A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?
Compare the number of medication errors before and after the action was implemented.
Conduct a study about the time and money costs of implementing the change.
Establish a benchmark to identify a standard of performance.
Provide the staff with a questionnaire to quantify staff satisfaction with the changes.
The Correct Answer is A
Rationale:
A. Comparing the number of medication errors before and after implementing changes provides a direct measure of the effectiveness of those changes.
B. Conducting a study on costs is relevant but not directly related to evaluating the effectiveness in reducing medication errors.
C. Establishing a benchmark is useful for setting standards but does not measure the impact of changes already implemented.
D. Quantifying staff satisfaction is important for assessing the acceptance of changes but does not directly measure the effectiveness in reducing errors.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Agency policies for the LPN are important but secondary to ensuring the tasks fall within the scope of practice.
B. The documented experience level of the LPN is relevant but should be considered in conjunction with the scope of practice.
C. The documented skill level of the LPN is important for assigning tasks but must align with legal scope of practice.
D. State Nurse Practice Act for the LPN is the priority criterion as it defines the legal scope of practice and ensures that tasks delegated to the LPN are within their legal and professional boundaries.
Correct Answer is C
Explanation
Rationale:
A. Discussing the LPN's behavior with other nurses could potentially lead to gossip and does not address the core issue.
B. The charge nurse does not have authority to review personnel files; this is handled by management or HR.
C.The most appropriate first step is to investigate the client concerns directly. This provides objective information to determine if further action (coaching, reassignment, reporting to management) is necessary.
D. Reassigning client care to assistive personnel does not address the root cause of the problem and may not be an appropriate or effective solution without further investigation.
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