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Hospital leadership is concerned about low safety culture survey scores in the category of
communication openness. The percentage of positive responses related to questioning someone with
, higher authority is well below national averages. The lead patient safety professional has been asked to
make recommendations on increasing the questioning of those with higher authority. To maximize risk
reduction, the patient safety professional should recommend that staff be asked to stop and question
whenever:
a. Something doesn't seem right
b. A discrepancy has been confirmed
c. Patient harm is likely
d. A protocol was not followed - correct ans:a. Something doesn't seem right
In Cause Analysis, the role of the Executive Sponsor is to:
a. Complete the initial debrief following a patient safety event, and ensure the safety of all involved.
b. Prepare for a visit by the department of health if the event meets criteria for reporting to the state.
c. Help scope the objectives and maintain accountability for effective and timely action plans.
d. Coordinate all efforts of the cause analysis team and conduct performance management discussions. -
correct ans:c. Help scope the objectives and maintain accountability for effective and timely action
plans.
After significant time since the last sentinel event, hospital leadership has learned of the reoccurrence of
a sentinel event believed to have been previously resolved. The most likely cause of this repeat event is:
a. Staff are not familiar with safety policies and protocols due to significant turn over
b. Leadership has stopped messaging on safety since significant time has passed since the last sentinel
event
c. Drift to old habits over time have slowly eroded safer practice
d. Negative changes in culture have reduced event reporting - correct ans:b. Leadership has stopped
messaging on safety since significant time has passed since the last sentinel event
Near-miss error event reporting is more likely when:
a. The safety event electronic reporting process includes details and staff names
b. The reporter has a week to report the near miss
c. Reporting errors and near-misses are required by leadership
d. Feedback and follow-up by leaders is provided to the reporter - correct ans:d. Feedback and follow-up
by leaders is provided to the reporter