HSC 450 PS 101, 102,103,104,105 Questions with all the
correct answers
One hospital CEO insists on including performance data in the hospital's annual
report. "We do very well on most measures, except for one or two, but we put
those in anyway," she says. "We want to hold ourselves accountable." Does this
practice demonstrate effective or ineffective leadership?
Effective leadership: Being transparent, even about poor results, is a mark of a good
leader.
At the large multi-specialty clinic in which you work, there have been two near
misses and one medical error because various clinicians did not follow up on
patient results. Different caregivers were involved each time. When asked why
they failed to follow up, each caregiver said he or she forgot.
Based on what you know, how would you classify the caregivers' behavior?
human error
At the large multi-specialty clinic in which you work, there have been two near
misses and one medical error because various clinicians did not follow up on
patient results. Different caregivers were involved each time. When asked why
they failed to follow up, each caregiver said he or she forgot.
Why is psychological safety a crucial component of a culture of safety?
It allows people to learn from mistakes and near-misses, reducing the chances of
further errors.
At the large multi-specialty clinic in which you work, there have been two near
misses and one medical error because various clinicians did not follow up on
patient results. Different caregivers were involved each time. When asked why
they failed to follow up, each caregiver said he or she forgot.
A nurse who realized that his colleagues weren't consistently following up on
patient results reported the problem to the clinic leadership right away. Which
response would be most consistent with a culture of safety?
Investigating the problem and seeking systems solutions
A medical unit in a hospital is in the midst of hiring some new physicians. During
an orientation for new employees, a senior leader stands up and says, "We
expect that the same rules apply to everyone on the unit, regardless of position."
Which aspect of a culture of safety does this unit seem to value?
Accountability
Which of these is a behavior providers should adopt to improve patient safety?
Follow written safety protocols, even if they slow you down.
Which of the following should you keep in mind as your hospital redesigns the
way it handles knee replacements?
How system components are integrated with one another is as important as how well
they function independently.
, Which of the following is typically true of "weak signals"?
They can combine with other human or environmental factors to result in catastrophe.
The term "normalized deviance" refers to:
Acceptance of events that are initially allowed because no catastrophic harm appears to
result.
You meet with the nurse administrator responsible for improvement when issues
in the process of care are identified by those on the wards. She listens carefully
to your concern, but in the end says she can only try to help improve nursing
issues, and not those that extend to pharmacy or transport. The primary reason
your meeting is unlikely to lead to an adequate solution is:
The nurse administrator did not have the appropriate span of responsibility to engage
the system components needed to solve the problem.
Which of the following is a latent unsafe condition in the system that contributes
to the resident's error?
Long work schedule
To prevent this problem from happening again, which of the following would be
the best course of action?
Develop a system that prevents messy handwriting from causing miscommunication
that leads to error.
"Latent errors" are best defined as:
Defects in the design and organization of processes and systems.
What is the active error in this scenario?
The nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor.
What is one of the latent errors in this scenario?
The forms are completed by hand at the same time for different patients.
According to James Reason, by definition an "unsafe act" always includes:
A potential hazard
Anita, a nurse practitioner, is seeing Mr. Drummond in clinic. Mr. Drummond is a
57-year-old man with diabetes and chronic kidney disease. Having kept up on the
literature, Anita is aware that tightly controlling his diabetes can slow the
progression of his renal disease. She discusses her plan to increase his dose of
glargine (long-acting insulin) by 12 units per day with one of the family
physicians in the clinic, who agrees. At the end of the day, as she is working on
her documentation, she realizes she never told Mr. Drummond to increase his
insulin dose.
This is an example of what type of error?
Lapse
Roger, a pharmacist in a hospital, is working in the discharge pharmacy filling
medications for patients who are going home. He sees a prescription for
ciprofloxacin, an antibiotic, and he asks his pharmacy technician Mike to fill it
quickly, as the patient is waiting and anxious to leave. Mike checks the shelves
and sees they are out of ciprofloxacin, but they do have levofloxacin (an
antibiotic in the same class that covers most, but not all, of the same types of
infections). Mike knows he should usually check with the prescribing physician
before making a substitution. However, in the interest of efficiency in this
correct answers
One hospital CEO insists on including performance data in the hospital's annual
report. "We do very well on most measures, except for one or two, but we put
those in anyway," she says. "We want to hold ourselves accountable." Does this
practice demonstrate effective or ineffective leadership?
