Institute for Healthcare Improvement (IHI) proposed a process for quality improvement with steps known as "PDCA."
When explaining the steps to a group of nurses interested in improving the process of medication reconciliation for heart failure patients with high rates of recidivism, the instructor states:
a. P stands for process. Following a top-down flowchart provides the steps for reviewing patient medications taken at home compared to those prescribed during hospitalization.
b. D stand for deviation, which is an alteration in the expected drugs ordered.
c. C is for check if the process for change worked. Was there an improvement in accurate reconciliation? And what was learned? A stands for algorithm, which includes all steps of the process.
d. A stands for algorithm, which includes all steps of the process.
ANS: C
Correct: C stands for check if the change improved the process and what was learned.
Incorrect:
a. P stands for plan. The process is determined.
b. D stands for do, or implement.
d. A stands for act to standardized quality processes.
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a. Theory of Goal Attainment b. Theory of Health as Expanding Consciousness: Margaret Newman c. Theory of Interpersonal Relations d. Roy Adaptation Model
The nurse is providing comfort measures for a client who is in hospice for terminal cancer of the liver. Which of the following is the most important factor in promoting client comfort?
A) Controlling nausea B) Controlling diarrhea C) Maintaining adequate hydration D) Maintaining a patent airway