QI & Safety
A nurse notices several patients have experienced delayed medication administration during the past month. The nurse begins collecting data to determine how often the delays occur.
What is Quality Improvement?
This technology allows nurses to document assessments, medications, and care electronically.
This technology allows nurses to document assessments, medications, and care electronically.
EBP combines research evidence, clinical expertise, and this third component.
What are patient preferences and values?
The nurse repeats the patient's concerns in different words to ensure understanding.
What is restating/paraphrasing?
This method asks patients to explain information back in their own words.
What is the Teach-Back Method?
A hospital compares its fall rate with the national average and uses the information to improve patient safety.
What is benchmarking?
A computer alert reminds the nurse that a patient's potassium is critically low before administering furosemide.
What is a Clinical Decision Support System (CDSS)?
A nurse asks: "In hospitalized adults, does hourly rounding compared with rounding every two hours reduce patient falls?" This question is written using what format?
What is PICOT?
A nurse uses the SBAR format when calling the provider. The "A" stands for:
What is Assessment?
Which patient instruction demonstrates health literacy principles?
A. "Take this antihypertensive twice daily."
B. "Take one pill every morning and one every evening."
What is Option B?
After a medication error occurs, the healthcare team meets to determine what system failures contributed to the error rather than blaming one nurse.
What is a Root Cause Analysis (RCA)?
The nurse combines patient assessment findings, clinical experience, and evidence to determine the best intervention. This represents which level of the DIKW framework?
What is wisdom?
Researchers publish evidence showing chlorhexidine bathing reduces central line infections. The hospital changes its policy based on the findings. This is an example of:
What is Evidence-Based Practice?
A patient begins crying after receiving a new diagnosis. The nurse remains silent for several moments. This therapeutic communication technique is:
What is therapeutic silence?
A patient nods yes during discharge teaching but cannot explain how to take the medication at home. The nurse should:
What is repeat education using Teach-Back?
A QI team redesigns the medication administration process to eliminate unnecessary steps and reduce wasted time.
What is Lean methodology?
A nurse accidentally leaves a workstation without logging off the computer. Which nursing principle was violated?
What is maintaining patient confidentiality/information security?
A nurse changes practice because "that's how we've always done it." This is NOT an example of:
What is Evidence-Based Practice?
The nurse says, "Tell me more about how you're feeling." This is an example of:
What is an open-ended question?
A patient has difficulty reading written instructions. Which intervention is BEST?
What is use pictures, simple language, and verbal instruction?
A hospital tracks hand hygiene compliance every month and reports infection rates quarterly. Which quality indicator is being measured?
What is a process indicator?
Which nursing action best demonstrates meaningful use of an EHR?
A. Copying yesterday's assessment
B. Documenting only abnormal findings
C. Using electronic data to improve patient outcomes
D. Printing every patient's chart
What is using electronic data to improve patient outcomes?
A nurse finds two research studies with conflicting conclusions. Before changing practice, what should the nurse evaluate first?
What is the quality/strength of the evidence?
A nurse is caring for a patient who speaks limited English. The patient's adult child offers to interpret. What is the nurse's best action?
What is use a qualified medical interpreter?
Which statement reflects universal precautions for health literacy?
A. Assume patients understand medical terms.
B. Only simplify education for patients with low literacy.
C. Assume every patient may have difficulty understanding health information.
D. Provide only written instructions.
What is Option C?