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NURS 440 Exam 1 – Questions With Right Solutions

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NURS 440 Exam 1 – Questions With Right Solutions

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The Institute of Medicine -IOM
-renamed to NAM in 2015
-independent non-profit organization (works outside
of government)
-established to improve health for all by advancing
science, health equity, providing independent and
trusted advice nationally and globally
-establishes reports to improve the healthcare
system
-created the 6 aims for healthcare in the 21st century


The IOM's 6 aims for healthcare in the Safe, effective, patient centered, timely, efficent, and
21st century equitable
-also can think STEEEP
-from IOM's report: Crossing the Quality Chasm


To Err is Human: Building a Safer -IOM report that identified medical errors as the
Health System (2000) leading cause of injury in the United States

, QSEN Core Competencies includes:
1) provide patient centered care (health literacy,
cultural competence, optimal health environment)
2) work in interdisciplinary teams (more of a focus on
cooperation/collaboration)
3) employ evidence-based practice (uses
benchmarks to evaluate QI)
4) apply quality improvement (process to monitor
workflow and compare to benchmarks) part of 3-
legged nursing practice. Looks at where nursing care
is provided, how nursing care is provided, and results
of all nursing care provided
5) utilize informatics (using information technology to
help identify problems, documentation using the
EHR)
6) safety (standardized protocols and minimize
human errors/factors)


Acts of omission vs comission Act of omission: failing to do the right thing, or
omitting something that results in errror
Act of comission: doing something wrong or
commiting the error


Safety culture -culture that follows 5 principles where people are
not punished for reporting errors
-providing leadership
-respecting human limits in design process
-promoting effective team functioning
-creating a learning environment
-


High reliability organizations -creates processes, systems, and a culture that
reduces system errors/failures when they occur,
using 5 characteristics
-sensitivity to operations
-reluctance to simplify
-preoccupation with failure
-deference to expertise
-resilience
-they foster a safe environment for nursing practice

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