Your quality improvement organization (QIO) has alerted your hospital that you are under a focused review for overutilization of healthcare services for your Medicare population. Write a 3 to 4 page report of your plans including the following: Identify the steps you would take to assess the situation Identify what structures and processes within the organization that should be examined If a problem is confirmed, identify what steps you would take to correct the situation Identify how you would ensure that the situation is corrected on an ongoing basis

Acharge nurse is observing a newly licensed nurse provide care to a group of clients. which of the following actions by the newly licensed nurse requires an incident report by the charge nurse? a. a client who has a lithium level of 1.8 meq/l receives her morning dose of lithium. b. the nurse administers ondansetron to a client who has two episodes of vomiting after receiving meperidine 75 mg im. c. the nurse requests a higher dose of morphine for a client who reports severe pain 30 min after receiving morphine 2 mg iv bolus. d. a client who has a blood glucose level of 120 mg/dl receives her morning dose of insulin.