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 A rationale: The statement in question does identify the variables being investigated. It mentions that the study aims to evaluate whether short-term, cultural immersion, clinical experiences could affect change in cultural sensitivity and cultural self-efficacy. Both cultural sensitivity and cultural self-efficacy are the variables of interest in this research.
Choice B rationale: While the statement does mention the independent variable (short-term, cultural immersion, clinical experiences), it also includes the dependent variables (cultural sensitivity and cultural self-efficacy). So, the independent variable is indeed identified in the statement.
Choice C rationale: The missing characteristic in the research statement is the population being studied. It does not specify who the participants or subjects of the study are. The population being studied is a crucial element in a research statement because it helps define the scope and applicability of the research findings.
Choice D rationale: The statement does imply the possibility of empirical testing by stating that "a study was conducted," indicating that there was likely data collection and analysis involved. Therefore, the possibility of empirical testing is not missing from the statement.
Correct Answer is B
Explanation
Choice A rationale:
Cronbach's alpha is a measure of internal consistency, not inter-rater reliability. Inter-rater reliability assesses the degree of agreement between different raters or observers, which is not applicable in this context.
Choice B rationale:
This is the correct answer. A Cronbach's alpha value of 0.35 indicates poor internal consistency for the instrument. In other words, the items in the tool do not consistently measure the same underlying construct (pain perception). A low alpha value suggests that the items in the instrument may not be reliably measuring the intended concept and that revision may be necessary to improve the tool's consistency.
Choice C rationale:
The statement "The tool will consistently measure pain perception in clients" is not supported by the low Cronbach's alpha value of 0.35. A low alpha suggests that the tool does not demonstrate consistent measurement of pain perception.
Choice D rationale:
Cronbach's alpha does not provide information about the presence of inverse relationships among items on the scale. It assesses internal consistency, which is about the degree to which items on the scale are interrelated and measure the same construct. A low alpha indicates poor internal consistency but does not specifically indicate the presence of inverse relationships.
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