1
Risk Management and Safety Protocols in
Acute Clinical Settings (NUR 410)
, 2
Management Open Notes (103q)
Table of Contents:
Module 1- Leadership Ch. 1 & 2................................................................................................5
Leaders v. managers v. followers..................................................................................5
Leadership styles (autocratic, bureaucratic, charismatic, democratic, laissez-faire, servant,
situational, transactional, transformational)........5
Leadership skills...............................................................................................................7
IOM model.........................................................................................................................8
5 elements of the leadership process...........................................................................8
Power v empowerment....................................................................................................8
Emotional intelligence......................................................................................................9
5 practices of exemplary leadership..............................................................................9
Authentic v clinical leadership........................................................................................9
Effective leadership........................................................................................................10
Module 2 - Management Ch. 1,4,6,23......................................................................................10
Leadership v. management v, followers.....................................................................10
The management process (planning organizing, directing, controlling)...............12
Management theories (contingency, systems, complexity, chaos).......................11
Managerial decision-making.........................................................................................12
SWOT (strengths, weaknesses, opportunities, weaknesses)..............................13
SBAR (situation, background, assessment, recommendation)............................14
Role management, development, and evaluation.....................................................14
Delegation and follow -up..............................................................................................15
Performance appraisal..................................................................................................16
Module 3 - The professional setting Ch. 2, 12, 15.................................................................16
Organizational structure................................................................................................17
Employee engagement.....................................................................................................17
Clear vs. Unclear Expectations.........................................................................................17
Mission, vision, and values...........................................................................................19
Policies, procedures, and protocols............................................................................21
Dimensions of organizational design..........................................................................17
Organizational power and politics...............................................................................21
Organizational climate/culture......................................................................................19
Change and innovation..................................................................................................22
Lewin’s Change Process (change v nursing process v problem solving)...........23
Readiness assessment.................................................................................................23
Change response/fatigue/resistance...........................................................................23
Roger’s Innovation Theory............................................................................................24
Professional practice models (functional, team, primary, case management, P/FCC, transitional,
medical home, virtual...................................................24
Nursing sensitive indicators.........................................................................................25
Patient satisfaction........................................................................................................26
Module 4 - Communication and teamwork.............................................................................27
Intrapersonal v. interpersonal communication...........................................................27
Verbal v non -verbal communication..........................................................................27
Inspiration, persuasion, negotiation, bargaining......................................................27
, 3
Effective communication...............................................................................................28
Spears 4 conversations.................................................................................................29
, 4
Non-violent conversation (NVC)..........................................................................31
SBAR................................................................................................................................30
TeamSTEPPS.................................................................................................................28
Privacy v confidentiality.................................................................................................31
HIPAA Privacy Rule.......................................................................................................31
Teamwork v teambuilding..............................................................................................32
Consultation and collaboration.....................................................................................32
Group effort/decision-making.......................................................................................32
Effective meeting guidelines.........................................................................................32
Shared governance.......................................................................................................33
Module 5 - cultural competency and sensitivity......................................................................33
Health equity and disparities.........................................................................................33
Diversity among both staff and patients......................................................................33
Cultural differences.........................................................................................................33
Bias, stigma, and discrimination..................................................................................33
Minority populations (ethnic/culture, race, faith/religion, sexual/gender identity, low income,
illiterate, disabled, elderly…)..........................................33
Non -English speaking situations in the clinical setting............................................34
Hearing impaired situations in the clinical setting.....................................................34
Inclusion and representation........................................................................................34
Cultural sensitivity..........................................................................................................34
Cultural competence......................................................................................................34
Module 6 - Quality assurance and outcomes..........................................................................28
Safe and quality nursing care.......................................................................................28
Continuous quality improvement (CQI)................................................................28
Evidence -based practice (EBP)..........................................................................??
