CHAPTER 02: CLINICAL SAFETY:
THE CORE OF LEADING,MANAGING
AND FOLLOWING
In an effort to control costs and maximize revenues, the Rehabilitation
Unit at Cross Hospital reduced the number of its managers and increased
the number of units for which each manager was responsible. Within a
year, the number of adverse events on the units had doubled. How do the
increase in adverse events relate to decreased managers?
a. The overload of staff nurse duties
b. Resistance to change by staff
c. A change in reporting system for everyone
d. Fewer clinical leaders facilitate best practice - ANSWER- ANS: D
Eliminating barriers to the implementation of best practices is the role of
managers and leaders. When there are insufficient resources for
leadership to encourage a culture in which evidence-based practice is
,embraced, frontline nurses recognize this as a stumbling block for
delivering quality care.
The Rehabilitation Unit at Pleasant Valley Hospital has a high number
of falls. What interventions might assist to reduce the number of falls on
the unit?
a. Determining who is responsible for the falls
b. Strengthening unit policies to avoid inappropriate admissions
c. Encouraging involvement of nurses in education related to falls and
safety
d. Ensuring that patients are appropriately restrained if they are at risk
for falls - ANSWER- ANS: C
The IOM (2010) emphasizes the need for nurses to engage in lifelong
learning and to use evidence and best practices to inform practice and
ensure safety.
How would the nurse executive begin to increase safety in patient care
areas of the Valley Hospital?
a. Asking the community what the safety issues are
b. Consulting with a management expert about staffing schedules
c. Ensuring that the senior nursing officer attends the board meetings
d. Instituting improved practices to reduce needlestick injuries -
ANSWER- ANS: C
, The IOM report (2004) highlighted the importance of the attendance of
the senior nurse executive at board meetings to be a key spokesperson
on safety and quality issues.
During review of back injuries, it is determined that a large number of
injuries are occurring in spite of mechanical lifts being used.
Furthermore, it is determined that some lifts are outdated. In addressing
this concern, the unit manager:
a. meets individually with nurses who are observed to be using the lifts
incorrectly to review the correct procedure.
b. after consultation with the staff about the review, orders new lifts to
replace older ones that are malfunctioning.
c. blames the system for inadequate funding for resources.
d. reviews the system of reporting incidents to ensure that appropriate
reporting is occurring. - ANSWER- ANS: A
The involvement of staff nurses in safety on the unit is imperative in
improvement of quality and the provision of patient care. This is a
relationship engagement by the manager to engage the nurses and
building these relationships improves quality.
What did the IOM Health Professions Education report highlight as a
concern for patient safety?
a. A normal risk in professional practice
THE CORE OF LEADING,MANAGING
AND FOLLOWING
In an effort to control costs and maximize revenues, the Rehabilitation
Unit at Cross Hospital reduced the number of its managers and increased
the number of units for which each manager was responsible. Within a
year, the number of adverse events on the units had doubled. How do the
increase in adverse events relate to decreased managers?
a. The overload of staff nurse duties
b. Resistance to change by staff
c. A change in reporting system for everyone
d. Fewer clinical leaders facilitate best practice - ANSWER- ANS: D
Eliminating barriers to the implementation of best practices is the role of
managers and leaders. When there are insufficient resources for
leadership to encourage a culture in which evidence-based practice is
,embraced, frontline nurses recognize this as a stumbling block for
delivering quality care.
The Rehabilitation Unit at Pleasant Valley Hospital has a high number
of falls. What interventions might assist to reduce the number of falls on
the unit?
a. Determining who is responsible for the falls
b. Strengthening unit policies to avoid inappropriate admissions
c. Encouraging involvement of nurses in education related to falls and
safety
d. Ensuring that patients are appropriately restrained if they are at risk
for falls - ANSWER- ANS: C
The IOM (2010) emphasizes the need for nurses to engage in lifelong
learning and to use evidence and best practices to inform practice and
ensure safety.
How would the nurse executive begin to increase safety in patient care
areas of the Valley Hospital?
a. Asking the community what the safety issues are
b. Consulting with a management expert about staffing schedules
c. Ensuring that the senior nursing officer attends the board meetings
d. Instituting improved practices to reduce needlestick injuries -
ANSWER- ANS: C
, The IOM report (2004) highlighted the importance of the attendance of
the senior nurse executive at board meetings to be a key spokesperson
on safety and quality issues.
During review of back injuries, it is determined that a large number of
injuries are occurring in spite of mechanical lifts being used.
Furthermore, it is determined that some lifts are outdated. In addressing
this concern, the unit manager:
a. meets individually with nurses who are observed to be using the lifts
incorrectly to review the correct procedure.
b. after consultation with the staff about the review, orders new lifts to
replace older ones that are malfunctioning.
c. blames the system for inadequate funding for resources.
d. reviews the system of reporting incidents to ensure that appropriate
reporting is occurring. - ANSWER- ANS: A
The involvement of staff nurses in safety on the unit is imperative in
improvement of quality and the provision of patient care. This is a
relationship engagement by the manager to engage the nurses and
building these relationships improves quality.
What did the IOM Health Professions Education report highlight as a
concern for patient safety?
a. A normal risk in professional practice
