NUR 136 TEST #5 UPDATED QUESTIONS AND ANSWERS
Adverse Event - CORRECT ANSWER✅✅✅Unintended harm by an act of commission or omission
rather than as a r/o disease process
Near Miss - CORRECT ANSWER✅✅✅Error of commission or omission that could have harmed a
patient, but harm did not occur as a result of chance
Did not provide care correctly (commission)
Did not provide care (omission)
Sentinel Event - CORRECT ANSWER✅✅✅unexpected occurrence involving death or serious injury
Blunt End and Sharp End errors - CORRECT ANSWER✅✅✅Blunt:
- latent errors
- organizational/system
Sharp:
- active errors
- direct patient care
Just Culture - CORRECT ANSWER✅✅✅Seeks to find a balance between the need to learn from
mistakes and the need for disciplinary action against employees
The Joint Commission - CORRECT ANSWER✅✅✅Develops the NPSG's each year
The TJC is:
- independent
- not for profit
The TJC strives for:
,- quality
- safety
Certifies and accredits over 21,000 organizations:
- ambulatory care, Behavioral health, hospitals, critical access hospitals, home health, LTC, lab services,
outpt surgery offices
- organizations are only responsible for NPSG's that apply to their area
-
NPSG Development - CORRECT ANSWER✅✅✅Based on Sentinel Events (cause serious
physical/psychological injury/death)
Healthcare databases
Medical safety literature
Contain elements of performance
Input from (HCP, consumers, subject matter experts, focus groups, govt agencies)
Some NPSG are new each year and some are held over
*** Purpose:
- organizations must provide care that is ** (high quality, safe, effective)**
Goal 1 (NPSG.01.01.01) Improve the accuracy of pt Id - CORRECT ANSWER✅✅✅Use at least two pt
id's when providing care, treatment, and services
-persons name, assigned ID number, telephone number, or other person specific identifier
Goal 2 (NPSG.02.03.01) Improve the effectiveness of communication among caregivers - CORRECT
ANSWER✅✅✅Report critical results of tests and diagnostic procedures on a timely basis.
- ones that fall outside normal range and may indicate a life threatening situation
- objective is to report results in a timely manner so pt can get prompt care
, Goal 3 (NPSG.03.04.01, NPSG.03.06.01, NPSG.03.05.01) Improve the safety of using medications -
CORRECT ANSWER✅✅✅NPSG.03.04.01 (label all medications, medication containers, and other
solutions on and off the sterile filed in peri operative and other procedural settings) medication
containers include, syringes, medicine cups, and basins
NPSG.03.06.01 (maintain and communicate accurate pt medication information)
NPSG.03.05.01 (reduce the likelihood or pt harm associated with the use of anticoagulant therapy) not
used for short term prophylactic anticoagulation for preventing venous thromboembolism
Goal 6 (NPSG.06.01.01) Reduce pt harm associated with clinical alarm systems - CORRECT
ANSWER✅✅✅Improve the safety of clinical alarm systems.
