Certified Professional In-Patient Safety, CPPS Patient Safety Certification, National Patient Safety Goals, Patient Safety And Risk Management

Certified Professional In-Patient Safety, CPPS Patient
Safety Certification, National Patient Safety Goals, Patient
Safety And Risk Management

,Certified Professional In-Patient Safety, CPPS Patient
Safety Certification, National Patient Safety Goals, Patient
Safety And Risk Management


preventable adverse events - Correct Answer-those that occurred due to error or failure
to apply an accepted strategy for prevention

Ameliorable adverse event - Correct Answer-events that, while not preventable, could
have been less harmful if care had been different

adverse events due to negligence - Correct Answer-those that occurred due to care that
falls below the standards expected of clinicians in the community

near miss - Correct Answer-an unsafe situation that is indistinguishable from a
preventable adverse event except for the outcome - exposed but does not experience
harm either through luck or early detection

error - Correct Answer-broader term referring to any act of commission or omission that
exposes patients to a potentially hazardous situation

adverse event - Correct Answer-An injury caused by medical management (rather than
the underlying disease) and that prolonged the hospitalization, produced at disability at
the time of discharge, or both

commision - Correct Answer-doing something wrong

omission - Correct Answer-failing to do the right thing

minimize alert fatigue - Correct Answer-1. increase alert specificity to reduce
inconsequential alerts
2. tier alerts according to severity
3. make only high level/severe alerts interruptive
4. use human factors principles

three concepts that influence safety in ambulatory care - Correct Answer-1. role of pt
and caregiver behaviors
2. role of provider-pt interactions
3. role of community and health system

checklist - Correct Answer-Algorithmic listing of actions to be performed for a given
clinical procedure designed to ensure that no matter how often performed by a given
clinician, no step will be forgotten
reduce risk of slips
consensus of required behaviors

, Certified Professional In-Patient Safety, CPPS Patient
Safety Certification, National Patient Safety Goals, Patient
Safety And Risk Management

slips - Correct Answer-failure of schematic (autopilot) behaviors
lapses in concentration, distractions, or fatigue

mistake - Correct Answer-failures in attentional behavior
lack of experience or insufficient training

Situational Awareness - Correct Answer-the ability to access and track relevant to the
task,
comprehend the data,
forecast what may happened based on the data, and
formulate an appropriate plan in response

situational awareness cannot be achieved without - Correct Answer-clear and high-
quality communication between all providers

most common root cause of sentinel events - Correct Answer-communication

elements that affect communication - Correct Answer-1. rigid hierarchies
2. overtly disruptive and unprofessional behavior
3. nonverbal cues
4. interpersonal relations
5. group dynamics

communication tools - Correct Answer-read-back protocols
SBAR
teamwork training

CDSS - Correct Answer-Clinical Decision Support System
assist healthcare providers in the actual diagnosis and treatment of patients, analyze
data from clinical information systems
avoids commission and omission errors

unintended consequences of CPOE - Correct Answer-1. more or new work for clinicians
2. unfavorable workflow
3. never-ending system demands
4. persistence of paper orders
5. changes in communication patterns and practices
6. neg towards new technology
7. new types of errors
8. change in power structure, org culture , or professional roles