SOLUTIONS RATED A+
✔✔Systems that rely on error-free performances
Will always succeed
Are doomed to fail
Are highly recommended
Should always be the goal - ✔✔doomed to fail
✔✔in general, which of the following events would NOT be voluntarily reported to
accreditation body?
Unintentionally retained foreign body with no permanent loss of function
Any procedure on the wrong side of the body
Any procedure on the wrong organ
Any procedure on the wrong patient - ✔✔Unintentionally retained foreign body with no
permanent loss of function
✔✔One risk reduction strategy concerning look-alike, sound-alike drug names is
Storing problem medications alphabetically by name
Writing purpose of drug on prescription
Storing all problem medications in the same place so you can identify them easily
Providing or asking only for the brand name of the drug consistent - ✔✔Writing purpose
of drug on prescription
✔✔A tool for analyzing errors after an event has occurred is called
Root cause analysis
Failure mode and effects analysis
Hazard analysis
Process analysis - ✔✔root cause
✔✔Which of the following would NOT be helpful for removing human factor errors?
Maintaining a well-lighted, quiet working environment
Decreasing the use of technology
Rewarding those who see and report system flaws
Studying how people think and behave in many systems - ✔✔Decreasing the use of
technology
✔✔Which of the following are goals of the Patient Safety Program? (Select three.)
Prevent injuries to patients/clients
Educate staff to watch, listen, ask, act, and report
Catch and correct errors before they reach the patient/client
Staff to report those errors that could cause harm - ✔✔Prevent injuries to
patients/clients
Educate staff to watch, listen, ask, act, and report
, Catch and correct errors before they reach the patient/client
✔✔A common risk factor for insulin is
The use of "ins" as an abbreviation
Poor lighting in storage area
Insulin and heparin vials kept in close proximity
Very specific dose check systems - ✔✔Insulin and heparin vials kept in close proximity
✔✔Which of the following actions would NOT contribute to a safe environment that
prevents falls?
Moving the call bell away from the patient
Wearing nonskid footwear
Educating patient and family
Providing adequate lighting - ✔✔Moving the call bell away from the patient
✔✔When people use "new" solutions to new problems it is likely to contribute to a
medical error.
True
False - ✔✔false
✔✔An event that results in death or serious physical injury is called _____.
A close call
A sentinel event
An adverse event
A near miss - ✔✔sentinel event
✔✔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