WorksheetsLeadership Unit 3
Total questions: 74
Worksheet time: 39mins
For EBP, before you formulate a question you must?
create a hypothesis
gather data and look at research
see if is relevant to your patients
appraise the evidence
Steps of EBP
ask a searchable clinical question
find the best evidence to answer the question
appraise the evidence
apply the evidence with clinical expertise
evaluate the effectiveness and efficiency of the process
what is a data-driven quality strategy for improving processes
benchmarking
trends
six sigma
EBP
Six Sigma is know for using?
EBP
PDSA
graphs
DMAIC
DMAIC cycle
define, measure, analyze, improve, control
define, measure, analyze, implement, control
define, make, analyze, implement, control
define, make, analyze, improve, control
objective to Six Sigma
improve production
reduce process variation
apply EBP
reduce waste
key areas of focus for nursing informatics
national information infrastructure
computerized clinical data
clinical decision support
use of the internet
integration of EBP
nursing informatics integrates?
nursing science
computer science
data base science
information science
Triple Aim
improve health care cost
improve health care effectiveness
improve health care efficiency
improving the patient experience
who was the first to offer a certification examination for nursing informatics?
PDSA
CDC
ANA
PDHH
data collecting is what part of the nursing process?
planing
evaluating
assessment
implementing
evaluation of a clients record after discharge form an agency
benchmark audit
six sigma audit
retrospective audit
trending audit
what is the Institutional Review Board (IRB) for ?
to ensure ethical considerations are met when using human participants
to assist with EBP
to review retrospective audits
to ensure all data collected is verified
national patient safety goals
name and DOB
use alarms safely
use medicines safely
prevent infection
patient satisfaction
Comparing an organization's practices, processes, and products against others
graphing
trending
benchmarking
leaning
how to care for clients based on EBP?
promote and implement
wait until it is an effect
sacred cow
principle of researcher ethics
read peer reviewed evidence
use wikipedia
do not test on animals
we need informed consent to protect their rights
a group that does work on studies related to work place hazards
CBC
ANA
PDSA
CPOE
research is not complete until?
question has been answered
data has proved
you monitor or evaluate the outcome
has been implemented
how can you maintain currency within your profession
participate in EBP
academic inquiry
continuous participation in a professional organization
being a sacred cow
an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof
medical error
medicine error
Catastrophic Event
Sentinel Event
retrospective review of the event, to evaluate potential causes of the problem or sources of variation in the process.
Descriptive study
Correlation study
Root Cause Analysis
Sentinel event
used to identify and describe variables and examine relationships that exist in a situation; provides an accurate portrayal of the phenomenon of interest
Descriptive study
Root Cause Analysis
Sentinel Event
Correlation study
a study examining the relationship between, or among two or more variables in a single group; it does not examine cause and effect
Root Cause Analysis
Descriptive Study
Sentinel Event
Correlation Study
People who do things the way it has always been done
lazy
uncooperative
sacred cows
dictators
what does not prevent infections?
hand washing
tracking cost
cleaniness
hand sanitizing
deals with the elimination and reduction of many types of non-value-added activities, often referred to as waste
Lean Management
Six Sigma
PICOT
DEMAC
PICOT
population, implantation, comparison, outcome, time
population, intervention, contrast, outcome, time
population, implantation, contrast, outcome, time
population, intervention, comparison, outcome, time
what is best EBP after surgery
bed rest for 48 hours
bed rest for 24 hours
early ambulation
change dressing 2 hours post op
what is considered a sentinel event
not handwashing
post op infection
expected death
extended surgery time
what is the most difficult step in research?
creating a question
collecting data
instituting the change
evaluating outcome
which are problem or knowledge based triggers that initiate the need for change?
medical reimbursement changes
decrease in hospital length of stay
increase in surgical infection
increase chronic renal failure from contrast dyes in diabetic patients
the systematic investigation, testing, and evaluation designed to generate new knowledge or to contribute to generalizable knowledge
reseach
benchmarking
testing
six sigma
Automated systems for providers to enter patient care orders and to access decision support databases are called:
Clinical information systems
Decision support
Computerized provider order entry (CPOE)
Electronic health records
The core functionalities for an electronic health information system are:
Health information, data, and order entry
Patient census, data, and order entry
Patient acuities, patient census, and incident report
Incident reports and outcomes measures
Nursing informatics is a specialty that integrates nursing science, computer science, and information science to:
Maintain and communicate data information, knowledge, and wisdom in nursing practice
Manage and calculate data information, knowledge, and wisdom in nursing practice
Manage and communicate data information, knowledge, and accountability in nursing practice
Manage and communicate data information, knowledge, and wisdom in nursing practice
Nursing informatics (NI) is a specialty that integrates:
Nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.
Nursing science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.
Nursing science, computer science, and information science to manage and communicate data, information, and knowledge, in nursing practice.
Computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.
One key feature of an electronic health record (EHR) is that it can be created, managed, and consulted by authorized providers and staff across ________other organization(s).
1
2
3
Many
Another use for computerized information is:
finances
billing
inventory tracking
all of the above
Over 144,000 payments totaling ______________have already been issued to professionals and hospitals by the Centers for Medicare & Medicaid Services (CMS) to have sharing of patient data on a nationwide level.
$4.1 billion
$5.1 billion
$6.1 billion
$7.1 billion
A true electronic health record (EHR) is a complete record of an individual’s health-related data. The ____________________is continuing to spearhead the initiative to build a national electronic health care system that would allow patients and their care givers to access their complete health records anytime and anywhere
U.S. Department of Health and Human Services (DHHS)
American Nurses Association (ANA)
National Institute for Occupational Safety and Health (NIOSH)
Centers for Disease Control and Prevention (CDC)
As per Rundio and Wilson (2013, p. 64), informatics is a core competency of all health care professionals. The key areas of focus center on:
National information infrastructure, computerized clinical data
Clinical decision support, use of Internet
Integration of evidence-based practice
All of the above
Which of the following is not a nursing minimum data set under the service element area?