Lean v. Six Sigma strategies........................................................................................28
Risk identification, management, and mitigation.......................................................29
Sentinel event (“never event”)..............................................................................30
“Near miss” event...........................................................................................................31
Root cause analysis (RCA)..................................................................................31
Structure, process, and outcomes (SPO)............................................................31
Standards and measures..............................................................................................32
Benchmarking.................................................................................................................32
Nursing sensitive indicators and NDNQI....................................................................32
Quality and Safety Education in Nursing(QSEN).....................................................32
KSA (knowledge, skill, attitude)...................................................................................33
ANCC Magnet/Pathway to Excellence recognition...................................................33
Baldrige Award recognition...........................................................................................33
Planetree recognition.....................................................................................................34
The Joint Commission and National Patient Safety Goals......................................34
CMS quality measures domains..................................................................................34
Module 7 - Staffing to meet patient needs...............................................................................35
Orientation.......................................................................................................................35
Onboarding......................................................................................................................35
Internship v. residency...................................................................................................35
Staffing v. scheduling.....................................................................................................35
Staffing process (budgeting, scheduling, deployment, assign..ment)..................43
Fixed v. variable staffing...............................................................................................44
Risk Management and Safety Protocols in
Acute Clinical Settings (NUR 410)
, 2
Management Open Notes (103q)
Table of Contents:
Module 1- Leadership Ch. 1 & 2................................................................................................5
Leaders v. managers v. followers..................................................................................5
Leadership styles (autocratic, bureaucratic, charismatic, democratic, laissez-faire, servant,
situational, transactional, transformational)........5
Leadership skills...............................................................................................................7
IOM model.........................................................................................................................8
5 elements of the leadership process...........................................................................8
Power v empowerment....................................................................................................8
Emotional intelligence......................................................................................................9
5 practices of exemplary leadership..............................................................................9
Authentic v clinical leadership........................................................................................9
Effective leadership........................................................................................................10
Module 2 - Management Ch. 1,4,6,23......................................................................................10
Leadership v. management v, followers.....................................................................10
The management process (planning organizing, directing, controlling)...............12
Management theories (contingency, systems, complexity, chaos).......................11
Managerial decision-making.........................................................................................12
SWOT (strengths, weaknesses, opportunities, weaknesses)..............................13
SBAR (situation, background, assessment, recommendation)............................14
Role management, development, and evaluation.....................................................14
Delegation and follow -up..............................................................................................15
Performance appraisal..................................................................................................16
Module 3 - The professional setting Ch. 2, 12, 15.................................................................16
Organizational structure................................................................................................17
Employee engagement.....................................................................................................17
Clear vs. Unclear Expectations.........................................................................................17
Mission, vision, and values...........................................................................................19
Policies, procedures, and protocols............................................................................21
Dimensions of organizational design..........................................................................17
Organizational power and politics...............................................................................21
Organizational climate/culture......................................................................................19
Change and innovation..................................................................................................22
Lewin’s Change Process (change v nursing process v problem solving)...........23
Readiness assessment.................................................................................................23
Change response/fatigue/resistance...........................................................................23
Roger’s Innovation Theory............................................................................................24
Professional practice models (functional, team, primary, case management, P/FCC, transitional,
medical home, virtual...................................................24
Nursing sensitive indicators.........................................................................................25
Patient satisfaction........................................................................................................26
Module 4 - Communication and teamwork.............................................................................27
Intrapersonal v. interpersonal communication...........................................................27
Verbal v non -verbal communication..........................................................................27
Inspiration, persuasion, negotiation, bargaining......................................................27
, 3
Effective communication...............................................................................................28
Spears 4 conversations.................................................................................................29
, 4
Non-violent conversation (NVC)..........................................................................31
SBAR................................................................................................................................30
TeamSTEPPS.................................................................................................................28
Privacy v confidentiality.................................................................................................31
HIPAA Privacy Rule.......................................................................................................31
Teamwork v teambuilding..............................................................................................32
Consultation and collaboration.....................................................................................32
Group effort/decision-making.......................................................................................32
Effective meeting guidelines.........................................................................................32
Shared governance.......................................................................................................33
Module 5 - cultural competency and sensitivity......................................................................33
Health equity and disparities.........................................................................................33
Diversity among both staff and patients......................................................................33
Cultural differences.........................................................................................................33
Bias, stigma, and discrimination..................................................................................33
Minority populations (ethnic/culture, race, faith/religion, sexual/gender identity, low income,
illiterate, disabled, elderly…)..........................................33
Non -English speaking situations in the clinical setting............................................34
Hearing impaired situations in the clinical setting.....................................................34
Inclusion and representation........................................................................................34
Cultural sensitivity..........................................................................................................34
Cultural competence......................................................................................................34
Module 6 - Quality assurance and outcomes..........................................................................28
Safe and quality nursing care.......................................................................................28
Continuous quality improvement (CQI)................................................................28
Evidence -based practice (EBP)..........................................................................??
Lean v. Six Sigma strategies........................................................................................28
Risk identification, management, and mitigation.......................................................29
Sentinel event (“never event”)..............................................................................30
“Near miss” event...........................................................................................................31
Root cause analysis (RCA)..................................................................................31
Structure, process, and outcomes (SPO)............................................................31
Standards and measures..............................................................................................32
Benchmarking.................................................................................................................32
Nursing sensitive indicators and NDNQI....................................................................32
Quality and Safety Education in Nursing(QSEN).....................................................32
KSA (knowledge, skill, attitude)...................................................................................33
ANCC Magnet/Pathway to Excellence recognition...................................................33
Baldrige Award recognition...........................................................................................33
Planetree recognition.....................................................................................................34
The Joint Commission and National Patient Safety Goals......................................34
CMS quality measures domains..................................................................................34
Module 7 - Staffing to meet patient needs...............................................................................35
Orientation.......................................................................................................................35
Onboarding......................................................................................................................35
Internship v. residency...................................................................................................35
Staffing v. scheduling.....................................................................................................35
Staffing process (budgeting, scheduling, deployment, assign..ment)..................43
Fixed v. variable staffing...............................................................................................44
