The nurse administers an incorrect dose of medication to a patient. After assessing the patient, the nurse calls the physician to report the occurrence and then notifies the nursing supervisor about the medication error and completes an incident report. The nurse's manager takes a Quality Management (QM) approach. Which of the following is not a principle of QM?
Assignment of blame on the individual who made the error
Involvement in a thorough commitment to quality improvement for the benefit of the organization
Focus on outcomes and reliance on data-driven decisions
Operation most effectively within a flat, democratic organizational structure
The Correct Answer is A
Choice A reason: Quality Management (QM) emphasizes systemic improvements and avoids assigning blame to individuals. It focuses on identifying and correcting processes that can lead to errors.
Choice B reason: A thorough commitment to quality improvement for the benefit of the organization is a fundamental principle of QM. It involves continuous efforts to enhance patient care and safety.
Choice C reason: QM relies on focusing on outcomes and making data-driven decisions. This ensures that changes lead to measurable improvements in patient care.
Choice D reason: QM operates most effectively within a flat, democratic organizational structure, which fosters open communication and collaboration among healthcare team members.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Responsibility refers to the obligation to perform duties and tasks, but it does not imply the transfer of activities to another individual.
Choice B reason: Legal authority pertains to the power granted by law to perform certain actions, which is not specific to the delegation of tasks.
Choice C reason: Accountability is the obligation to report, explain, and be answerable for resulting consequences, not the act of transferring tasks.
Choice D reason: Supervision is the correct term as it involves overseeing the performance of tasks by another individual, ensuring that they are carried out correctly and safely.
Correct Answer is D
Explanation
Choice A reason: While asking for assistance is important, the first action should be to assess the client for any injuries to determine the appropriate course of action.
Choice B reason: Instructing the client to ask for help is a preventive measure for future incidents but does not address the immediate concern of potential injuries.
Choice C reason: Calling the provider is necessary after assessing and stabilizing the client's condition, not as the first action upon finding the client on the floor.
Choice D reason: The nurse's priority is to ensure the client's safety. Inspecting the client for injuries immediately helps to identify any urgent medical needs and is the most appropriate first response.
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