The nurse leader on the risk management committee notices an alarming increase in medication errors on a quarterly report.
Which is the first step in initiating a quality improvement project?
Go to the various nursing units and talk with the nurses on a daily basis.
Offer a two-hour educational program for staff about the costs of medication errors.
Collect monthly data at the nursing unit level to isolate specific patterns.
Recommend that the healthcare facility purchase a bar code scanner system.
The Correct Answer is C
Choice A rationale:
Going to various nursing units and talking with nurses on a daily basis is not the first step in initiating a quality improvement project when there is an increase in medication errors. While communication with nursing staff is essential, it should come after data collection and analysis to understand the specific patterns and causes of the errors.
Choice B rationale:
Offering a two-hour educational program about the costs of medication errors is a well-intentioned initiative but may not address the immediate need to understand and address the causes of the increase in errors. Education can be part of a broader quality improvement plan, but it should follow data collection and analysis.
Choice C rationale:
This is the correct answer. Collecting monthly data at the nursing unit level to isolate specific patterns is the first step in addressing the increase in medication errors. It allows the risk management committee to identify when and where errors are occurring, which is crucial for effective problem-solving and quality improvement.
Choice D rationale:
Recommending the purchase of a bar code scanner system is a solution that should be considered after identifying specific patterns and causes of medication errors. It may be a valuable intervention, but it should come later in the quality improvement process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale:
The study's setting and the nurse's unit are similar to ensure transferability. Rationale: Transferability is a qualitative research concept that refers to the extent to which findings from one study can be applied or transferred to another context. It is crucial for the nurse to ensure that the study's findings are relevant and applicable to their specific unit setting.
Choice A rationale:
The study indicates Institutional Review Board (IRB) approval was obtained. Rationale: While IRB approval is important for ethical research, it does not directly address the applicability of the study's findings to the nurse's unit setting.
Choice B rationale:
The information in the teaching aspect of the study covered different content. Rationale: Differences in content may be relevant but do not address the broader issue of transferability to the nurse's unit setting.
Choice D rationale:
An analysis of variance (ANOVA) was used to analyze the findings. Rationale: The statistical method used in the study does not directly relate to the applicability of the findings to the nurse's unit setting.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale:
The outcome in the research question is "pain relief." This represents the primary variable or parameter that the study aims to measure or evaluate.
Choice B rationale:
The intervention is "guided imagery." This represents the specific intervention or treatment being studied in the research question.
Choice C rationale:
The population is not specified in the question. To make the research question complete, the nurse should specify the target population for whom the study's findings are intended to apply. For example, "Does the use of guided imagery improve pain relief in adult patients with chronic lower back pain?"
Choice D rationale:
The comparison in the research question is "oral analgesics." This represents the comparator or alternative treatment or condition against which the intervention (guided imagery) is being assessed for its effectiveness in providing pain relief.
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