,Although nurses have an ethical duty to ensure patient safety,
increasing demands on professionals in complex and fast paced health
care environments may lead to workarounds. What is a workaround?
Select one:
a. A practice that deviates from accepted and expected practice
protocols.
b. A shortcut to save time.
c. An inappropriate action or omission of appropriate actions.
d. A and B.
e. All of the above. - ANSWER-e. All of the above.
A safety culture is a blame-free environment where individuals are able
to report errors or near misses without fear of reprimand or
punishment. Conversely, a just culture emphasizes individual
accountability and:
Select one:
a. encourages workarounds in the interest of saving time as long as no
harm occurs.
b. encourages error reporting and seeks to understand workflow and
process issues that lead to errors.
c. emphasizes zero tolerance for reckless behavior.
d. B and C
e. All of the above. - ANSWER-d. B and C
An adverse event response team works to:
Select one:
a. anticipate workflow issues and develop processes and procedures to
promote safety.
b. reenact or simulate adverse events to better understand the
organizational or procedural processes that failed.
, c. counsel and/discipline employees who engage in risky or reckless
behaviors.
d. All of the above. - ANSWER-b. reenact or simulate adverse events to
better understand the organizational or procedural processes that
failed.
Multiple false alarms may lead to alarm fatigue and compromise patient
safety by slow response or no response to physiologic alarms. Strategies
to improve alarm response include:
Select one:
a. increasing the sensitivity of the physiologic monitors and feeding
alarms directly to beepers or phones carried by nurses.
b. feeding alarm data into a reporting database for further analysis.
c. encouraging nurses to round with physicians to provide input into
alarm settings.
d. B and C
e. All of the above. - ANSWER-d. B and C
Integrating technology into the medication administration cycle helps to
reduce errors by:
Select one:
a. performing electronic checks against a database of safe medication
administration parameters and providing alerts.
b. reducing the workload and increasing the efficiency of clinicians.
c. Employing human factors engineering principles to streamline
workflow processes.
d. All of the above. - ANSWER-a. performing electronic checks against a
database of safe medication administration parameters and providing
alerts.