ANCC Certification Safety/QI with verified answers

ANCC Certification Safety/QI with verified answers Attributes of evidence. CORRECT ANSWER - Replicability: findings are verified when repeated in other studies - Reliability: findings are consistent (e.g., a treatment given for similar disorders leads to similar outcomes) - Validity: accuracy of application and findings Concept definitions. CORRECT ANSWER - Evidence is a testimony of facts tending to prove or disprove a conclusion - The legal system is an essential element in judging a situation (establishes guilt) - Evidence from the field of health sciences establishes benefit or harm and best practices in the context of health care; evidence supports or disputes the efficacy of treatment, use of a diagnostic tool, transmission of a disease, and so on Concerns about keeping patients safe. CORRECT ANSWER Consumer of evidence. CORRECT ANSWER - *Policies and Procedures*: evidence is used to develop policies and procedures; policies and procedures are regularly updated to reflect current evidence; approved by a committee - *Finding Answers to Practice Questions or Problems*: systematically approach aquestion of patient care: 1. Develop an answerable question 2. Search the literature 3. Evaluate the evidence 4. Apply the evidence found 5. Evaluate the evidence Error prevention practices. CORRECT ANSWER - Name Game (introduce yourself with name and role) - Team Member Checking - 3-Way Communication/Repeat-Back (repeat back instructions you were given) - Clarifying Questions - Stop and Resolve Error prevention tools. CORRECT ANSWER - ARCC: *ask* a question, make a *request*, voice a *concern*, and (if no success) use *chain of command* - SBAR: *situation*, *background*, *assessment*, and *recommendation - STAR: *stop*, *think*, *act*, and *review - QVV: *qualify* the source, *validate*, and *verify* Evidence Based Medicine (EBM). CORRECT ANSWER - Origin traces back to the mid 19th century - Definition: conscientious, explicit, and judicious *use of current best evidence in making decisions about care* of individual patients Evidence-Based Medicine & Evidence-Based Practice. CORRECT ANSWER - Together EBM and EBP assert that making clinical decisions based on best evidence improves the quality of care and the patient's quality of life Evidence-Based Nursing (EBN). CORRECT ANSWER - Definition: the conscientious, explicit, and judicious *use of theory-derived, research-based information in making decisions about care* delivery to individuals or groups of patients *and in consideration of individual needs and preferences* Evidence-Based Practice (EBP). CORRECT ANSWER - Definition: *developing changes and improvements with a firm foundation of the best data that exists* at that time from the science, the individual performing the services and the consumer of the service Expected safety behaviors. CORRECT ANSWER - Practicing a questioning attitude - Paying attention to detail - Supporting each other - Communicating clearly - Remember, *safety isn't passive* General discussion: bias. CORRECT ANSWER - What is bias? - Turn to the person sitting next to you and describe a time you were biased about a situation before you knew its specifics - How can bias negatively affect the quality of research? - What are examples of methods that reduce bias in research? Goals/Objectives. CORRECT ANSWER - To alter nursing's "identity": when we think of what it means to be a respected nurse, we not only think of caring, compassionate, knowledge, honesty and integrity but also, that it means we value, possess, and collectively support the development of quality and safety competencies - *SAFETY*: minimize risk of harm to patients and providers through both improving systems in place and individual performance by: ~ Appreciating our own limits of human performance ~ Valuing our own role in preventing errors ~ Being vigilant and monitoring our performance of care by patients, families, and other members of the health care team - Preventing adverse events and enhancing patient safety in healthcare are key objectives of nursing education - We must emphasize that the focus on learning patient safety involves improving *effective TEAMWORK and COMMUNICATION* - To assist YOU, the student, implement evidence-based knowledge of patient safety into practice