NSG 100 MIDTERM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
what is safety?
freedom from accidental injury
what is an HAI?
hospital acquired infection
what is an adverse event?
event that results in unintended harm to the patient by an act of commission or omission
rather than by the underlying disease or condition of the patient
what is a sentinel event?
an unexpected occurrence involving death or serious physical or psychological injury, or
the risk thereof
what is a serious reportable event/never event?
an error so serious it should never happen
what is an example of an adverse event?
forgetting to I've a medication due to being distracted or busy
what is an example of a sentinel event?
the quaid twin overdose story where the nurses kept giving too much medication and
the baby overdosed
what is an example of a never event?
a patient dying after a medication error
pressure ulcers, etc.
,what are the seven rights?
right assessment
right patient
right drug
right dose
right route
right time
right documentation
what's the most common cause of non-fatal injuries?
falls
what are chemical restraints?
pharmacologic agents that are administered to control unsafe physical movements and
behaviors
what are physical restraints?
tied or buckled to a patient to limit or restrict movement
what are the guidelines for a restraint?
new order every 24 hours
Q2 assessment
removal of restraints periodically so patient can move body part
toiling, food, and fluids offered regularly
evaluate if restraints can be removed
appropriate and complete documentation
types of errors
,diagnostic
treatment
preventive
communication failure
what's a diagnostic error?
giving the wrong diagnoses to the wrong patient
what's a treatment error?
giving the wrong treatment to the wrong patient
what's a preventive error?
when you see someone about to make a mistake and don't speak up
what's a communication failure error
when a medication is given wrong by multiple nurses
how do errors occur?
organizational system failure
technical failure
latent failure (blunt end)
active failure (sharp end)
what's the sharp end?
errors that occur at the bedside, made by the providers
what's the blunt end?
errors are more organizational, contextual and diffuse in nature
ex) 5 nurses on the floor and 3 nurses being taken away for an inservice
, what's the swiss cheese model?
the idea that for an error to take place, everything needs to line up perfectly
(staff shortage, inexperienced team member, failed to monitor vital signs, poor team
communication)
what are some initiatives for patient safety?
CDC
QSEN: Quality & Safety Education in Nursing
Joint Commission
NDNQI
IOM
NPSF
WHO
What is STEEP?
Safe
Timely
Effective
Equitable
Patient-centered
what does quality measure?
measures or quantifies healthcare processes, outcomes, patient perceptions, and
organizational structure and other systems associated with the ability to provide high-
quality health care
COMPLETE SOLUTIONS VERIFIED
what is safety?
freedom from accidental injury
what is an HAI?
hospital acquired infection
what is an adverse event?
event that results in unintended harm to the patient by an act of commission or omission
rather than by the underlying disease or condition of the patient
what is a sentinel event?
an unexpected occurrence involving death or serious physical or psychological injury, or
the risk thereof
what is a serious reportable event/never event?
an error so serious it should never happen
what is an example of an adverse event?
forgetting to I've a medication due to being distracted or busy
what is an example of a sentinel event?
the quaid twin overdose story where the nurses kept giving too much medication and
the baby overdosed
what is an example of a never event?
a patient dying after a medication error
pressure ulcers, etc.
,what are the seven rights?
right assessment
right patient
right drug
right dose
right route
right time
right documentation
what's the most common cause of non-fatal injuries?
falls
what are chemical restraints?
pharmacologic agents that are administered to control unsafe physical movements and
behaviors
what are physical restraints?
tied or buckled to a patient to limit or restrict movement
what are the guidelines for a restraint?
new order every 24 hours
Q2 assessment
removal of restraints periodically so patient can move body part
toiling, food, and fluids offered regularly
evaluate if restraints can be removed
appropriate and complete documentation
types of errors
,diagnostic
treatment
preventive
communication failure
what's a diagnostic error?
giving the wrong diagnoses to the wrong patient
what's a treatment error?
giving the wrong treatment to the wrong patient
what's a preventive error?
when you see someone about to make a mistake and don't speak up
what's a communication failure error
when a medication is given wrong by multiple nurses
how do errors occur?
organizational system failure
technical failure
latent failure (blunt end)
active failure (sharp end)
what's the sharp end?
errors that occur at the bedside, made by the providers
what's the blunt end?
errors are more organizational, contextual and diffuse in nature
ex) 5 nurses on the floor and 3 nurses being taken away for an inservice
, what's the swiss cheese model?
the idea that for an error to take place, everything needs to line up perfectly
(staff shortage, inexperienced team member, failed to monitor vital signs, poor team
communication)
what are some initiatives for patient safety?
CDC
QSEN: Quality & Safety Education in Nursing
Joint Commission
NDNQI
IOM
NPSF
WHO
What is STEEP?
Safe
Timely
Effective
Equitable
Patient-centered
what does quality measure?
measures or quantifies healthcare processes, outcomes, patient perceptions, and
organizational structure and other systems associated with the ability to provide high-
quality health care
