A nurse is assisting with implementing new actions designed to reduce medication errors on her unit. Which of the following should the nurse use to measure the effectiveness of these actions?

The number of medication errors avoided after the actions were implemented

A comparison of the number of medication errors before and after the actions were implemented

Results of a study about the time and money required to implement the changes

Results of a staff questionnaire that quantifies staff satisfaction with the changes

Answer and Explanation

The Correct Answer is B

Explanation:

A. The number of medication errors avoided after the actions were implemented:

This measure assesses the direct impact of the new actions on reducing medication errors. By tracking the number of errors that were avoided after implementing the interventions, the nurse can gauge the effectiveness of the changes in improving medication safety.

B. A comparison of the number of medication errors before and after the actions were implemented:

This measure involves comparing the baseline number of medication errors before implementing the new actions with the number of errors after implementation. It provides a clear comparison to determine if the interventions have led to a reduction in medication errors over time.

C. Results of a study about the time and money required to implement the changes:

While studying the time and financial resources needed to implement changes is important for evaluating feasibility and resource allocation, it does not directly measure the effectiveness of the actions in reducing medication errors.

D. Results of a staff questionnaire that quantifies staff satisfaction with the changes:

Staff satisfaction is an important aspect of change implementation, but it does not serve as a direct measure of the effectiveness of the actions in reducing medication errors. It reflects staff perceptions rather than objective outcomes related to medication safety.

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Correct Answer is D

Explanation

Explanation:

A. A 6-year-old child with a spiral fracture of the tibia and fibula, reportedly occurring while riding a bicycle:

While a spiral fracture can be concerning, it is also a common injury seen in children due to falls or accidents during physical activities such as riding a bicycle. Without further evidence or suspicion, this may not immediately indicate physical abuse.

B. A 14-month-old toddler reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows:

Bruises on bony prominences can be common in toddlers who are learning to walk and explore their environment. These bruises are often seen on areas such as the lower legs and elbows. Without additional concerning signs or patterns, this may not indicate physical abuse.

C. A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water:

Near drowning incidents can occur accidentally, especially in curious and mobile infants who may explore their surroundings. While this is a serious event, it does not necessarily suggest physical abuse unless there are other suspicious findings or a history of non-accidental injuries.

D. A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on a tablecloth, spilling a cup of tea on himself:

Scalding burns, especially over sensitive areas like the face and chest, can raise concerns about physical abuse, especially when the reported mechanism of injury (spilling a cup of tea) seems inconsistent or disproportionate to the severity of the burns. The pattern and location of burns may not align with accidental spillage, leading to suspicion of abuse.

A. Glasgow coma scale result B. History of the injury C. Medication during the next shift D. Intracranial pressure readings

Correct Answer is B

Explanation

Explanation:

A. Glasgow coma scale result - This would be included in the assessment segment of SBAR, as it provides a clinical evaluation of the client's current neurological status.

B. History of the injury - The situation segment is used to briefly explain the current situation or the reason for the report. Including the history of the injury provides context about why the client is receiving care.

C. Medication during the next shift - This information is part of the Recommendation segment of SBAR. The nurse should include any upcoming medication administration, changes in medication orders, or specific medications that need to be administered during the next shift.

D. Intracranial pressure readings - This information should be included in the Assessment segment of SBAR. It provides important data about the client's intracranial status, helps monitor for changes or trends, and guides ongoing management and interventions.

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A nurse is assisting with implementing new actions designed to reduce medication errors on her unit. Which of the following should the nurse use to measure the effectiveness of these actions?

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