NURS 372 EXAM 2 REVIEW QUESTIONS
1. Healthcare Quality- Answers - - the degree to which health care services for individuals and populations
increase the likelihood of desired health outcomes and are consistent with current professional knowledge
2. Quality ImprovemQUESTIONSent- Answers - - an approach to the continuous study and improvement
of the processes of providing health care services to meet the needs of patients and others and inform
healthcare policy
3. Healthcare Gaps Causation- Answers - - medical science and technology
4. Devotions of the Healthcare System- Answers - - dealing with acute, epdisodic care needs
5. Challenges of the Healthcare System- Answers - - reengineered care processes
- ettective use of information technologies
- knowledge and skills management
- development of ettective teams
- coordination of care across patient conditions, services, sites of care over time
6. Healthcare Workers in Silos- Answers - - healthcare providers are acting without the benefit of complete
infor- mation about the patient's condition, medical history, services provided in other settings, or medications provided
by other clinicians
7. Safe- Answers - - avoiding injuries to patient from the care that is intended to help them
- ex- Answers - a nurse uses the rights of medication administration when giving a medication
8. Effective- Answers - - providing services based on scientific knowledge to all who could benefit and refraining
from providing services to those not likely to benefit
- ex- Answers - a nurse elevates the head of the bed 30 degrees to prevent ventilator acquired pneumonia
9. Patient-Centered- Answers - - providing care that is respectful of and responsive to individual patient
preferences, needs, and values, and ensuring that patient values guide all clinical decisions
- ex- Answers - a nurse asks a patient's family about any cultural considerations to be aware of when caring for a patient
,at the end-of-life
10. Timely- Answers - - reducing waits and sometimes harmful delays for both those who receive and those who give
care
- ex- Answers - a nurse identifies early signs of sepsis and implements appropriate nursing measures
11. Efficient- Answers - - avoiding waste, including waste of equipment, supplies, ideas, and energy
- ex- Answers - a nurse using an HER is able to see lab results for certain labs on the MAR when appropriate
12. Equitable- Answers - - providing care that does not vary in quality because of personal characteristics such as
gender, ethnicity, geographic location, and socioeconomic status
- ex- Answers - a client in an urban community and a client in a rural community have equal access to healthcare specialists
13. Rules for Redesign of the System- Answers - - care is based on continuous healing relationships
- patients should receive care whenever they need it and, in many forms, not just face-to-face visits. This implies that the
,health care system must be always responsive, and access to care should be provided over the internet, by telephone, and
by other means in addition to in-person visits
14. Rules Continued- Answers - - care is customized according to patient needs and values
- the systemshould be designed to meet the most common types of needs but should have thecapability to respond
to individual patient choices and preferences
15. More Rules- Answers - - the patient is the source of control
- patients should be given the necessary information and opportunity to exercise the degree of control they choose
over health care decisions that attect them
- the system should be able to accommodate ditterences in patient preferences and encourage shared decision making
16. Knowledge Rule- Answers - - knowledge is shared, and information flows freely
- patients shouldhave unfettered access to their own medical information and to clinical knowledge
- clinicians and patients should communicate ettectively and share information
17. Decison Making Rule- Answers - - decision making is evidence-based
- patients should receive care basedon the best available scientific knowledge
- care should not vary illogically fromclinician to clinician or from place to place
18. Safety Rule- Answers - - safety is a system property
- patients should be safe from injury causedby the care system
- reducing risk and ensuring safety require greater attention to systems that help prevent and mitigate errors
19. Transparency Rule- Answers - - transparency is necessary
- the system should make available to patients and their family's information that enables them to make informed
decisionswhen selecting a health plan, hospital, or clinical practice, or when choosing among alternative treatments
- this should include information describing thesystem's performance on safety, evidence-based practice, and patient
satisfaction
20. Needs Rule- Answers - - needs are anticipated
, - the system should anticipate patient needs,rather than simply react to events
21. Waste Rule- Answers - - waste is continuously decreased
- the system should not waste resources or patient time
22. Cooperation Rule- Answers - - cooperation among clinicians is a priority
- clinicians and institutionsshould actively collaborate and communicate to ensure an appropriate exchangeof infor-
mation and coordination of care
23. Involved in the Redesign of the Healthcare System- Answers - - applying evidence to