Goal 7 (NPSG.07.01.01) Reduce the risk of health care associated infections - CORRECT
ANSWER✅✅✅Comply with either the current Center for Disease Control and Prevention (CDC) hand
hygiene guidelines and or the current World Health Organization (WHO) hand hygiene guidelines
Goal 15 (NPSG.15.01.01) the hospital identifies safety risks inherent in its pt population - CORRECT
ANSWER✅✅✅Reduce risks for suicide (apply to pts in psychiatric hospitals/pts being evaluated or
treated for behavioral health conditions as their primary reason for care, apply to pts who express
suicidal ideation during the course of care)
Universal Protocol - CORRECT ANSWER✅✅✅UP.01.02.01 (mark the procedure site)
UP.01.01.01 (conduct a preprocedure verification process)
UP.01.03.01 (a time out performed before the procedure)
Who is on the the team? - CORRECT ANSWER✅✅✅Nursing works as a Team:
- CNA/RN/LPN/unit manager/director/VP/managing director/CNO/DON
Inter professional Team:
- doctor/NP/PT/OT/ speech/language/Chaplin/nurse midwife/paramedic/EMT
Adverse Event - CORRECT ANSWER✅✅✅Unintended harm by an act of commission or omission
rather than as a r/o disease process
Near Miss - CORRECT ANSWER✅✅✅Error of commission or omission that could have harmed a
patient, but harm did not occur as a result of chance
Did not provide care correctly (commission)
Did not provide care (omission)
Sentinel Event - CORRECT ANSWER✅✅✅unexpected occurrence involving death or serious injury
Blunt End and Sharp End errors - CORRECT ANSWER✅✅✅Blunt:
- latent errors
- organizational/system
Sharp:
- active errors
- direct patient care
Just Culture - CORRECT ANSWER✅✅✅Seeks to find a balance between the need to learn from
mistakes and the need for disciplinary action against employees
The Joint Commission - CORRECT ANSWER✅✅✅Develops the NPSG's each year
The TJC is:
- independent
- not for profit
The TJC strives for:
,- quality
- safety
Certifies and accredits over 21,000 organizations:
- ambulatory care, Behavioral health, hospitals, critical access hospitals, home health, LTC, lab services,
outpt surgery offices
- organizations are only responsible for NPSG's that apply to their area
-
NPSG Development - CORRECT ANSWER✅✅✅Based on Sentinel Events (cause serious
physical/psychological injury/death)
Healthcare databases
Medical safety literature
Contain elements of performance
Input from (HCP, consumers, subject matter experts, focus groups, govt agencies)
Some NPSG are new each year and some are held over
*** Purpose:
- organizations must provide care that is ** (high quality, safe, effective)**
Goal 1 (NPSG.01.01.01) Improve the accuracy of pt Id - CORRECT ANSWER✅✅✅Use at least two pt
id's when providing care, treatment, and services
-persons name, assigned ID number, telephone number, or other person specific identifier
Goal 2 (NPSG.02.03.01) Improve the effectiveness of communication among caregivers - CORRECT
ANSWER✅✅✅Report critical results of tests and diagnostic procedures on a timely basis.
- ones that fall outside normal range and may indicate a life threatening situation
- objective is to report results in a timely manner so pt can get prompt care
, Goal 3 (NPSG.03.04.01, NPSG.03.06.01, NPSG.03.05.01) Improve the safety of using medications -
CORRECT ANSWER✅✅✅NPSG.03.04.01 (label all medications, medication containers, and other
solutions on and off the sterile filed in peri operative and other procedural settings) medication
containers include, syringes, medicine cups, and basins
NPSG.03.06.01 (maintain and communicate accurate pt medication information)
NPSG.03.05.01 (reduce the likelihood or pt harm associated with the use of anticoagulant therapy) not
used for short term prophylactic anticoagulation for preventing venous thromboembolism
Goal 6 (NPSG.06.01.01) Reduce pt harm associated with clinical alarm systems - CORRECT
ANSWER✅✅✅Improve the safety of clinical alarm systems.
Goal 7 (NPSG.07.01.01) Reduce the risk of health care associated infections - CORRECT
ANSWER✅✅✅Comply with either the current Center for Disease Control and Prevention (CDC) hand
hygiene guidelines and or the current World Health Organization (WHO) hand hygiene guidelines
Goal 15 (NPSG.15.01.01) the hospital identifies safety risks inherent in its pt population - CORRECT
ANSWER✅✅✅Reduce risks for suicide (apply to pts in psychiatric hospitals/pts being evaluated or
treated for behavioral health conditions as their primary reason for care, apply to pts who express
suicidal ideation during the course of care)
Universal Protocol - CORRECT ANSWER✅✅✅UP.01.02.01 (mark the procedure site)
UP.01.01.01 (conduct a preprocedure verification process)
UP.01.03.01 (a time out performed before the procedure)
Who is on the the team? - CORRECT ANSWER✅✅✅Nursing works as a Team:
- CNA/RN/LPN/unit manager/director/VP/managing director/CNO/DON
Inter professional Team:
- doctor/NP/PT/OT/ speech/language/Chaplin/nurse midwife/paramedic/EMT
