36. In 2004, the Supreme Court ruled that race could be a factor in university admissions, but cannot be an overriding factor in admission decisions. The two cases from which the court drew these conclusions were: A) Smith v. Jackson and Watson v. Fort Worth Bank & Trust. B) Vinson v. Meritor and Harris v. Forklift. C) Harris v. Forklift and Gratz v. Bollinger. […]
101. In applying the lower of cost or market method to inventory valuation, market is defined as: A. Historical cost. B. Current replacement cost. C. Current sales price. D. FIFO. E. LIFO. 102. Generally accepted accounting principles require that the inventory of a company be reported at: A. Market value. B. Historical cost. C. Lower of cost or market. D. Replacement cost. E. Retail value. 103. The conservatism constraint: A. Prescribes that when multiple estimates of amounts to […]
111. The budget that summarizes future plans for the acquisition of fixed assets is the: A. direct materials purchases budget B. production budget C. sales budget D. capital expenditures budget 112. Below is budgeted production and sales information for Bluebird Company for the month of December: Product XXXProduct ZZZ Estimated beginning inventory30,000 units18,000 units Desired ending inventory32,000 units15,000 units Anticipated sales520,000 units460,000 units The unit selling price for product […]
31) There are two records of a business’s cash: A) the cash account in the general ledger and the petty cash box. B) the cash account in the general ledger and the journal entries from the bank reconciliation. C) the bank statement and the cash account in the general ledger. D) the bank statement and the cash in petty cash. 32) Which of the […]
37.Which of the following accounts will not normally have a zero balance after the closing entries have been posted? A. Income Summary B. Fees Income C. The owner’s capital account D. Rent Expense 38.One purpose of closing entries is to A. transfer the results of operations to owner’s equity. B. reduce the owner’s capital account balance to zero so that the […]
135. Decorative Concrete produces a concrete overlay for residential and commercial concrete flooring. Customers have complained that one of the products results in excessive cracking. The likelihood the company will incur a loss on this product is probable and the amount of the loss is estimated to be somewhere between $1.5 and $3 million. 1. Should this contingent liability be reported, disclosed in a note […]
61) Central Services has requested your services in determining the book values of the following assets, respectively. HistoricalAccumulated Costs Amortization Auto$ 20,000$ 15,000 Machinery 150,000 95,000 General repairs and maintenance for the automobile amounted to $4,000. Machinery maintenance included $2,000 for general upkeep. What are the book values for Auto and Machinery, respectively? 61) ______ A) $5,000; $55,000 B) $20,000; […]
158. The comparative balance sheet of Colson Company, for 2011 and the preceding year ended December 31, 2010 appears below in condensed form: Year Year 2011 2010 Cash $ 45,000 $ 53,500 Accounts receivable (net) 51,300 58,000 Inventories 147,200 135,000 Investments 0 60,000 Equipment 493,000 375,000 Accumulated depreciation-equipment (113,700) (128,000) $622,800 $553,500 Accounts payable $ 61,500 $ 42,600 Bonds payable, due 2014 0 […]
11) A major reason for choosing ________ utilization over ________, is the difficulty in forecasting. A) theoretical capacity; master-budget B) practical capacity; master-budget C) normal capacity utilization; master-budget D) master-budget; theoretical capacity E) master-budget; normal capacity utilization 12) A manufacturing firm is able to produce 2,000 pairs of shoes per hour, at maximum efficiency. There are three eight-hour shifts each day. Production is […]
106.Uniform Supply accepted a $4,800, 90-day, 10% note from Tracy Janitorial on October 17. What entry should Uniform Supply make on January 15 of the next year when the note is paid? A.Debit Notes Receivable $4,800; debit Interest Receivable $120; credit Sales $4,920. B.Debit Cash $4,920; credit Notes Receivable $4,920. C.Debit Cash $4,920; credit Interest Revenue $100; credit Interest Receivable $20; credit Notes Receivable […]
Introduction
Throughout your education, patient safety and improving the quality of patient care have been examined. Through numerous readings and media pieces, you have heard about Never Events. These are serious and costly medical errors that are preventable, such as wrong-side surgery, medication errors, and hospital-acquired infections. Each of these types of medical errors is preventable. The consequences of such errors are now financial as well as legal and emotional. The Centers for Medicare & Medicaid Services no longer reimburse for medical errors classified as Never Events.
As a nurse, how can you help to prevent these types of medical errors? What is your accountability for clinical outcomes? There are standards and core measures in place that guide nursing practice. In addition, the National Database of Nursing Quality Indicators (NDNQI) examines those components of clinical care that are specific to nursing. The NDNQI quantifies, or assesses, these nurse-sensitive components and provides specific feedback on how well nursing practice is being executed in those areas related to patient care.
