NURS414 - WEEK 6 QUESTIONS AND ANSWERS
Adverse Event - CORRECT ANSWER✅✅✅-Unintended injury or complication that results in disability
at the time of discharge, death or prolonged hospital stay
-Caused by health care management rather than the patient's underlying disease process
What year did the Adverse Events Study happen? - CORRECT ANSWER✅✅✅2004
Adverse events stats - CORRECT ANSWER✅✅✅-Affects 1/13 adult patients
-Results in 9-24,000 deaths/year
-Causes 1 million+ unnecessary hospital days
-Costs $397 million
-37% of adverse events were highly preventable
Who completed a similar study in 2016? - CORRECT ANSWER✅✅✅Canadian Institute for Health
Information (CIHI)
What were the results from this study? - CORRECT ANSWER✅✅✅-Same findings as the adverse
study completed previously
-Due to medication, HAI
-Numbers are increasing
-Events are typically underreported because the stat is based on chart review so if they don't chart
about it it doesn't count
Quality Improvement - CORRECT ANSWER✅✅✅The process of identifying areas for
change/improvement and implementing those changes to have better outcomes (nursing, patient, care
outcomes)
Total Quality Improvement/Management (TQM) - CORRECT ANSWER✅✅✅Having a focus on patient
care, patient safety, and resource use. Prevent errors and improve value
, Continuous Quality Improvement (CQI) - CORRECT ANSWER✅✅✅The process is continuous;
products/services can always be improved
Quality Assurance (QA) - CORRECT ANSWER✅✅✅Determine if the process meets specified
requirements
Risk Management - CORRECT ANSWER✅✅✅-Systematic identification, assessment, and
prioritization of risks and then developing/implementing strategies to reduce adverse events/liability
associated with risks
-Major focus on patient safety
Near event - CORRECT ANSWER✅✅✅-Errors that are clearly identifiable, preventable, and serious in
consequences
-E.g., wrong body part surgery, foreign body left in, mismatched transfusion...
Sentinel Event - CORRECT ANSWER✅✅✅-A serious, unexpected occurrence that involving death or
harm (phys/psycho)
-E.g., inpatient suicide, infant abduction, wrong-site surgery
-VERY SERIOUS
Near Miss - CORRECT ANSWER✅✅✅-Situation resulted in no harm but highlights a problem that
must be corrected
-did not reach pt
Root-Cause Analysis - CORRECT ANSWER✅✅✅-Deeper review of an incident and sequence of
events that led to it
-Identify and address the underlying causes to reduce reoccurrence
Who is accountable and responsible within the healthcare team? - CORRECT
ANSWER✅✅✅EVERYONE
Adverse Event - CORRECT ANSWER✅✅✅-Unintended injury or complication that results in disability
at the time of discharge, death or prolonged hospital stay
-Caused by health care management rather than the patient's underlying disease process
What year did the Adverse Events Study happen? - CORRECT ANSWER✅✅✅2004
Adverse events stats - CORRECT ANSWER✅✅✅-Affects 1/13 adult patients
-Results in 9-24,000 deaths/year
-Causes 1 million+ unnecessary hospital days
-Costs $397 million
-37% of adverse events were highly preventable
Who completed a similar study in 2016? - CORRECT ANSWER✅✅✅Canadian Institute for Health
Information (CIHI)
What were the results from this study? - CORRECT ANSWER✅✅✅-Same findings as the adverse
study completed previously
-Due to medication, HAI
-Numbers are increasing
-Events are typically underreported because the stat is based on chart review so if they don't chart
about it it doesn't count
Quality Improvement - CORRECT ANSWER✅✅✅The process of identifying areas for
change/improvement and implementing those changes to have better outcomes (nursing, patient, care
outcomes)
Total Quality Improvement/Management (TQM) - CORRECT ANSWER✅✅✅Having a focus on patient
care, patient safety, and resource use. Prevent errors and improve value
, Continuous Quality Improvement (CQI) - CORRECT ANSWER✅✅✅The process is continuous;
products/services can always be improved
Quality Assurance (QA) - CORRECT ANSWER✅✅✅Determine if the process meets specified
requirements
Risk Management - CORRECT ANSWER✅✅✅-Systematic identification, assessment, and
prioritization of risks and then developing/implementing strategies to reduce adverse events/liability
associated with risks
-Major focus on patient safety
Near event - CORRECT ANSWER✅✅✅-Errors that are clearly identifiable, preventable, and serious in
consequences
-E.g., wrong body part surgery, foreign body left in, mismatched transfusion...
Sentinel Event - CORRECT ANSWER✅✅✅-A serious, unexpected occurrence that involving death or
harm (phys/psycho)
-E.g., inpatient suicide, infant abduction, wrong-site surgery
-VERY SERIOUS
Near Miss - CORRECT ANSWER✅✅✅-Situation resulted in no harm but highlights a problem that
must be corrected
-did not reach pt
Root-Cause Analysis - CORRECT ANSWER✅✅✅-Deeper review of an incident and sequence of
events that led to it
-Identify and address the underlying causes to reduce reoccurrence
Who is accountable and responsible within the healthcare team? - CORRECT
ANSWER✅✅✅EVERYONE
