Certified Professional in Patient Safety Exam | Most Recent
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CDSS
Clinical Decision Support System
assist healthcare providers in the actual diagnosis and treatment of patients,
analyze data from clinical information systems
avoids commission and omission errors
unintended consequences of CPOE
1. more or new work for clinicians
2. unfavorable workflow
3. never-ending system demands
4. persistence of paper orders
5. changes in communication patterns and practices
6. neg towards new technology
7. new types of errors
8. change in power structure, org culture , or professional roles
,High Reliability Organizations (HROs)
persistent mindfulness with in an organization
cultivate resilience by relentlessly prioritizing safety over other
performance pressures
consistently minimize adverse events despite carrying out intrinsically
complex and hazardous work
safety is emergent vs. static
commitment to safety at all levels
HRO key features
1. know high-risk nature of activities and determine to have
consistent safe operations
2. blame-free
3. collaboration across ranks and disciplines
4. commitment of resources to address safety concerns
,Patient Safety Culture Surveys and Safety Attitudes Questionnaire
ask providers to rate the safety culture in their units and org as a
whole poor perceived safety culture= increased error rates
just culture
id and addressing systems issues that lead individual to engage in unsafe
behaviors while maintain accountability
human error (slip)
at risk behavior (short cuts)
reckless behavior (ignoring required safety steps)
Debriefing
dialogue to learn from defects and improve performance through goal
discussion, reflection to incorporate improvement or discover
opportunities in future performance
simulation
real-life emergency
responses teamSTEPPS
Components of debriefing
1. setting the stage
2. description or reactions
3. analysis
4. application
, plus delta debriefing
1. What went well?
2. What did not go well?
3. what can we do differently or what needs to change to improve care?
debriefing framework
team evaluates if:
had clear communication
understanding of roles & responsibilities
maintained sit awareness
distributed workload
cross-monitoring (asked and offered help
prn) made, mitigated, or corrected errors
detecting errors and safety hazards
goal to prospectively id hazards before pt harmed and analyzing events that
have occurred to id and address underlying systems flaws
FMEA
Failure Mode and Effects Analysis
1. id all process steps "process mapping"
2. how each step can go wrong "failure modes"
3. impact of each error
4. likelihood of process failure
5. chance of detecting failure
6. impact of error
Exam Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ |Guaranteed
Success!! Newest Exam | Just Released!!
CDSS
Clinical Decision Support System
assist healthcare providers in the actual diagnosis and treatment of patients,
analyze data from clinical information systems
avoids commission and omission errors
unintended consequences of CPOE
1. more or new work for clinicians
2. unfavorable workflow
3. never-ending system demands
4. persistence of paper orders
5. changes in communication patterns and practices
6. neg towards new technology
7. new types of errors
8. change in power structure, org culture , or professional roles
,High Reliability Organizations (HROs)
persistent mindfulness with in an organization
cultivate resilience by relentlessly prioritizing safety over other
performance pressures
consistently minimize adverse events despite carrying out intrinsically
complex and hazardous work
safety is emergent vs. static
commitment to safety at all levels
HRO key features
1. know high-risk nature of activities and determine to have
consistent safe operations
2. blame-free
3. collaboration across ranks and disciplines
4. commitment of resources to address safety concerns
,Patient Safety Culture Surveys and Safety Attitudes Questionnaire
ask providers to rate the safety culture in their units and org as a
whole poor perceived safety culture= increased error rates
just culture
id and addressing systems issues that lead individual to engage in unsafe
behaviors while maintain accountability
human error (slip)
at risk behavior (short cuts)
reckless behavior (ignoring required safety steps)
Debriefing
dialogue to learn from defects and improve performance through goal
discussion, reflection to incorporate improvement or discover
opportunities in future performance
simulation
real-life emergency
responses teamSTEPPS
Components of debriefing
1. setting the stage
2. description or reactions
3. analysis
4. application
, plus delta debriefing
1. What went well?
2. What did not go well?
3. what can we do differently or what needs to change to improve care?
debriefing framework
team evaluates if:
had clear communication
understanding of roles & responsibilities
maintained sit awareness
distributed workload
cross-monitoring (asked and offered help
prn) made, mitigated, or corrected errors
detecting errors and safety hazards
goal to prospectively id hazards before pt harmed and analyzing events that
have occurred to id and address underlying systems flaws
FMEA
Failure Mode and Effects Analysis
1. id all process steps "process mapping"
2. how each step can go wrong "failure modes"
3. impact of each error
4. likelihood of process failure
5. chance of detecting failure
6. impact of error
