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16 Cards in this Set

  • Front
  • Back
Audit
examination or review of records
Cognitive skills
"intellectual skills that include problem solving, decision making, critical thinking, and creativity"
Concurrent audit
evaluation of a client's health care while the client is still receiving care from the agency
Evaluating
"a planned ongoing, purposeful activity in which clients and health care professionals compare expected outcomes to actual outcomes"
Evaluation statement
a statement that consists of two parts: a conclusion and supporting data
Implementing
the phase of the nursing process in which the nursing care plan is put into action
Interpersonal skills
all verbal and nonverbal activities people use when communicating directly with one another
Outcome evaluation
focuses on demonstrable changes in the client's health status as result of nursing care
Process evaluation
a component of quality assurance that focuses on how care was given
Quality improvement
an organizational commitment and approach used to continuously improve all processes in the organization with the goal of meeting and exceeding customer expectations and outcomes; also known as total quality management (TQM) and continuous quality improvement (CQI)
Quality-assurance (QA) program
an ongoing systematic process designed to evaluate and promote excellence in the health care provided to clients
Retrospective audit
evaluation of a client's record after discharge from an agency
Root cause analysis
process for identifying factors that bring about deviations in practices that lead to an event
Sentinel event
"an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof"
Structure evaluation
focuses on the setting in which care is given
Technical skills
"""hands-on"" skills such as those required to manipulate equipment, administer injections, and move or reposition clients"