A client who was receiving care on a psychiatric unit committed ...

[nmorano1]

A client who was receiving care on a psychiatric unit committed suicide at a time when nurses are known to be handing off to nurses on the next shift. What is a responsibility of the organization when responding to this sentinel event?
 
  A) Inform local health care institutions about the event in order to promote safety.
  B) Change the institution's policies regarding supervision of clients.
  C) Appropriately discipline the nurses who were participating in the shift change.
  D) Report the event to the Joint Commission.

Question 2

A hospital is introducing a program that has the goal of aligning practices more closely with the Quality and Safety Education for Nurses (QSEN) project. What initiative best exemplifies QSEN competencies?
 
  A) New systems are introduced to increase communication between nurses and the members of other health disciplines.
  B) Systems are reviewed with the goal of achieving the best client outcomes at the lowest cost.
  C) Hiring practices are reviewed in order to maximize the proportion of nurses who possess baccalaureate or graduate degrees.
  D) New partnerships are established between the hospital and local schools of nursing.

[nicoleclaire22]

Answer to Question 1

Ans: D
Feedback:
Hospitals are required to report serious safety events to regulatory agencies such as the Joint Commission and to state health agencies. There is no formal responsibility to inform other local institutions. There is no obvious need for discipline, though education may be needed. Policies and procedures would be reviewed, but may not need to be changed.

Answer to Question 2

Ans: A
Feedback:
Teamwork and collaboration is one of the core QSEN competencies, and is exemplified by increasing communication between different disciplines. The six QSEN competencies do not explicitly address financial costs of care, higher levels of education for nurses, or increased partnership between hospitals and educational institutions.