This week, you will consider a series of articles that focus on strategies for ensuring safety and quality care for patients. You will also explore how successful, efficient teamwork between nurses, nursing leaders, physicians, and other medical personnel can help prevent many of the Never Events from occurring and decrease the likelihood of such events in the future.
Photo Credit: PhotoAlto/Odilon Dimier / PhotoAlto Agency RF Collections / Getty Images
It is not uncommon for students to be required to complete group projects or to work as part of a team. While obtaining your RN credentials, or at some time in your work career, you have more than likely at some point been part of a unit or a collaborative team. Reflect on that experience of working with others to achieve a common goal. How did the actions of your team members impact your success as a team? Consider how this same philosophy applies within an organization. How might the actions of the individuals influence the success of the organization?
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Amin, A. N., Hofmann, H., Owen, M. M., Tran, H., Tucker, S., & Kaplan, S. H. (2014). Reduce readmissions with service-based care management. Professional Case Management, 19(6), 255–262. doi: 10.1097/NCM.0000000000000051
Note: You will access this article from the Walden Library databases.
Forster, A. J., Dervin, G., Martin, C., & Papp, S. (2012). Improving patient safety through the systematic evaluation of patient outcomes. Canadian Journal of Surgery, 55(6), 419–425. doi: 10.1503/cjs.007811
Note: You will access this article from the Walden Library databases.
Johansen, M. L. (2014). Conflicting priorities: Emergency nurses perceived disconnect between patient satisfaction and the delivery of quality patient care. Journal of Emergency Nursing, 40(1), 13–19. doi: 10.1016/j.jen.2012.04.013
Note: You will access this article from the Walden Library databases.
McDowell, D. S., & McComb, S. A. (2014). Safety checklist briefings: A systematic review of the literature. AORN, 99(1), 125–137. doi: 10.1016/j.orn.2013.11.015
Note: You will access this article from the Walden Library databases.
Payne, D. (2014). Elderly care: Reflecting on that ultimate ‘never event.’ British Journal of Nursing, 23(13), 702. doi: 10.12968/bjon.2014.23.13.702
Note: You will access this article from the Walden Library databases.
Thornlow, D. K., & Merwin, E. (2009). Managing to improve quality: The relationship between accreditation standards, safety practices, and patient outcomes. Health Care Management Review, 34(3), 262–272. doi: 10.1097/HMR.0b013e3181a16bce
Note: You will access this article from the Walden Library databases.
American Hospital Association. (2016). Retrieved from http://www.aha.org/
Explore the American Hospital Association’s website. Focus on the information on improving patient safety and quality of care.
American Organization of Nurse Executives. (2016). Retrieved from http://www.aone.org
“Since 1967, the American Organization of Nurse Executives (AONE) has provided leadership, professional development, advocacy and research to advance nursing practice and patient care, promote nursing leadership excellence and shape public policy for health care nationwide. AONE is a subsidiary of the American Hospital Association” (AONE, 2016).
Centers for Medicare & Medicaid Services. (n.d.). Quality of care center. Retrieved August 11, 2016, from http://www.cms.gov/Center/Special-Topic/Quality-of-Care-Center.html?redirect=/center/quality.asp
Most health care organizations receive some amount of reimbursement from the Centers for Medicare & Medicaid Services (CMS). Reimbursement continues to be jeopardized and reduced by pay for performance standards. Health care organizations are being held to higher standards by CMS. Explore the standards set to improve patient safety and the quality of care. Consider how they affect acute care providers and nursing practice.
The National Academies of Sciences, Engineering, and Medicine. (2016). Health and Medicine Division. Retrieved from http://www.nationalacademies.org/hmd/
The Health and Medicine Division (HMD) promotes policies and best practices in an effort to improve patient safety and delivery of quality care. Review a few of the publications available at this site.
The Joint Commission. (2016). National Quality Forum (NQF) endorsed nursing-sensitive care performance measures. Retrieved from http://www.jointcommission.org/national_quality_forum_nqf_endorsed_nursing-sensitive_care_performance_measures/
The Joint Commission (TJC) also accredits health care organizations. Through funding provided by the Robert Wood Johnson Foundation, the Joint Commission developed the Implementation Guide for the National Quality Forum (NQF) Endorsed Nursing-Sensitive Care Performance Measures. Review this guide as you consider how core measures and national guidelines improve nursing practice.
Laureate Education. (Producer). (2009b). Topics in clinical nursing: Accountability for clinical outcomes and promoting safety and quality [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 15 minutes.
In the article “Managing to Improve Quality: The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes,” the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers’ efforts in improving patient safety and the quality of care delivered.
Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events. Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes.
For this Discussion, you will consider the standards that are in place for nurses and how they can be used to improve quality of care.
To prepare for this Discussion:
Respond to the following:
Support your response with references from the professional nursing literature.
Note Initial Post: A 3-paragraph (at least 250–350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
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