mrs.D,a trauma patient with bilateral femoral spiral fractures and a torn spleen,which was removed two days ago.Mrs.D confides to Nurse Z that she agreed to an advance directive when she entered the hospital,but now she is not so sure this is what she wants.Mrs.D asks if this is normal for her to feel this way.Which element of the University of Colorado Hospital Model should Nurse Z consider first in this situation?

A)clinical expertise
B)benchmarking data
C)patient preferences
D)quality improvement and risk data

Question 20

The PDSA cycle begins with:

A)three questions
B)four stages
C)five agendas
D)two concepts

Question 21

Which of the following are some of the key concepts of quality improvement? Select all that apply.

A)there are two ways to improve quality: eliminate defects in the work process and add features that meet the customer's needs or preferences
B)quality defects are costly in terms of internal losses due to lowered productivity
C)focus on the most important work processes to improve
D)involve primarily management in the QI process due to time and workload constraints

Question 22

Quality improvement efforts use data to determine relationships and outcomes.Which of the following types of charts are used in quality improvement efforts? Select all that apply.

A)time series charts
B)Pareto charts
C)histamine charts
D)fishbone charts

Question 23

The National Patient Safety Goals established by the Joint Commission focus on:

A)regulatory standards
B)preparation for accreditation
C)employee safety
D)patient safety

Question 24

Performance improvement teams share their work with others by using a(n):

A)inspection report
B)quality report
C)dashboard
D)storyboard

Question 25

The _______ methodology describes in a stepwise process how to move through the improvement process.

A)PDSA
B)FOCUS
C)Pareto Chart
D)Control Chart

Question 26

One way to monitor quality is by:

A)benchmarks
B)regulatory compliance
C)practice guidelines
D)dashboards

Question 27

Indicators selected for a balanced scorecard are based upon:

A)what they have in common
B)the cost of care
C)what factors are benchmarked
D)factors determined by QI

Question 28

The Model for Improvement begins with three questions.Which are these three questions? Select all that apply.

A)What are we trying to accomplish?
B)What change is needed for improvement?
C)What change can we make that will result in improvement?
D)How will we know that a change is an improvement?