ANA's standards of care - Answers- assessment
- diagnosis
- outcome identification
- planning
- implementation
- coordination of care
- health teaching anf health promotion
- consultation (AP)
- prescriptive authority and tx (AP)
- evaluation
quality improvement - Answers- aka QI, performance improvement, or quality control
- process used to identify and resolve performance deficiencies
- focuses on assessment of outcomes
- all employees are involved in the QI process
clinical indicators - Answersreflects clients outcome (what we want pt to achieve)
structure indicators - Answersreflect the setting where the care provided (ex: ICU, medsurg...)
process indicators - Answersreflect how the pt care is provided (ex: how a wound is dressed; how a pt
with pneumonia is tx)
benchmarks - Answersthe goals that we set to determine at what level the outcome indicators should
be met (ex: setting a percentage as a benchmark to reach in the client outcome)
HCHAPS (Hospital Consumer Assessment of Healthcare Providers & Systems - Answers- nationally
standardized survey developed by Centers for Medicare and Medicaid Services (CMS) and Agency for
Health Care Research and Quality (AHRQ) for measuring how patients perceive the care they receive
- sent to patient after discharged from hospital
HCAHPS 9 key topics - Answers- communication w doctors
- communication w nurses
, - responsiveness of staff
- pain management
- communication about medicine
- discharge info
- cleanliness
- quietness
- transition of care
*reimbursement is impacted by scoring*
safety - Answers- defined as the freedom from psychological and physical injury
- basic human need
basic human needs (environmental safety) - Answers- oxygen (O2 sign, no smoking)
- nutrition (healthy, check expiration dates, clean water, food handling)
- temperature (infants, older adults, homeless, chronic condition have high risk)
common environmental hazards - Answers- motor vehicle accidents
- poison
- falls
- fire
- disaster
- MVA, poison, and falls are top 3 leading causes of unintentional injury
motor vehicle accidents (MVA) - Answers- 16-19yr old highest risk
- older adults high risk
- seatbelts, licenses, car seats used as safety measures governed by law
-
poisons - Answers- any substance that impairs a persons health or results in death when ingested,
inhaled, injected, or absorbed in body
- toddlers, preschool, young school age children are highest risk due to their curiosity