and CORRECT Answers
Standard - CORRECT ANSWER - A basis for practice, regardless of the setting;
measurable; a legal tool, evidence based, current
Guideline - CORRECT ANSWER - Informational; gives direction; No legal impact (CDC,
APIC)
Center for Device & Radiologic Health (CDRH, FDA) Device Class - CORRECT
ANSWER - 1. Class I - Lowest risk of harm
2. Class II - Moderate Risk of harm (vascular access devices)
3. Class III Greatest Risk of harm (heart valves)
Center for Device & Radiologic Health (CDRH, FDA) Review Process - CORRECT
ANSWER - 1. Pre-Market Notifications (Need for products)
2. Pre-Market Approval (Clinical Studies)
3. Post-Market Surveillance (Reporting of problems)
Occupational Safety & Health Administration (OSHA) - CORRECT ANSWER - 1.
Bloodborne Pathogen Rule: protects health care workers
2. Hazardous Waste Rule: Cytotoxins
3. Manufacturer & User Facility Device Reporting (MAUDE): report any product concerns
The Joint Commission (JACCO) - CORRECT ANSWER - 1. Accreditation Standards:
2. Quality Core Measures
State Board of Nursing / Professional Regulation - CORRECT ANSWER - 1. Scope of
Practice
, Quality Management/ Performance Improvement *History* - CORRECT ANSWER - 1.
Risk management (1950): negative focus - more punitive
2. Quality Assurance (1980
3. Total Quality Management/Assurance (Performance Improvement)
Quality Management/ Performance Improvement; Founding Fathers - CORRECT
ANSWER - 1. Philip Crosby (1979) Do it right the first time
2. J. M. Juran (1989) the Juran trilogy
3. Edwards Deming (1989) 14 points for total quality
4. Bill Smith (1990) Six Sigma
Quality Management/Performance Improvement; Today - CORRECT ANSWER - The
quality assurance (QA) process is a structured program based on available resources(IE laws,
standards, guidelines, job descriptions, and policies & procedures) which are utilized to monitor
and evaluate the appropriateness and quality of care.
Definition: Quality Assurance - CORRECT ANSWER - Quality Assurance determines the
degree of excellence of care provided. Strives to continually improve the quality of care directed
by positive outcomes.
Goals or Quality Assurance - CORRECT ANSWER - To ensure the best I.V. care; decrease
IV complications and assure timely and appropriate interventions.
Quality Management Terms Accountability - CORRECT ANSWER - Being Responsible
and answerable for actions or inactions of self or others in the contact of delegation; The
knowledge Skills, Judgment, and experience expected of a practitioner
Quality Management Terms: Benchmarking - CORRECT ANSWER - The process of
measuring and comparing the results of processes or an institution with the best performers
nation wide; the goal of comparison with the "best performers" is to improve performance and
the quality of care delivered.