Quality Improvement & Patient Safety Flashcards
7 cards from real Low Risk Neonatal Nurse Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Improvement & Patient Safety flashcards as text
On a run chart, which finding most strongly suggests a real improvement rather than random variation?
Answer: A shift of six or more consecutive points on the same side of the median
Six or more consecutive points on one side of the median is a standard rule indicating a non-random shift.
Which healthcare quality organization provides NICUs with benchmarking data on outcomes such as bronchopulmonary dysplasia and late-onset sepsis?
Answer: Vermont Oxford Network
Vermont Oxford Network collects NICU outcome data so units can compare performance and set improvement goals.
Which tool is a proactive method used to identify how a process could fail before harm occurs?
Answer: Failure Mode and Effects Analysis (FMEA)
FMEA is prospective and ranks potential failures by severity, likelihood and detectability.
Which written dose is correct according to ISMP safe practice standards?
Answer: 0.5 mg
A leading zero is used and trailing zeros are avoided so the dose cannot be misread as ten times larger or smaller.
A nurse is about to give a medication whose calculated dose is ten times larger than usual for the infant's weight. What should she do?
Answer: Stop, recheck the weight and calculation, and clarify with the prescriber
A tenfold discrepancy signals a likely decimal or weight error that must be resolved before administration.
What is the best way to reduce alarm fatigue in the NICU?
Answer: Individualizing alarm limits and maintaining equipment such as electrodes and probes
Customized parameters and good skin prep and probe care cut nuisance alarms while keeping critical alerts audible.
After a medical error reaches an infant, what is the nurse's responsibility regarding the family?
Answer: Follow facility policy for prompt, honest disclosure with the provider and document the event factually
Transparent disclosure supports trust and is required by accreditation standards and facility policy.
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