health care delivery
1. Healthcare Quality- Answers - - the degree to which health care services for individuals and populations
increase the likelihood of desired health outcomes and are consistent with current professional knowledge
2. Quality ImprovemQUESTIONSent- Answers - - an approach to the continuous study and improvement
of the processes of providing health care services to meet the needs of patients and others and inform
healthcare policy
3. Healthcare Gaps Causation- Answers - - medical science and technology
4. Devotions of the Healthcare System- Answers - - dealing with acute, epdisodic care needs
5. Challenges of the Healthcare System- Answers - - reengineered care processes
- ettective use of information technologies
- knowledge and skills management
- development of ettective teams
- coordination of care across patient conditions, services, sites of care over time
6. Healthcare Workers in Silos- Answers - - healthcare providers are acting without the benefit of complete
infor- mation about the patient's condition, medical history, services provided in other settings, or medications provided
by other clinicians
7. Safe- Answers - - avoiding injuries to patient from the care that is intended to help them
- ex- Answers - a nurse uses the rights of medication administration when giving a medication
8. Effective- Answers - - providing services based on scientific knowledge to all who could benefit and refraining
from providing services to those not likely to benefit
- ex- Answers - a nurse elevates the head of the bed 30 degrees to prevent ventilator acquired pneumonia
9. Patient-Centered- Answers - - providing care that is respectful of and responsive to individual patient
preferences, needs, and values, and ensuring that patient values guide all clinical decisions
- ex- Answers - a nurse asks a patient's family about any cultural considerations to be aware of when caring for a patient
,at the end-of-life
10. Timely- Answers - - reducing waits and sometimes harmful delays for both those who receive and those who give
care
- ex- Answers - a nurse identifies early signs of sepsis and implements appropriate nursing measures
11. Efficient- Answers - - avoiding waste, including waste of equipment, supplies, ideas, and energy
- ex- Answers - a nurse using an HER is able to see lab results for certain labs on the MAR when appropriate
12. Equitable- Answers - - providing care that does not vary in quality because of personal characteristics such as
gender, ethnicity, geographic location, and socioeconomic status
- ex- Answers - a client in an urban community and a client in a rural community have equal access to healthcare specialists
13. Rules for Redesign of the System- Answers - - care is based on continuous healing relationships
- patients should receive care whenever they need it and, in many forms, not just face-to-face visits. This implies that the
,health care system must be always responsive, and access to care should be provided over the internet, by telephone, and
by other means in addition to in-person visits
14. Rules Continued- Answers - - care is customized according to patient needs and values
- the systemshould be designed to meet the most common types of needs but should have thecapability to respond
to individual patient choices and preferences
15. More Rules- Answers - - the patient is the source of control
- patients should be given the necessary information and opportunity to exercise the degree of control they choose
over health care decisions that attect them
- the system should be able to accommodate ditterences in patient preferences and encourage shared decision making
16. Knowledge Rule- Answers - - knowledge is shared, and information flows freely
- patients shouldhave unfettered access to their own medical information and to clinical knowledge
- clinicians and patients should communicate ettectively and share information
17. Decison Making Rule- Answers - - decision making is evidence-based
- patients should receive care basedon the best available scientific knowledge
- care should not vary illogically fromclinician to clinician or from place to place
18. Safety Rule- Answers - - safety is a system property
- patients should be safe from injury causedby the care system
- reducing risk and ensuring safety require greater attention to systems that help prevent and mitigate errors
19. Transparency Rule- Answers - - transparency is necessary
- the system should make available to patients and their family's information that enables them to make informed
decisionswhen selecting a health plan, hospital, or clinical practice, or when choosing among alternative treatments
- this should include information describing thesystem's performance on safety, evidence-based practice, and patient
satisfaction
20. Needs Rule- Answers - - needs are anticipated
, - the system should anticipate patient needs,rather than simply react to events
21. Waste Rule- Answers - - waste is continuously decreased
- the system should not waste resources or patient time
22. Cooperation Rule- Answers - - cooperation among clinicians is a priority
- clinicians and institutionsshould actively collaborate and communicate to ensure an appropriate exchangeof infor-
mation and coordination of care
23. Involved in the Redesign of the Healthcare System- Answers - - applying evidence to
health care delivery
