Quality of Care
The IOM began the quality cares movement due to:
What is adverse events and medical errors
The process whereby a nurse (an RN) directs another health care team member to perform specific nursing tasks, procedures, and activities that are beyond the person's traditional role and are not routinely performed by them.
What is Delegation
The underlying principle is based on recognizing that all human beings are important.
What is civility
________ recommended changes for advocacy strategies to reduce errors and improve the quality of health care by recommending a four-tiered approach
What is IOM 2000 Report: To Err is Human: Building a Safer Health System
A type of incivility that encompasses physical abuse, emotional abuse, verbal abuse, or any combination of the three.
What is bullying?
IOM 2001: Crossing the Quality Chasm identified 6 aims for improvement including:
What is Safe, Effective, Patient-Centered, Timely, Efficient, and Equitable.
The right task, Right person, right direction/communication, Right supervision/feedback, and Right circumstances are considered:
What is The 5 Rights of Delegation?
Includes name-calling, threatening body language, physical hazing, bickering, fault finding, negative criticism, intimidation, gossip, shouting, blaming, put-downs, raised eyebrows, rolling of the eyes, sarcasm,
What is overt lateral violence?
In health care, attempts to guarantee that when an action is performed by a health care professional, it is performed correctly the first time and each time thereafter.
What is Quality Assurance
Ensuring that the LPN changes the dressing appropriately by watching the process.
What is Direct Observation?
violence from subordinates towards superiors.
What is bottom-up vertical violence?
Uses quality indicators or QI's as measures of health care quality from easily accessible inpatient hospital administrative data.
What is the Agency for Healthcare Research and Quality (AHRQ)
Barriers caused by circumstances or the person being delegated to
What is External barriers?
Incivility in nursing education includes:
Student-to-instructor, instructor-to-student, student-to-student
An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof.
what is Sentinel Event
You can't delegate your MEATUS.
What is Meds, Evaluation, Assessments, Teaching, Unstable Patients, Skills.
**Please practice Delegation questions online prior to the exam
Increased stress increases
what is student incivility