11 

The APRN unit director is working at an agency that has a high incidence of medication errors, specifically with heparin. One recent error had a patient receive twice the prescribed dose. Which process would be most effective in determining the cause of the error in this situation?

Group of answer choices

Failure Mode and Effects Analysis (FMEA)Root Cause AnalysisLean AnalysisPositive Deviance

 

 21 

Which is a nonprofit watchdog organization serving as a voice for healthcare purchases, using collective influence to foster positive change in healthcare?

Group of answer choices

Leapfrog GroupThe Joint CommissionNational League of Nursing (NLN)American Association of Colleges of Nursing (AACN)

 

 31

Some organizations and foundations provide support for advance practice nurses in the form of database information, education initiatives, or printed materials. Which organization is known for providing extensive resources for quality improvement in the form of white papers, multi-media content, and popular tools providing measurement guidance?

Group of answer choices

National Quality ForumNational Patient Safety FoundationInstitute for Healthcare ImprovementAmerican Society for Quality

 

Flag question: Question 4

Question 41 pts

The standardized language for Nursing is known as NNN, which is a collaboration of NANDA, NIC, and NOC.

Group of answer choices

TrueFalse

 

Flag question: Question 5

Question 51 pts

HEDIS stands for:

Group of answer choices

Health Education Data and Information StandardHealth Plan Employer Data and Information SetHealth Plan Employee Deadline InitiativeHealth Education Design Initial Strategies

 

 61 

Factors that influence patient outcomes include:

Group of answer choices

Healthcare practices and policiesAdministrative and leadership responsibilitiesInformaticsAll of the above

 

 71 

Generally, it is believed that when quality improves, cost is reduced.

Group of answer choices

TrueFalse

 

Flag question: Question 8

Question 81 pts

Factors that affect the cost of quality include:

Group of answer choices

Percentage of RN staffUse of evidence-based practiceA and BChanging policies quarterly

 

 91 

A known barrier to implementation of evidence-based practice within an organization is staff resistance.

Group of answer choices

TrueFalse

 

 101 

A key component to patient centered care is active listening.

Group of answer choices

TrueFalse

 

111 

Fostering a “blame-free” environment includes:

Group of answer choices

Implementing an anonymous online reporting toolCreating a transparent policy regarding the process of reporting errorsEncouraging error and near-miss reporting by all staffAll of the above

 

121 

In order to track data of specific errors and determine a root cause to prevent the error from occurring in the future; it is important to:

Group of answer choices

Ensure that everyone always gets a second chance before addressing the issueProvide continuing education opportunities free of chargeIdentify reasonable punitive perimetersReport errors

 

 131

Three organization elements essential for successful health information systems implementation are:

Group of answer choices

Time, effort, and ease.Technology, policies & procedures, and culture.Training, assessing, and testing.Competency, character, and courage.

 

 141

Most electronic health records (EHRs) are not designed to share patient health information between systems and institutions. A solution for overcoming this limitation in current EHR design has been the development of:

Group of answer choices

Monolithic architecture.Cultural sensitivity training among organizations.Health information exchanges (HIEs).The Systematic Nomenclature of Medicine (SNOMED).

 

 151 

“Meaningful use” of electronic health records is best described as:

Group of answer choices

Physicians, mid-level providers and hospital managers passing federal examinations on electronic health record creation and applications.Physicians and all primary care providers making electronic health records accessible to patients.Criteria defined by the Office of the National Coordinator in collaboration with the Centers for Medicare and Medicaid Services that require meeting time-limited objectives in order to quality for incentive payments.Efficient applications of electronic health records under internal criteria established within physician, primary care practices, and hospitals.

 

161 

A computerized decision support system (CDSS) is best described as an electronic system that:

Group of answer choices

Requires providers to adhere to recommended schedules of preventive services based on patient diagnosis.Allows providers to list orders for patient treatment including prescriptions in an electronic health record.Matches individual patient data with a computerized knowledge base such as evidence-based clinical guidelines to remind providers to do things for patients they might have forgotten about.Substitutes computerized information for providers judgments.

 

 171 

All of the following describe a personal health record (PHR) except:

Group of answer choices

An electronic health record created and maintained by the patient.The patient enters all of the health information into a system they can give their providers access to.Is usually provided for a minimal cost as part of the electronic health information (EHR) systems.Designed to help patients insure that all of their health information is available for their health care, across multiple healthcare systems and institutions.

 

 181 

Information blocking is:

Group of answer choices

A conscious effort on the part of some EHR vendors to make their EHR systems difficult to interface with other vendor’s EHR systems, and thus require their customers to buy more of their software.Designed to improve system interoperability.Proved to be occurring in all groups of EHR vendors by a Medicare investigation.A design feature to block unauthorized access to patients’ personal health information under HIPAA.

 

 191

Regional health information organizations (RHIOs) do all of the following except:

Group of answer choices

Work with communities of regional stakeholders to set up administrative systems to allow for the exchange of health information between institutions to improve health care.Select health information standards that promote interoperability of EHRs between multiple health systems in a given region.Work to promote the development, deployment, and operation of health information exchanges (HIEs).Maintain a universal business model established by Medicare to fund their community-based services.

 

 201

The Monolithic Model of health information exchange:

Group of answer choices

Works by having all participating institutions send copies of their healthcare data to one centralized repository on a regular basis so one regionally comprehensive record can be maintained for each patient.Insures all patients’ data in the centralized repository is up-to-the-minute accurate.Allows for member institutions to easily opt out of the exchange and retrieve all of the healthcare data they supplied to the exchange.Is superior to the federated model of health information exchange.

Answer rating: 100% (QA)

Lets go through these questions one by one providing detailed explanations for each Question 1 The most effective process for determining the cause of a medication error eg a patient receiving twice t... View the full answer