RN Nursing · Quality Improvement · Practice question
The nurse leader is working with a newly hired nurse manager. Which action by a nurse manager should the nurse leader recognize as a role in quality improvement?
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Filling out an incident report when a medication error occurs.
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Delegating all quality improvement responsibilities to the nurse charge.
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Ignoring minor client complaints to avoid unnecessary reporting.
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Implementing a new policy without questioning its effectiveness.
Answer & explanation
Correct: Filling out an incident report when a medication error occurs.
Filing an incident report when a medication error occurs is a foundational quality improvement activity. Incident reports serve as the primary data-collection tool in quality improvement programs, enabling organizations to track error trends, identify root causes, implement system changes, and ultimately prevent future harm. This transparent reporting aligns directly with a nurse manager's responsibility to monitor and improve care quality on the unit. Delegating all quality improvement responsibilities to the charge nurse is inappropriate because quality oversight is a core accountability of the manager role and cannot be entirely transferred to subordinates. Ignoring minor client complaints contradicts quality improvement principles, since even small complaints may reveal systemic issues or early warning signs of larger problems. Implementing a new policy without evaluating its effectiveness bypasses the essential evidence-based and outcomes-measurement steps of the quality improvement cycle, such as Plan-Do-Study-Act. A nurse manager who completes incident reports models a just culture, reinforces accountability, and generates the data necessary to drive meaningful improvements in client safety and care delivery.
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