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NUR 408 Exam One
Quality Improvement
| Question | Answer |
|---|---|
| What are the components of quality health care? | safe, effective, patient-centered, timely, efficient, and equitable |
| What's the first role for nurses providing quality care? | aligning unit, organization, and national quality improvement goals |
| What's the second role for nurses providing quality care? | recognizing and responding to external factors which drive quality |
| What organization is associated with quality improvement? | The Joint Commission |
| What is the third role for nurses providing quality care? | developing skills in quality improvement |
| What is the national quality forum? | an organization that recommends standards for nursing quality improvement |
| What does the national quality forum do? | provides resources to support organizations in conducting quality improvement |
| T or F: NQF targets nurse sensitive indicators. | true |
| What does nurse sensitive mean? | patient or system outcomes that are within nursing scope of practice and can be influenced by nurses |
| What is an indicator? | performance measure which is monitored in a quality improvement process |
| What is an example for nurse sensitive? | pressure injuries, falls, CAUTI |
| What is an example of an indicator? | pressure injury rate, fall rate, etc. |
| What is the National Database of Nursing Quality Indicators (NDNQI)? | provides services to support health systems in conducting quality improvement based on NQF |
| Who developed NDNQI? | American Nurse's Association |
| What is benchmarking? | a systematic approach for gathering information about a process or outcome, comparing the data to other similar organizations, and then analyzing how and why performance is different from the peer organizations |
| Who owns NDNQI now? | Press Ganey |
| What is NDNQI used for? | measure nursing quality, improve nurse satisfaction, strengthen the nursing work environment, and improve reimbursement under pay for performance policies |
| What is HCAHPS? | a survey instrument and data collection methodology for measuring patients' perceptions of their hospital experience |
| T or F: There was a national standard for collecting and publicly reporting information about patient experience of care that allowed comparisons of hospitals before HCAHPS. | false |
| What is a lever? | a business function, resource, or action which can be used to meet a quality improvement goal |
| How many quality strategy levers are there? | nine |
| What is the measurement and feedback lever? | performance data should be provided to providers |
| What is the public reporting lever? | data on treatment results, costs, and patient experience are provided to the public |
| What is the learning + technical assistance lever? | the organizational environment should support learning by providing training and resources about QI |
| What is the certification, accreditation, and regulation lever? | accrediting or regulatory organizations establish quality standards that need to be met ex. CMS and Joint Commission |
| What is the consumer benefits + incentives lever? | incentives should be provided to patients to encourage them to adopt health practices |
| What is the payment lever? | payment systems should provide incentives to providers to meet quality standards |
| What is the health information technology lever? | technology should be used to increase communication, transparency, and efficiency ex. EMR |
| What is the innovation + diffusion lever? | health systems should provide resources to support positive changes |
| What is the workforce development lever? | health systems should invest in employees to support lifelong learning |
| What is quality improvement? | a philosophy of organizational functioning, management model, set of tools and change techniques |
| What does quality improvement emphasize? | customer satisfaction, teamwork, and continuous improvement of work processes |
| Where did quality improvement begin? | manufacturing sector |
| What are the steps of QI? | assessment, analysis, plan for improvement, test and implement improvement plan |
| What is included in assessment? | assess problem by reviewing performance data; data collected about patients, professionals, processes, and common performance measures |
| Tor F: Valid, reliable instruments are needed for QI. | false |
| What is included in analysis? | identify possible reasons for issue |
| What is root cause analysis? | structured method used to understand sources of system variation that led to an error |
| What is the goal of root cause analysis? | learn more about factors within system that contributed to an error; focus on system not individual blame |
| What type of diagram is used for analysis? | fishbone diagram |
| What is a fishbone diagram? | used to identify possible factors which may have contributed to an error or quality concern |
| What is included in plan for improvement? | team develops a plan for testing the improvement; based on literature or clinical practice guideline; considered standard care not research |
| What is a plan for improvement intended for? | a specific environment of care |
| What is something to keep in mind about creating an improvement pan? | strategies to increase buy-in and ensure everyone will be on board |
| What is included in test and implement improvement plan? | rapid test of change |
| What is a rapid test of change? | team decides on change that should be tried, implements change, evaluates change, and modifies as necessary; completed in short time period |
| What type of cycle is QI? | continuous |
| What is an example of testing and implementing an improvement plan? | PDSA model |
| How should QI articles be critiqued? | using SQUIRE guidelines |
| What are the SQUIRE guidelines? | standards for QI reporting excellence |
| What's the breakdown of SQUIRE? | title and abstract; introduction; methods; results; discussion |
| What's in the introduction portion of SQUIRE? | significance, summary of topic, explanation of purpose |
| What's in the methods portion of SQUIRE? | context explained, intervention clearly described, data collection methods |
| What's in the results portion of SQUIRE? | data presented, unintended consequences explained |
| What's in the discussion portion of SQUIRE? | results interpreted, including implications for practice, impact of change on people and system, costs, etc. |
Created by:
kristina2992
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