DHA Nursing Patient Safety and Quality 2 — Questions and Answers
Question 1: What is the DHA incident reporting system and when should nurses use it?
- Only for serious harm events
- Report all incidents, near-misses, and adverse events through the electronic incident reporting system within 24 hours (Correct answer)
- Only when requested by management
- Incident reporting is voluntary
Correct answer: Report all incidents, near-misses, and adverse events through the electronic incident reporting system within 24 hours
DHA requires reporting of all incidents including near-misses, adverse events, and sentinel events through the electronic reporting system within 24 hours, fostering a just culture of learning and improvement.
Question 2: What is the DHA standard for restraint use in nursing practice?
- Nurses can apply restraints at their discretion
- Restraints require physician order, are used only as last resort, require continuous monitoring, and must be regularly reassessed for removal (Correct answer)
- Restraints do not require documentation
- Chemical restraint is always preferred
Correct answer: Restraints require physician order, are used only as last resort, require continuous monitoring, and must be regularly reassessed for removal
DHA restraint use requires a physician order, must be a last resort after alternative interventions, requires continuous patient monitoring with neurovascular checks, and must be reassessed regularly for earliest possible removal.
Question 3: What is the DHA requirement for medication administration using barcode scanning?
- Barcode scanning is optional
- Scan patient wristband and medication barcode at point of care to verify the 'five rights' electronically before administration (Correct answer)
- Only scan the medication package
- Barcode scanning replaces all other checks
Correct answer: Scan patient wristband and medication barcode at point of care to verify the 'five rights' electronically before administration
DHA requires barcode medication administration (BCMA) scanning of both the patient wristband and medication at the point of care to electronically verify patient identity and medication accuracy.
Question 4: What is the DHA protocol for managing a sentinel event?
- Document and continue routine care
- Immediate patient stabilization, notification of administration and risk management, root cause analysis, and implementation of corrective actions (Correct answer)
- Only complete an incident report
- Sentinel events do not require special attention
Correct answer: Immediate patient stabilization, notification of administration and risk management, root cause analysis, and implementation of corrective actions
DHA sentinel event management requires immediate patient care, administration notification, preservation of evidence, comprehensive root cause analysis, development of corrective action plans, and ongoing monitoring of improvements.
Question 5: What quality indicators does DHA track for nursing practice?
- Only patient satisfaction scores
- Nurse-sensitive indicators including falls rate, pressure injury incidence, CLABSI rate, medication errors, and patient satisfaction (Correct answer)
- Only staffing ratios
- No quality indicators are tracked for nursing
Correct answer: Nurse-sensitive indicators including falls rate, pressure injury incidence, CLABSI rate, medication errors, and patient satisfaction
DHA tracks nursing-sensitive quality indicators including falls with injury rate, hospital-acquired pressure injury incidence, central line-associated bloodstream infection rates, medication error rates, and patient satisfaction.
Question 6: What is the DHA requirement for patient education and discharge planning?
- Discharge instructions are optional
- Begin discharge planning on admission, provide written and verbal education in the patient's language, and ensure understanding through teach-back method (Correct answer)
- Only provide written instructions at discharge
- Education is the physician's responsibility only
Correct answer: Begin discharge planning on admission, provide written and verbal education in the patient's language, and ensure understanding through teach-back method
DHA requires discharge planning to begin on admission, with patient education provided in the patient's preferred language using both written and verbal methods, with understanding verified through the teach-back method.
DHA Nursing Patient Safety and Quality 2
What is the DHA incident reporting system and when should nurses use it?