Effective leadership: Being transparent, even about poor results, is a mark of a good
leader.
At the large multi-specialty clinic in which you work, there have been two near
misses and one medical error because various clinicians did not follow up on
patient results. Different caregivers were involved each time. When asked why
they failed to follow up, each caregiver said he or she forgot.
Based on what you know, how would you classify the caregivers' behavior?
human error
At the large multi-specialty clinic in which you work, there have been two near
misses and one medical error because various clinicians did not follow up on
patient results. Different caregivers were involved each time. When asked why
they failed to follow up, each caregiver said he or she forgot.
Why is psychological safety a crucial component of a culture of safety?
It allows people to learn from mistakes and near-misses, reducing the chances of
further errors.
At the large multi-specialty clinic in which you work, there have been two near
misses and one medical error because various clinicians did not follow up on
patient results. Different caregivers were involved each time. When asked why
they failed to follow up, each caregiver said he or she forgot.
A nurse who realized that his colleagues weren't consistently following up on
patient results reported the problem to the clinic leadership right away. Which
response would be most consistent with a culture of safety?
Investigating the problem and seeking systems solutions
A medical unit in a hospital is in the midst of hiring some new physicians. During
an orientation for new employees, a senior leader stands up and says, "We
expect that the same rules apply to everyone on the unit, regardless of position."
Which aspect of a culture of safety does this unit seem to value?
Accountability
Which of these is a behavior providers should adopt to improve patient safety?
Follow written safety protocols, even if they slow you down.
Which of the following should you keep in mind as your hospital redesigns the
way it handles knee replacements?
How system components are integrated with one another is as important as how well
they function independently.
, Which of the following is typically true of "weak signals"?
They can combine with other human or environmental factors to result in catastrophe.
The term "normalized deviance" refers to:
Acceptance of events that are initially allowed because no catastrophic harm appears to
result.
You meet with the nurse administrator responsible for improvement when issues
in the process of care are identified by those on the wards. She listens carefully
to your concern, but in the end says she can only try to help improve nursing
issues, and not those that extend to pharmacy or transport. The primary reason
your meeting is unlikely to lead to an adequate solution is:
The nurse administrator did not have the appropriate span of responsibility to engage
the system components needed to solve the problem.
Which of the following is a latent unsafe condition in the system that contributes
to the resident's error?
Long work schedule
To prevent this problem from happening again, which of the following would be
the best course of action?
Develop a system that prevents messy handwriting from causing miscommunication
that leads to error.
"Latent errors" are best defined as:
Defects in the design and organization of processes and systems.
What is the active error in this scenario?
The nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor.
What is one of the latent errors in this scenario?
The forms are completed by hand at the same time for different patients.
According to James Reason, by definition an "unsafe act" always includes:
A potential hazard
Anita, a nurse practitioner, is seeing Mr. Drummond in clinic. Mr. Drummond is a
57-year-old man with diabetes and chronic kidney disease. Having kept up on the
literature, Anita is aware that tightly controlling his diabetes can slow the
progression of his renal disease. She discusses her plan to increase his dose of
glargine (long-acting insulin) by 12 units per day with one of the family
physicians in the clinic, who agrees. At the end of the day, as she is working on
her documentation, she realizes she never told Mr. Drummond to increase his
insulin dose.
This is an example of what type of error?
Lapse
Roger, a pharmacist in a hospital, is working in the discharge pharmacy filling
medications for patients who are going home. He sees a prescription for
ciprofloxacin, an antibiotic, and he asks his pharmacy technician Mike to fill it
quickly, as the patient is waiting and anxious to leave. Mike checks the shelves
and sees they are out of ciprofloxacin, but they do have levofloxacin (an
antibiotic in the same class that covers most, but not all, of the same types of
infections). Mike knows he should usually check with the prescribing physician
before making a substitution. However, in the interest of efficiency in this