Nursing outcomes
Unique facility or service agency number
Unique health record number of the patient
The discharge or termination date
The National Patient Safety Goals:
Form the basis of all process improvement activities
Are a nationwide initiative
Are mandated by the Institute of Medicine (IOM)
Will improve patient safety
One model of quality is FOCUS PDCA (Plan-Do-Check-Act). The U stands for:
Understand the causes of variance in the process
Underlying causes for assessment
Unlikely reason for a variance
Understand the end result of the process improvement
Nurses need to know the outcomes that directly affect their unit. Common outcomes for all units are:
Infection rates
Patient satisfaction
Performance on The Joint Commission Core Measures
All of the above are correct
Two of the common vendor satisfaction measures are:
Press Ganey and Gallup
Press Ganey and The Joint Commission
Gallup and Occupational Safety and Health Administration (OSHA)
Gallup and National Institute of Occupational Safety and Health (NIOSH)
Organizations that recognize “best practice” are:
American Nurses Association
American Nurses Credentialing Center Magnet Status
Malcolm Baldrige National Quality Award
Press-Ganey Questionnaire
Which of the following is not one of W. Edwards Deming’s 14-point management philosophy?
Institute training on the job
Cease dependence on inspection to achieve quality
Adopt the new philosophy
Begin the practice of awarding business on the basis of price tag
A goal of organizational learning is to make learning:
The end product of all data collection
Part of all activities within the organization
Required of all employees in clinical positions
Match the goals of The Joint Commission (TJC)
“Lean” refers to:
The attempt to make do with the smallest amount possible
A type of financial arrangement in which dollars are saved
Getting rid of waste in all work processes
The streamlining of all patient processes for cost saving
A root-cause analysis:
Focuses on risk management
Is a Six Sigma model
Determines process variation
Is a prospective review
Six Sigma is a model of quality focusing on:
Process development
Improving performance
Decreasing the process variation
Statistical analysis
A key component of evidence-based practice is:
Traditional practice
Organizational commitment
Patient preference
Nurse ability
In the hierarchy of evidence, which of the following has the highest value?
Single correctional studies
Randomized clinical trials
Case study, opinion
Descriptive studies
The experienced nurse can do the following to use evidence-based practice in their own practice:
Use textbooks from school for reference.
Maintain membership in alumni organization
Review professional journals.
Go back to school for an advanced degree.
When implementing an evidence-base practice change, the all-important final step is to:
Pilot the protocol.
Monitor the results.
Publish the study.
Do a cost-benefit analysis.
The first step in integrating evidence into practice is to convert the clinical concern into a:
solution
question
decision
goal
In the PICO framework for developing the question of concern, “I” stands for:
intervention
interdisciplinary
interrealational
integrity
As a nurse, you have just read about a change in intervention insertion practice that sounds like it would work on your unit. Before suggesting such a change in practice, you need to:
Perform a cost-benefit analysis of the new practice.
Talk with the nurse manager to gain his or her opinion.
Conduct a further review of the literature.
Contact the nursing research committee.
In reviewing a study for applicability for use on your unit, you need to evaluate the study in terms of:
The sponsoring agency of the study
Patient context and assess whether they are similar to patients in your unit
Whether the sample adequately is described
Qualifications of the study authors
Which of the following would be a reliable source of information for a change in pediatric practice?
Physician/staff discussion
Editorial in Pediatric Nursing
Growth and development charts
Clinical trial results
An example of a knowledge trigger for an evidence-based research question is:
patient fall data
database review
benchmark information
research study
Comparison information that allows organizations to evaluate their own performance in relation to others is:
benchmark
dashboard
graph
trend
Mechanisms related to resource identification and allocation have to be driven by internal data, and information systems that consider all domains of hospital data include:
Clinical, fiscal, administrative, and patient satisfaction data
Classification, financial, administrative, and patient satisfaction data
Clinical, financial, social, and patient satisfaction data
Clinical, financial, administrative, and patient satisfaction data
Nursing data fall into four domains:
Patient care, provider staffing, administrative, and research
Patient care, billing, administrative, and research
Core values, provider staffing, administrative, and research
Core values, billing, administrative, and research
One driving force for increasing patient satisfaction is:
Clinical benefits
Community benefits
Classification benefits
Management benefits
___________________measures the number of patients developing new pressure ulcers during a period in time
incidence
prevalenve
benchmarking
trending
___________________measures the number of patients with pressure ulcers at a certain point or period in time.
incidence
prevalence
benchmarking
trending
Pressure ulcers cost $9.1 to $11.6 billion per year in the United States. The cost of individual patient care ranges from __________per year in the United States.
$10,000 to $20,000
$15,900 to $23,000
$20,900 to $151,700
$40,000 to $50,000
The data for nursing sensitive indicators are collected at the institution and uploaded to the National Database of Nursing Quality Indicators. There are approximately _______US hospitals participating in this database.
1000
1500
2000
2500
________________measure aspects of nursing care such as assessment, intervention, and Registered Nurse job satisfaction.
Nursing-sensitive indicators
Process indicators
Core values
Process improvement
Nursing sensitive indicators include:
Nursing turnover
Patient falls
Nosocomial infections
All of the above are correct
what does PDSA stand for?
plan, do, study/check, act
prepare, do , study/check, act
prepare, define, study/check, act
plan, define, study/check, at
