69. The QI team is working together to identify the primary drivers of pt satisfaction regarding the nursing care that patients receive. One of the identified primary drivers of pt satisfaction was effective communication. What is the 1st thing the QI team should do with this information? a. develop strategies for effective communicationb. implement a national program for effective communicationc. establish a means for measuring effective communicationd. remind staff of the importance of effective communication
Combined 70 question test with answers In the “Plan” portion of the IHI PDSA cycle, after we decide what it is that we want to improve (this is theobjective--in this case we want to improve “communication”), we need to establish how we’ll know a successful change occurred (our prediction needs to be based on data—a measurement that will show us that the proposed change resulted in the desired improvement in communication). Then we can brainstorm some ideas about steps we could take to accomplish the change (this would be the interventions we can implement that will result in the desired improvement in communication). Response C is the best answer.Response A is the actual intervention plan for the cycle (the who, what, when, where, etc. of how the change will be carried out). Then we would need to plan the who, what, when, where for the data collection.Response B has the keyword ‘implement’—indicating that this is part of the “Do” portion of the PDSA cycle. In response D, reminding staffputs the ‘blame’ on them when failure occurs (not a systems approach to improvement). We need to create systems and processes to support effective communication—and avoid depending solely on human memory (which will likely result in error).For more on the IHI model: 70. Based on observation, an NP believes that the rates of smoking and obesity are increasing in their patient population and wants to implement a program to address this issue in the ambulatory clinic. What is the 1st step the NP should take to determine if this belief is, in fact, a trend?
Combined 70 question test with answers A trend is typically demonstrated with a run chart. A run chart is a graph that displays observed data in a time sequence. Obtaining actual rates of smoking & obesity in the practice (response A) to establish a
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