An example of an effective patient outcome statement is:
a. Eighty percent of all patients admitted to the Emergency Department will be seen by a nurse practitioner within 3 hours of presentation in the Emergency Department.
b. Patients with cardiac diagnoses will be referred to cardiac rehabilitation programs.
c. The hospital will reduce costs by 3 through the annual budget process.
d. Quality is a desired element in patient transactions.
Question 2In determining the relationship between injury-producing falls and proposed preventive measures as part of the QI process, a QI team might turn to which of the following for confirmatory evidence?
a. NDNQI
b. NANDA
c. NIOSH
d. AHRQ
Question 3Hospital ABCD is a Magnet hospital. This designation has been applied to Hospital ABCD because it:
a. Facilitates active staff participation in decision making related to quality nursing care.
b. Has implemented a graduate nurse orientation program.
c. Espouses commitment to excellence in patient care.
d. Is establishing career ladders for nurses.
Question 4Healthcare organization X is committed to improving patient outcomes and, as part of the QI process, examines its executive structure and organizational design. This approach recognizes:
a. The importance of decentralized structure in QA.
b. That structure influences nurse burnout and participation in quality improvement initiatives.
c. The need to ensure sufficient supervisory staff to respond in a corrective manner when mistakes occur.
d. That a narrow hierarchy ensures accountability for errors and outcomes.
Question 5A new RN staff member asks you about the difference between QA and QI. You explain the difference by giving an example of QI.
a. Last year, the management team established new outcomes that addressed issues such as medication errors.
b. At a staff meeting last year, two of our staff commented on the number of recent falls and asked, What can we do about it?'
c. A process audit was done recently to determine how much time was being spent on patient documentation.
d. Errors are reported on our new computerized forms, and I follow up with staff to make sure that they understand the seriousness of their error.
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