Author Question: A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should ... (Read 30 times)

bcretired · **on:** Jul 8, 2018

A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should choose which hospital for care during this procedure?

1. The hospital closest to the client's home
2. The hospital that has done the greatest number of these surgeries in the last two years
3. The hospital chosen by the client's primary care physician
4. The hospital with the highest performance ratings for this procedure

Question 2

Which is most likely to increase participation in the use of evidence-based practice in nursing?

1. Ensure adequate training and encourage its use by the nursing staff.
2. Elicit employee opinions of its use at least four times per year.
3. Give those nurses willing to use it extra recognition.
4. Ensure adequate training, recognition, and easy access to the Internet.

kristenb95 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

4
Rationale 1: This may or may not be the best choice of hospital for this procedure.
Rationale 2: Just because a hospital is high volume does not mean it is high quality.
Rationale 3: This may or may not be the best hospital for this procedure.
Rationale 4: The Leapfrog Group focuses on quality indicators including the use of higher-performing hospitals for high-risk procedures.
Global Rationale:

Answer to Question 2

4
Explanation: 1. Ensuring adequate training by itself is not enough. Recognition for those willing is also an
insufficient motivator. Asking for opinions will also do little to encourage its use. There must
be training, easy access, and recognition for using evidence in nursing practice.