DIMENSIONS OF NURSING RASMUSSEN

EXAM 3: DIMENSIONS OF NURSING RASMUSSEN
QUESTIONS WITH CORRECT ANSWERS 2025
Annie Goodrich -CORRECT ANSWER-First dean of the Army School of Nursing.



quality (Part of Quality of Care) -CORRECT ANSWER-A level of excellence of care based upon pre-
established criteria.



Institute of Medicine (IOM) (Part of Quality of Care) -CORRECT ANSWER-
"the degree to which health services for individuals and populations increase the likelihood of desired h
ealth outcomes and are consistent with current professional knowledge"



-FIRST report in 2000, To Err Is Human: Building a Safer Health System

- Three accepted elements: structure, process, and outcome, while care should be safe, effective, client-
centered, timely, efficient, and equitable.

- 98,000 people die a year from adverse or medical error (sense this report, safety has increased)

- The report recommended a 4-tiered approach:

o 1. Establish leadership, research, tools, and protocols to enhance the safety knowledge base.

o 2. Develop a public mandatory national reporting system and encourage participation in voluntary rep
orting systems.

o 3. Use oversight organizations, health-
care purchasers, and professional organizations to increase performance standards and expectations for
safety improvements.

o 4. Implement safety systems at the point of care delivery in health-care organizations.



- SECOND report in 2001, Crossing the Quality Chasm

o Focused on developing a new health-care system that improved quality of care.

o 6 aims for improvement, concluding that care should be:

1. Safe: Avoiding injuries to clients from the care that is intended to help them.

2. Effective: Providing services based on scientific knowledge to all who could benefit, and refraining fro
m providingCservices to those not likely to benefit.

, 3. Patient-
centered: Providing care that is respectful of and responsive to individual patient preferences, needs, an
d values, and ensuring that patient values guide all clinical decisions.

4. Timely: Reducing waits and sometimes harmful delays for both those who receive and those who giv
e care.

5. Efficient: Avoiding waste, including waste of equipment, supplies, ideas, and energy.

6. Quitable:



IOM recommendations to improve error reduction and quality (Part of Quality of Care) -
CORRECT ANSWER-
Establish leadership, research, tools, and protocols to enhance the safety knowledge base.



Develop a public mandatory national reporting system and encourage participation in voluntary reportin
g systems.



IOM recommendations to improve error reduction and quality (Part of Quality of Care) -
CORRECT ANSWER-Use oversight organizations, health-
care purchasers, and professional organizations to increase performance standards and expectations for
safety improvements.



Implement safety systems at the point of care delivery in health-care organizations.



quality of care -CORRECT ANSWER-
the degree to which health services for individuals and populations increase the likelihood of desired he
alth outcomes and are consistent with current professional knowledge



IOM- 98,000 -CORRECT ANSWER-
Nurses are in a pivotal position to positively influence quality and safety at local, state, and national leve
ls.



IOM estimated that 98,000 people die per year due to adverse events and medical errors in hospitals.



Methods to Improve Quality of Care -CORRECT ANSWER-Quality assurance (QA)

, Continuous quality improvement (CQI) k k k




Total quality management (TQM)
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HCAHPS

Leapfrog group k




Quality indicators (QIs) k k




Risk management (Quality Care) -CORRECT ANSWER-Focuses on identifying, analyzing, evaluating risks
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Reduces risk to decrease harm to clients
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When an adverse event does occur, attempts are made to minimize losses.
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Is interdisciplinary(relating to more than one branch of knowledge) in nature
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Includes aspects of detection, education, and intervention
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Nursing staff is key to any risk management program
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High risk areas include:
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Medication errors k




Complications from tests and treatments k k k k




Falls
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Refusal of treatment or refusal to sign treatment
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Root Cause Analysis (RCA) -CORRECT ANSWER-
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determines underlying cause of adverse events; used after incident to uncover primary cause
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tracks events leading to error, identifies faulty systems, and processes and develops a plan to prevent fu
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rther errors.
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aka:analysis

, National Client Safety Goals -CORRECT ANSWER-Improve accuracy of client identification.
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Improve effectiveness of communication
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kamong caregivers. k




Improve safety of using medications.k k k k




Reduce riskCof health-care-associated infections.
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Identify client safety risks inherent in its
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kpatient population. k




Sentinel Events -CORRECT ANSWER- k k k


an unexpected occurrence involving death or serious physical or psychological injury, or the riskCthereof.
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Serious injury includes loss of limb or function.
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Sentinel events are NOT the same as errors.
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Indicate the need for immediate investigation and response.
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Quality and Safety Education for Nurses (QSEN) -CORRECT ANSWER-
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The Quality and Safety Education for Nurses (QSEN) project address the challenge of preparing future
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nu rses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality
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and s afety of the healthcare systems within which they work.
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Using the QSEN model contributed to the adoption of quality and safety competencies as core practice
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v alues
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Built on five competencies developed initially by the Institute of Medicine (IOM).:
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