RATED A+
✔✔One way to establish a rewarding culture for reporting near misses is
Identify the employee who made the error and move them to another area
Demonstrate how the reported information is used to initiate change
Give special recognition to those that do report
Look for event causes rather than for trends or patterns - ✔✔Demonstrate how the
reported information is used to initiate change
✔✔Sentinel event policies and procedures focus on _____.
Individual performance
Outcomes
Structures
Identifying needed improvements in health facility systems and processes -
✔✔Identifying needed improvements in health facility systems and processes
✔✔Which ONE of the following is the LEAST positive approach for disclosing an
adverse event to patients?
The doctor assuming the blame for the adverse event
Honestly discussing the fact that an adverse event has occurred
Adhering to the legal restrictions that limit disclosures
Responding to the event in writing to avoid emotionality - ✔✔Responding to the event in
writing to avoid emotionality
✔✔Medical errors are most often due to
Multiple factors
Carelessness of one employee
A deliberate action
Laziness - ✔✔Multiple factors
✔✔Which of the following may be common risk factors for wrong site surgery? (Select
all that apply.)
Surgeon fatigue
More than one surgeon involved in the case
Multiple procedures for same patient/client, same surgical event
Patient/client/family involvement in site identification - ✔✔Surgeon fatigue
More than one surgeon involved in the case
Multiple procedures for same patient/client, same surgical event
✔✔Which of the following is NOT true regarding medical errors?
Many errors in medical care are preventable
Usually caused by the carelessness of a healthcare provider
Systems can fail in unexpected ways
, Most medical errors are related to a faulty system - ✔✔Usually caused by the
carelessness of a healthcare provider
✔✔Which of the following statements is NOT accurate regarding sentinel events?
A sentinel event is a type of adverse event
All sentinel events must be reported
A sentinel event requires a root cause analysis
A sentinel event involves serious injury or death - ✔✔All sentinel events must be
reported
✔✔Which of the following is NOT one of the top five high-alert medications?
Sodium chloride solutions above 0.9 percent
IV Chemotherapy drugs
Insulin, opiates, and narcotics
Injectable potassium chloride - ✔✔IV Chemotherapy drugs
✔✔A discipline that has evolved to help explain how people think and behave is
________.
AMA (American Medical Association)
HFE (Human factors engineering)
IOM (Institute of Medicine)
NPSF (National Patient Safety Foundation)
Correct - ✔✔HFE (Human factors engineering)
✔✔An adverse event is an unexpected injury caused by
An underlying disease
A close call
Medical management
The condition of the patient - ✔✔Medical management
✔✔Which of the following can contribute to medication errors? (Select all that apply.)
Sound-alike drugs
Writing the orders on the computer
Look-alike drugs
Using the Abbreviation "U" - ✔✔Sound-alike drugs
Look-alike drugs
Using the Abbreviation "U"
✔✔Since 2006, the Joint Commission has expanded on their goal to improve the
effectiveness among caregivers by
Addressing the issue of timely reporting
Developing opportunities to ask and respond to questions
Reporting all laboratory results within a specified time frame