IHI Root Cause and System Analysis 2024 Quiz with
complete solution
Root cause analyses can be useful in health care because:
They help to identify system failures that can be corrected.
The surgical staff that operated on Mr. Reynolds is embarking on a root cause
analysis (RCA) of the incident. If they complete a high-quality RCA, which of the
following is an example of the kind of root cause they might identify?
The hierarchy in the operating room had a negative effect upon communication.
The team conducting the RCA of the wrong-site surgery realizes that one
contributing factor was the pressure on surgical teams to start and end surgeries
on time (so as not to disrupt later scheduled procedures). Which of Vincent's
seven categories of factors influencing clinical practice does this best illustrate?
Organizational and management factors
Which of the following scenarios would call for a root cause analysis?
A social worker catches a patient who is falling out of bed.
Which is an important approach when conducting an RCA?
Use categories to organize events that led to errors.
Quinn is a three-year-old boy with a congenital heart malformation. While
recovering in the pediatric intensive care unit after surgical correction, he is
accidentally given a tenfold dose of heparin. Although he suffers no permanent
injuries, the leadership of the hospital rightly decides to conduct a root cause
analysis. As they assemble the team, it is crucial that they do the following:
Create a team of members who fulfill several roles.
What else should the leadership do as they plan for the RCA?
Make sure the team has time and resources to conduct the RCA, including access to
advisors when necessary.
The team conducting Quinn's RCA begins work. What should their first step be?
Review Quinn's medical records and interview providers.
Why should a RCA be conducted by a team rather than by an individual?
Understanding what led to an error requires diverse perspectives.
The heart of the RCA process is:
Identifying what caused the event.
As the RCA for this case begins, the team struggles with identification of the root
causes of the outcome. They consider the patient's characteristics as well as the
work environment. According to Charles Vincent, what other areas should they
consider?
Team factors, institutional context, and organizational factors
Which of the following is an example of the type of causal statement that this
team might expect to develop?
The patient was unattended for 30 minutes because the nurse was busy caring for other
patients, and this contributed to the outcome.
Which of the following is the best recommended action statement?
Have the phlebotomy lab automatically generate a list of patients all patients who had
INRs drawn that day and email them to the nurse, with space to note if the nurse has
complete solution
Root cause analyses can be useful in health care because:
They help to identify system failures that can be corrected.
The surgical staff that operated on Mr. Reynolds is embarking on a root cause
analysis (RCA) of the incident. If they complete a high-quality RCA, which of the
following is an example of the kind of root cause they might identify?
The hierarchy in the operating room had a negative effect upon communication.
The team conducting the RCA of the wrong-site surgery realizes that one
contributing factor was the pressure on surgical teams to start and end surgeries
on time (so as not to disrupt later scheduled procedures). Which of Vincent's
seven categories of factors influencing clinical practice does this best illustrate?
Organizational and management factors
Which of the following scenarios would call for a root cause analysis?
A social worker catches a patient who is falling out of bed.
Which is an important approach when conducting an RCA?
Use categories to organize events that led to errors.
Quinn is a three-year-old boy with a congenital heart malformation. While
recovering in the pediatric intensive care unit after surgical correction, he is
accidentally given a tenfold dose of heparin. Although he suffers no permanent
injuries, the leadership of the hospital rightly decides to conduct a root cause
analysis. As they assemble the team, it is crucial that they do the following:
Create a team of members who fulfill several roles.
What else should the leadership do as they plan for the RCA?
Make sure the team has time and resources to conduct the RCA, including access to
advisors when necessary.
The team conducting Quinn's RCA begins work. What should their first step be?
Review Quinn's medical records and interview providers.
Why should a RCA be conducted by a team rather than by an individual?
Understanding what led to an error requires diverse perspectives.
The heart of the RCA process is:
Identifying what caused the event.
As the RCA for this case begins, the team struggles with identification of the root
causes of the outcome. They consider the patient's characteristics as well as the
work environment. According to Charles Vincent, what other areas should they
consider?
Team factors, institutional context, and organizational factors
Which of the following is an example of the type of causal statement that this
team might expect to develop?
The patient was unattended for 30 minutes because the nurse was busy caring for other
patients, and this contributed to the outcome.
Which of the following is the best recommended action statement?
Have the phlebotomy lab automatically generate a list of patients all patients who had
INRs drawn that day and email them to the nurse, with space to note if the nurse has
