A complete appraisal of quality of care in an institution is undertaken. It could justifiably be linked with which of the following? (Select all that apply.)
a. The types of insurance the hospital accepts
b. The general safety of the hospital grounds for visitors and family
c. Advertisements for health care in the area
d. Numbers of complaints the hospital administrator receives
e. Nurse: patient staffing ratios
f. National research funding for healthcare
g. Measures of physiologic function, twelve weeks after surgery
ANS: B, D, E, G
Donabedian identified three objects to evaluate when appraising quality: structure, process, and outcome. A complete quality assessment program requires the simultaneous use of all three concepts and an examination of the relationships among the three. Only structures and processes can be logically linked with outcomes.
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The parent of a 4-year-old child is concerned that the child may have AD/HD and wants to know if medications can be given. The primary care NP should tell the parent that:
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