C157 Complete Questions & Correct Solutions 100% Verified

The Surgery department monthly case review revealed the need for the development of new innovation to better meet the surgical patient outcomes. Which of the following would the Advanced Practice Nurse to consider having as part of the innovation committee? - ANSWER Surgeon, scrub nurse and patient An msn needs to assign a staff a member to assist a medical director in the development of a quality program for a newly established service. Which of the following staff members are appropriate for this project? - ANSWER A competent staff member who has good interpersonal skills. The MSN leader is regularly monitoring the number of inappropriate referrals, the timeliness of dc planning, and the number of days of dc delays. What additional monitor should the MSN leader recommend to the DC planning team to be added to the process of evaluation the appropriateness of DC planning interventions. - ANSWER Attainment of dc planning goals. Pharmacy services and Nursing are having difficulty developing an action plan fro medication errors. Pharmacy Services states that Nursing Services cause the majority of the problems related to errors, while nursing states the opposites. The MSN leaders role in resolving this problem is to: - ANSWER Facilitate discussion between the groups o enable them to assume ownership of their portions of the problems In the beginning a new quality improvement innovation, the designated committee identifies a need for change in the medication reconciliation process, and creates a new documentation form that covers all essential elements of the process . The committee also develops a way to access monthly the compliance with use of the new form. these tasks represent which task of the PDSA model? - ANSWER Planning change Planning stage - ANSWER Is where you identify change you wish to implement. Pilot testing - ANSWER Actually test the process improvement on a smaller scale An acute care hospital wants to change their information sharing policy. They currently share the following information with patients only: DX, care planning, medications, activity, and dc information. The change to the HIPAA privacy policy will enable personal health information to be shared with an person a patient designates permission to have access. Clinical staff members are concerned because expanding access to patient information will result in additional cross-checking work prior to being able to direct visitors to answer questions about a patients care. Hospital administration is considering this change as away to enhance pt-centered-care. How should this change be evaluated? - ANSWER Compare patient satisfaction metrics between pre and post policy change. As part of the new innovation on the medication reconciliation process, three nurses on different shifts are using the new medication reconciliation form. The task represents which step in the PDSA model? - ANSWER Pilot testing chage As part of the new innovation on the medication reconciliation process, all nurses on the units begin using the new medication reconciliation form. Using the PDSA model, this is an example of? - ANSWER Implementing stage The MSN leader knows that by focusing on the patient, the QI team and achieve IHI triple Aim. the triple Aim is, simply stated t create: - ANSWER Better outcomes, great patient experience, and reduced cost An inter professional Texan comprised of a hospitalist, NP, pharmacist, RN, social worker and dc manager are caring for a 6 yr old being treated for asthma. Prior to admission, the patient required several er visits and hospitalizations and missed appt. The patient was noted to be overweight and counseling was provided at the last out patient appt. which aspect of the patients care should be the priority for the nurse practitioner. - ANSWER Work collaboratively with each member of the interprofessional team to address the patient s health concerns The MSN leader is developing an initiative to improve the quality of care of the unit. Which of the following is the first priority when starting a quality improvement initiative? - ANSWER Identify the object of the quality initiative. The MSN leader is analyzing collected data for the quality improvement initiative. The MSN is aware that if data is plotted over time, the resulting chart will be which typ of chart? - ANSWER Run chart For organization-wide change to be effective, the most important condition the msn leader needs to meet is to have which of the following? - ANSWER Alignment between strategy and goal. Which domain of benchmarks must be considered when evaluating evidence for use in healthcare setting innovation? - ANSWER Quality, quantity, and consistency The QI committee implements a program to improve shared decision making between patients and nursing staff. The MSN is aware that which national benchmark would best evaluate the effectiveness of the program? - ANSWER HCAHPS A nurse executive leader sponsors a multidisciplinary team that is charged with education patients scheduled for total joint replacement surgery, about topics including what to expect after discharge. What is the nurse executive's response when encountering resitance from team members? - ANSWER gather together the various disciplines and listen to their concerns about the project. Which of the following does not describe examples of barriers to patient safety? - ANSWER Reporting systems safety culture. One of the essentials roles of the MSN is to be an effective member fo the inter-professional team, what action should the MSN nurse do first? - ANSWER Develop awareness of personal skills and abilities How should a director of nursing respond to the national quality goal of improving the quality care transitions and communications across care settings? - ANSWER Create a task force comprised of nursing administration, charge nurses, discharge planners, and staff nurses A healthcare organization has been collecting data about the quality and safety of the nursing care provided within the organizations. Consistent with the national priority of ensuring that each person is engaged asa partner in care, which dataset should the nurse use to