What are some of the driving forces for change to improve the quality and safety competencies for nursing in the United States? (Select all that apply.)
a. The U.S. health care system is one of the world's least technically advanced systems.
b. Health care has led other industries in establishing quality and safety standards.
c. System failures occur regularly.
d. The U.S. public has confidence in its system to reduce morbidity and mortality rates.
e. Outcomes are unpredictable and costly.
ANS: C, E
Correct:
c. Although the U.S. system has the advantage of technologic advancement, system errors are not unusual.
e. Outcomes of care often fail to follow predicted outcomes, resulting in extended stays and increased death and illness.
Incorrect:
a. The U.S. health care system is one of the world's most technically advanced systems.
b. Aviation, business, and nuclear power industries have outpaced health care in setting and achieving quality and safety standards.
d. The public has increased knowledge about morbidity and mortality related to health care errors resulting in a loss of confidence in the U.S. health care system.
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