A healthcare organization is collecting data about the quality and safety of the nursing care provided within the organization. Consistent with the national priority of promoting effective coordination of care, which dataset should the nurse use to substantiate the need for changes in patient care processes? YOUR ANSWER CORRECT ANSWER Patient readmissions for patients discharged to long-term care facilities, increasing from a readmission rate of 3% (six months earlier) to a rate of 4% (current)
YOUR ANSWER CORRECT ANSWER Patient survey results indicating only 66% of patients surveyed were satisfied or very satisfied with the quality of discharge education they received Root cause analysis of an event where a patient fell after being transferred to another unit, indicating nurses did not follow transfer protocols Nursing staff survey results indicating only 70% of the nursing staff believe that the current protocols related to coordination of care are effective 22. Which information should the nurse use to justify the implementation of a mobile healthcare clinic for rural healthcare delivery? YOUR ANSWER CORRECT ANSWER The organization serves rural communities where much of the population does not have access to reliable transportation. The availability of parking at the organization is limited, and patients have reported the need to use a valet rather than parking themselves. The healthcare providers want to apply for a grant from a healthcare foundation that funds outreach programs for rural health access. The Centers for Medicare and Medicaid have identified the need to improve access to healthcare for Americans living in rural areas. 23. An advanced practice nurse for a nursing unit in a hospital has identified the problem of sepsis. What is the next step in the Plan Do Study Act (PDSA) cycle? YOUR ANSWER CORRECT ANSWER Evaluate changes in patients' conditions Complete thorough assessment and collect data Implement the Institute for Health Improvement guidelines for sepsis Implement the sepsis interventions that are easily accessible on the nursing unit
24. An advanced practice nurse for the nursing unit in a hospital identified the problem of increased sepsis rates related to intravenous lines. Which step represents the Act component of the Plan Do Study Act (PDSA) cycle for the process improvement team? YOUR ANSWER CORRECT ANSWER Compare sepsis rates to rates found on other units Culture intravenous insertion site on the unit patients Review antibiotic therapies of patients throughout the hospital Review the literature for evidence-based guidelines for sepsis care 25. Which benchmark domains must be considered when evaluating evidence for use in a healthcare setting innovation? YOUR ANSWER CORRECT ANSWER Quality, quantity, and consistency Selection, type of studies, broad results Quality, differing types of studies, narrow results Biases, quantity, usefulness of results 26.
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- Spring '17
- Nursing, PDSA