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100
In what year did Joint Commission mandate hospital-wide patient safety standards?
2001
100

Why is a Professional Practice Model important?

1.  Provides the foundations for Quality Nursing Practice

2. Important Resource for Nurse Leaders who seek to advance their organization in a journey for Excellence

100
Why are errors less likely to be reported at the time of occurrence?
because of the fear of blame or punishment
100

What does NDNQI stand for?

National Database of Nursing Quality Indicators

200
Nurses must utilize what in order to incorporate evidence-based practices for improved quality and safety in the health-care delivery system?
Technology and Informatics
200

Out of the 22 evidence-based Leapfrog measures of patient safety, how many domains does VCMC/SPH participate in and what are they?

Process/Structural Measures

Computerized Physician Order Entry (CPOE)

Bar Code Medication Administration (BCMA)

ICU Physician Staffing (IPS)

Safe Practice 1: Culture of Leadership Structures and Systems

Safe Practice 2: Culture Measurement, Feedback, & Intervention

Safe Practice 9: Nursing Workforce

Hand Hygiene

H-COMP-1: Nurse Communication

H-COMP-2: Doctor Communication

H-COMP-3: Staff Responsiveness

H-COMP-5: Communication about Medicines

H-COMP-6: Discharge Information

Outcome Measures

Foreign Object Retained

Air Embolism

Falls and Trauma

CLABSI

CAUTI

SSI: Colon

MRSA

C. Diff.

PSI 4: Death rate among surgical inpatients with serious treatable conditions

CMS Medicare PSI 90: Patient safety and adverse events composite

200

What does RL mean/stand for in risk management?

Risk level.

200

What does CPQCC stand for?

California Perinatal Quality Care Collaborative.

300
Name two forces influencing the current movement toward improved quality and safety.
Economics, Societal Demographics and Diversity, Regulation and Legislation, Technology, Health-Care Delivery and Practice, Environment and Globalization
300

What does HCAHPS stand for?

The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey is the first national, standardized, publicly reported survey of patients' perspectives of hospital care.

300

What type of event(s) necessitate an EA?

Events that necessitate an event analysis include any occurrences that result in patient harm, near misses, potential for harm, or significant deviations from standard practice, such as medication errors, surgical complications, falls, wrong patient identification, delayed diagnoses, healthcare-associated infections, adverse drug reactions, and sentinel events (which are particularly serious incidents like unexpected deaths or severe injuries)

300
Name two well-known agencies known for supporting Quality and Safety
FDA, CMS, ANA, Joint Commission, U.S. Department of Health and Human Resources
400

In what year was AONL (American Organization for Nursing Leadership) established?

The American Organization for Nursing Leadership (AONL) was established in 1967 by a group of nurse administrators from the American Hospital Association (AHA) Council of Nursing. The organization was originally called the American Society for Hospital Nursing Service Administrators (ASHNSA). In 2019, the organization changed its name to the AONL to reflect its commitment to inclusivity.

400
What is Continuous Quality Improvement?
Process that includes identifying and collecting data on "indicators", evaluating the data, and making the needed changes
400

The review of giving a patient the wrong medication is an example of what?

Root Cause Analysis; the process of learning from consequences

400

Please name three agencies that evaluate hospitals to ensure compliance with accreditation and local, state and federal regulatory standards

CMS/CDPH/TJC/HCAI/DNV-Det Norske Veritas,etc.

500

In what year was the Patient's Bill of rights first adopted by the American Hospital Association?

1973 and revised in October 1992.  Patient rights were developed with the expectation that hospitals and healthcare institutions would support these rights in the interest of delivering effective patient care. 

500

On the comprehensive (REGULATORY) SURVEY -READY HELPFUL INFORMATION SHEET as distributed by our famous QAPI department; how many categories are there?

20

500
Joint Commission developed tools to offer healthcare organizations goals and strategies to prevent two things. What are they and what are they based on?
Harm and Death; based on what has been learned from sentinel events
500

A blame free environment in which reporting of errors is promoted and rewarded

Culture of Safety/Just Culture