Essentials of Professional Nursing-Handouts final exam 2 2022

1. Quality Improvement: Care- related and organizational processes that involve the development and implementation of a plan to improve healthcare services and better meet clients needs. 2. History and Evolution of Quality in Health Care: -Adopted in 1960s and still evolving -Initially, a way to prevent future ERRORS by looking at what had already happened and focusing on fixing a problem -uses PROACTIVE approaches to prevent error -Uses monitoring processes to control errors 3. How do we monitor quality?: Quality Improvement Department (QI) Continuous Quality Improvement Councils (CQI) 4. Quality Improvement Department (QI): This department is responsible for monitoring quality -it receives data, analyzes TRENDS and recommends actions for improvement 5. Continuous Quality Improvement (CQI): councils, quality circles, and/or ser- vice lines (medical units, outpatient units, etc.) that collaborate to ensure high quality patient care 6. Quality Plans and Philosophies: The nurse forms a PICOT question and searches the LITERATURE -Another system used to explore a problem is the PDSA style ---more often than not, a problem is presented by a BEDSIDE nurse 7. PDSA: Plan: look ahead for the long term Do: make things happen in a way that can be OBSERVED and understood Study: take a look at RESULTS of actions that were planned and put into MOTION Act: make a standard practice of what WORKS; keep working on what doesn't 8. PICOT: Patient/Population Intervention Comparison Outcome TIme 9. What are the 5 why's used for?: At the root of every seemingly technical problem is a human problem. The 5 why's provides an opportunity to discover what that human problem might be. 10. According to the National Academy of Medicine (NAM), the 6 aims to improve Health care quality must be...: Safe Effective Patient-centered Timely Efficient Equitable 11. Patients Rights to Know: Consumers/Patients/Clients should expect quality care for their healthcare agency -They should be able to obtain KNOWLEDGE about the QUALITY of a healthcare agency 12. What is the name of the regulatory agency?: The Joint Commission (TJC) 13. The Joint Commission (TJC): -Primary agency for hospital ACCREDITATION that are Medicare and Medicaid funded -evaluates care in an organization -must meet certain QUALITY standards to pass inspection -mandates continuous quality improvement -addresses patient SAFETY issues -Requires error REDUCTION and design of safe patient care processes -IT IS THE GOLD STANDARD 14. Core measures: -The Joint Commission mandates certain key INDICATORS to monitor and track improving quality of health care by implementing a nation standardized performance measurement system -Core measures require an agency to monitor patients admitted with certain Diagnoses/Problems -Core measures identify whether specific BEST PRACTICES were implemented within the health care setting-consumers can compare the results across hospitals 15. Examples of Core measures: Mortality Rates Cold Blues Falls Medication Errors Restraints Infections Heart Failure Pneumonia Substance use 16. What technology has advanced quality care?: Electronic health records (EHR) Automated medication dispensing system Medication scanning Computerized provider order entry (CPOE) Informatics nurses Genetics, genomics, and epigenetics Pharmacogenetics Simulators