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 B
Explanation
Choice A rationale:
Conclusions in a research report typically summarize the key findings and interpretations of the study. While the statement mentions organizational attributes associated with a professional nursing practice environment, it appears to be background information rather than a study-specific conclusion.
Choice B rationale:
This is the correct answer. The statement pertains to the literature review section of the research report. It introduces and discusses previous research (magnet hospital studies) and their findings related to organizational attributes associated with a professional nursing practice environment. This information sets the context for the study and supports the rationale for the research.
Choice C rationale:
Methodology sections in research reports typically describe the study's design, data collection methods, and statistical analysis procedures. The statement does not belong in this section as it discusses previous research rather than the study's methods.
Choice D rationale:
Findings sections in research reports present the results of the study and the data obtained from the research participants. The statement is not a direct finding of the study but rather background information about prior research.
Correct Answer is C
Explanation
Choice A rationale:
The review of the literature section provides an overview of existing research and background information related to the study's topic. It does not typically present study findings or results.
Choice B rationale:
The methodology section outlines the research methods, design, and procedures used in the study but does not present the study's actual findings.
Choice C rationale:
This is the correct answer. The sentence, "Distress after a natural disaster was high at 3 months and decreased monthly for a majority of the participants, although one-third of the survivors had higher distress at 13 months than at 3 months," appears in the results section. This section is dedicated to presenting the study's empirical findings and data.
Choice D rationale:
The discussion section is where researchers interpret and discuss the implications of their study's findings. It does not typically present the actual findings or data.
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