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According to WHO, in developed countries world wide, what is the approximate
likelihood that a hospitalized patient will be harmed while receiving care?
A. <1%
B. 10%
C. 50%
D. >75%
B. 10%
Since the publication of To Err Is Human in 1999, the health care industry overall
has seen which of the following improvements?
A. a 75 percent reduction in preventable med errors
B. stronger repurcussions for providers who commit preventable med errors
C. Wider awareness that preventable errors are a problem
D. Wider recognition that med errors are most often attributable to individual
performance
C. Wider awareness that preventable errors are a problem
Safety has been called a "dynamic non-event" because when human are in a
potentially hazardous environment:
A. it is natural to establish and follow safe practices
B. it requires the same kind of thinking that causes problems to set them right
, C. it takes significant work to ensure nothing bad happens
D. there is generally a high prevalence of near-misses
C. It takes significant work to ensure nothing bad happens
James is a first-year surgery resident on his first pediatric rotation. His attending
(consultant) asks him to start intravenous (IV) replacement fluids on a two-year-
old boy who is having vomiting and diarrhea. Having trouble remembering the
guidelines for calculating fluid replacement rates for very small children, James
asks Maria, a nurse on the unit. Maria responds, "You're the doctor. It's your job
to decide this." James picks a rate that is much too high, putting the child into
fluid overload.
To prevent this type of errors from recurring in this unit, which of the following is
MOST important?
A. Clear medical guidelines for fluid replacement in patients of all ages
b) An improved culture of safety and teamwork
c) Closer supervision of residents, especially in the first year
d) More severe, well-publicized consequences for providers who are reckless
B. An improved culture of safety and teamwork
Who is likely to be negatively affected by this medical error?
a) The patient and his family
b) James (the first-year surgery resident)
c) Maria (the nurse on the unit)
d) All of the above
D. All of the above