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,In preparation for new antimicrobial stewardship regulatory requirements, a hospital is creating an
antimicrobial stewardship committee. What should be the first step in supporting this new patient
safety initiative?
A. Reach out to subject matter experts to gain insight on different compliance issues.
B. Work with information technology (IT) to build antibiotic indication and time-out screens.
C. Partner with key stakeholders to perform a gap analysis of current state to ideal state.
D. Review the past year's data to identify the most commonly grown pathogens. - correct ans:C. Partner
with key stakeholders to perform a gap analysis of current state to ideal state.
After implementing a new product recall system, a hospital was alerted to a high-risk medication recall.
This medication is in stock in the emergency department and oncology unit. To ensure the effectiveness
of the new system, a patient safety professional should:
A. require individual departments to verify that a search for the recalled medication was performed.
B. ensure an on-site visit verifies that the recalled medication was sequestered.
C. reconcile the number of doses administered to the number of doses purchased.
D. notify the affected units via fax to remove recalled meds and to post recall notices in the units -
correct ans:B. ensure an on-site visit verifies that the recalled medication was sequestered.
An organization is implementing a standardized surgical safety checklist and encounters resistance from
the perioperative staff. To improve staff engagement, a patient safety professional should:
A. prepare a business case for the implementation of the checklist.
B. present evidence that checklist use reduces practice variability.
C. assure staff that anesthesia is responsible for the checklist.
D. delegate checklist enforcement to nursing. - correct ans:B. present evidence that checklist use
reduces practice variability.
An organization has achieved 92% compliance with a process measure. The patient safety professional
believes that the processes in place are not reliable or that the results are attributable to luck. Which of
the following best describes this characteristic?
A. appreciative inquiry
B. commitment to resilience
C. deference to expertise
,D. preoccupation with failure - correct ans:D. preoccupation with failure
A just culture framework provides a means to address behaviors that undermine a culture of safety
because
A. single outbursts are differentiated from consciously chosen acts.
B. preservation of highly valued team members is a primary goal.
C. the evaluative process does not consider personal performance-shaping factors.
D. the organizational response to investigated events is independent of patient outcome. - correct
ans:D. the organizational response to investigated events is independent of patient outcome.
In process improvement, reducing variation improves
A. predictability of outcomes.
B. patient care processes.
C. frequency of poor results.
D. reluctance to simplify. - correct ans:A. predictability of outcomes.
When creating action plans, which of the following solutions would be considered the weakest?
A. visible involvement and action by leadership
B. standardizing processes as much as possible
C. creating access barriers to high-risk medications
D. use of color-coded labels that are readily seen by staff - correct ans:D. use of color-coded labels that
are readily seen by staff
Which of the following is emphasized in crew resource management?
A. care standards
B. team leadership
C. caregiver burnout
D. health literacy - correct ans:B. team leadership
10.
, As a result of an adverse drug event, a patient required renal dialysis. A patient safety professional and
other leaders are discussing what to disclose to the patient. In addition to an apology, critical
components of disclosure include
A. a commitment to investigate what happened and how future errors will be prevented.
B. who was involved, when it happened, and how often medication errors occur.
C. plans for staff disciplinary action, physician disciplinary action, and a plan for education.
D. history of pharmacy transcription errors, and the plan to implement an electronic health record. -
correct ans:A. a commitment to investigate what happened and how future errors will be prevented.
Results from recent tests were not included in a patient transfer from one facility to another, resulting in
an adverse event. Which of the following is the most common cause of this type of harm?
A. inadequate information flow
B. inattentional blindness
C. normalized deviance
D. insufficient staffing - correct ans:A. inadequate information flow
A healthcare organization is introducing a new medication administration barcoding system. Which of
the following is the most significant indicator of successful implementation?
A. order accuracy for high-risk medications
B. bar code scanning compliance
C. nursing bar coding knowledge
D. bar coding performance goal setting - correct ans:B. bar code scanning compliance
A manager demonstrates adherence to the principles of a just culture by applying which of the following
types of decision-making frameworks?
A. harm-based
B. outcome-focused
C. equity-focused
D. risk-based - correct ans:D. risk-based
When interpreting data after a safety event, which of the following is true?