Quality & Safety Essentials
Name TWO of the IOM’s six aims for 21st-century care.
Safe, Effective, Patient-Centered, Timely, Efficient, Equitable (any two).
Name TWO U.S. programs that provide government-financed care.
Medicare, Medicaid (also acceptable: Veterans Health Administration).
Name TWO ambulatory/community care settings.
Primary care clinic, urgent care, school clinic, home health, rural health (any two).
What does SBAR stand for?
Situation, Background, Assessment, Recommendation.
Define care coordination in one sentence.
Organizing and managing care across settings/providers so the right care occurs at the right time/place.
What is the primary goal of QSEN for nursing practice?
To equip nurses with knowledge, skills, and attitudes to improve quality and safety.
What do DRGs influence in inpatient care?
Reimbursement/payment classification, driving efficiency.
Role of mid-level providers (NP/PA) in shortages?
Expand access; manage acute/chronic conditions; fill provider gaps.
Name a TeamSTEPPS cue that escalates a safety concern.
CUS: “I’m Concerned, Uncomfortable, this is a Safety issue.”
A metric used to evaluate transition success.
Reduced readmissions; improved safety/outcomes; cost impact (any one).
Define one core trait of a High-Reliability Organization.
Preoccupation with failure (also: reluctance to simplify, sensitivity to operations, deference to expertise, resilience).
One key difference between PPO and HMO?
PPO allows out-of-network without referral (higher cost); HMO requires PCP/referrals and in-network care.
Give ONE oversight agency and its focus.
OSHA—workplace safety; AHRQ—quality; HHS—public health programs (any one).
One IPEC core competency for interprofessional practice.
Values/Ethics; Roles/Responsibilities; Interprofessional Communication; Teams/Teamwork (any one).
What begins in the pre-entry phase of a home visit?
Review referral data, call patient/caregiver, schedule—foundation for the plan.
What national survey publicly reports hospital patient experience?
HCAHPS.
What population is covered by CHIP?
Low-income children not eligible for Medicaid but unable to afford private insurance.
Two outcome domains used to track hospital performance.
Mortality, readmissions, LOS, patient experience, HAI prevention, hand hygiene (any two).
One common reason handoff communication fails.
Lack of structure, poor timing, hierarchy, assumptions, missing documentation/tech use (any one).
TWO roles of a nurse navigator/care coordinator.
Scheduling/support, resource navigation/financial help, education, team coordination (any two).
List the four parts of a basic safety culture agenda.
Leadership focus, error reporting, performance standards, organization-wide safety systems.
One strategy to reduce costs without harming quality.
Prevention/primary care focus, care coordination, generic meds, reduce readmissions (any one).
Nurse’s role in equity/racial justice.
Screen SDOH, use interpreters, deliver unbiased evidence-based care, advocate to close gaps.
What does ISBARQ add to SBAR?
A: I = Introduction; Q = Questions/Answers to confirm understanding.
Primary aim of linking patients to community resources.
Enhance well-being and reduce fragmentation/barriers to care.