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Issues/trends
continued part 2
| Question | Answer |
|---|---|
| Medicaid | Federally supported , state administered program for low-income families and individuals benefit from state to state. Medicaid payments are made after other insurance or third party payments have been made. |
| Case Management | Mobilize, monitor, and control resources that a patient uses during a course of an illness while balancing quality and cost |
| Quality Assurance improvement | A management process of monitoing, evaluating, continuous review and improving the quality in providing health |
| Quality Assurance | A process for evaluating the care of patients using established standards of quality of care to ensure quality |
| Quality: Structures | Inputs into care such as resources, equitment or numbers nad qualifications of staff |
| Quality: Processes of Care | Include assessments, planning, performing treatments and managing complications |
| Quality: Outcomes | Include complications , adverse effects, short term results of treatment and long term results of patient health and functioning |
| Critical Path | Contains key patient care activities and time frames for those activities which are needed for specific case type or diagnosis-related group |
| Care Map | Blue print for planning and managing care delivered by all disciplines, day-today goals, final desired outcomes, monitoring the outcome |
| Root Cause Analysis | A tool for identifying prevention strategies to ensure safety, a process thath is part of the effort to build a culture of safety and move beyond the culture of blame |
| Sentinel Events | Unexpected occurance involving death or serious psychological injury, medical error |
| Scope of Practice | Provides guidlines for nursing practice for each state, integration of care, research based clinical practice, clinical practice, leadership, assessment and treatment |
| Standards of Advanced Practice | ANA to measure quality of practice, service or education |
| State Practice Acts | Authority for license of registered nurses., title, authorization for scope of practice including precriptive authority and disciplinary grounds |
| Prescriptive Authority | Np ability to prescribe medications to patines based on the states practice act. , DEA will have registration numbers |
| Credentials | Encompasses required education , licensure, and certification to practice is dependent on state nurse practice act, scope of practice, standard of practice |
| Licensure | Establishes that a person is qualified to perform in a particular professional role, standards for practice |
| Certification | Establishes that a person has met certain standards in a praticular profession signify mastery of knowledge and skills. Certification performed by testing through ANCC, AANP, AANP |
| Risk Management | A systemic effort to reduce risk with a formal, written risk management plan that includes goals, methods, implementation and enforcement, demonstrating commitement by the board, sensitive information |
| Medical Futillity | Refers to interventions that are unlikely to produce any significant benefit for the patient |
| Quantitative Futility | The likely hood that an intervention will benefit that patient is extremely poor |
| Qualitative Futility | Where the quality of benefit an intervention will produce is extremely poor |
| Danforth Amendment | 1991 Right to Refuse, pts must be advised at admission about refusal of care |
| Ethics | The study of moral conduct and behavior which serves to govern conduct, thereby protecting the rights of an individual |
| Nonmaleficence | the duty to do no harm |
| Utilitarianism | the right act is the one that produces the greatest good for the greatest number |
| Beneficence | The duty to prevent harm and promote good |
| Justice | The duty to be fair |
| Fidelity | the duty to be faithful |
| Veracity | the duty to be truthful |
| Autonomy | the duty to respect an individual throughts and actions |
| Steps to Research Process | Problem, literature, hypothesis, research design, population to be studied, data collection, design study, conducting the study, analyzing, interpreting and communication |
| Descriptive Research | Aims to describe situation, experiences and phenomena as they exist |
| Ex post facto or correlational research | Examines relationships among variables |
| Confidence interval | A interval , with limits at wither end , with a specifiied probability of including the parameter being established |
| Standard Deviation | Indicates the average amount of deviation of values from the mean |
| Assault | An intentional act by one person that creates an apprehension in another of an imminent harmful or offensive contact , threat of bodily harm |
| Battery | An illegal , willful, angry, violent or negligent striking of a person, his clothing or anything with which he is in contact |
| Defamation | A communication that causes someone to suffer a damaged reputation EX: libel, Slander |
| Libel | Defaming, distributed written material |
| Slander | Spoken defamation (spoken other than the defamed party) |
| involuntary coommitment | Duty to commit someone who is in danger of hurting himself or others as a result of medical illness. |
| good samaritan status | protect health care providers from law suits who aid at the scene of an accident and render reasonable, emergency care, with NP scope of practice |
Created by:
ktebbin
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