Certified Professional in Patient Safety Questions And Answers Verified 100% Correct

Certified Professional in Patient Safety Questions And Answers Verified 100% Correct Debriefing - ANSWER dialogue to learn from defects and improve performance through goal discussion, reflection to incorporate improvement or discover opportunities in future performance simulation real-life emergency responses teamSTEPPS Components of debriefing - ANSWER 1. setting the stage 2. description or reactions 3. analysis 4. application plus delta debriefing - ANSWER 1. What went well? 2. What did not go well? 3. what can we do differently or what needs to change to improve care? debriefing framework - ANSWER team evaluates if: had clear communication understanding of roles & responsibilities maintained sit awareness distributed workload cross-monitoring (asked and offered help prn) made, mitigated, or corrected errors detecting errors and safety hazards - ANSWER goal to prospectively id hazards before pt harmed and analyzing events that have occurred to id and address underlying systems flaws FMEA - ANSWER Failure Mode and Effects Analysis 1. id all process steps "process mapping" 2. how each step can go wrong "failure modes" 3. impact of each error 4. likelihood of process failure 5. chance of detecting failure 6. impact of error SWIFT - ANSWER structured what-if technique perceived safety problems can be detected through - ANSWER safety culture surveys executive walk rounds techniques to retrospectively id safety hazards - ANSWER 1. screen larger datasets for evidence of preventable adverse events that merit further investigation (trigger tools, patient safety indicators) 2. analyze individual cases of adverse events (RCA, mortality reviews, in depth investigation) Patient Safety and Quality Improvement Act - ANSWER Jan 2009 confidential and privilege protections for pt safety info when HCP work with Patient Safety Organizations hazard detection methods - ANSWER voluntary error reports malpractice claims pt complaints executive walk rounds risk mgmt. database per Harvard Medical Practice Study, what % of errors were diagnostic - ANSWER 17% 9% were undetected while pt was alive heuristics - ANSWER Mental shortcuts or "rules of thumb" that often lead to a solution (but not always) availability heuristic - ANSWER dx of current pt biased by experience with past cases (crushing chest pain=MI) anchoring heuristic - ANSWER relying on initial dx impression despite subsequent info to the contrary (BC with corynebacterium txed as contaminant when endocarditis) framing effects - ANSWER dx decision making unduly biased by subtle cues and collateral information (addicted pt with abd pain tx for withdrawal but had bowel perf) blind obedience - ANSWER undue reliance on test results or expert opinion (false neg rapid Strept test) prominent reason for malpractice claims - ANSWER missed or delayed dx predisposing factors for dx error in ES and surgery - ANSWER poor teamwork communication gold standard for diagnosis - ANSWER autopsy goals is to have 25% inpt deaths autopsied prevent dx errors - ANSWER 1. info technology hoen triage 3. teamwork & communication training 4. increased supervision of trainees mega-cognition - ANSWER cognitive psychology reflect on own thinking with the hope to catch own misuse of heuristics before cause harm components of disclosure that matter most to pts - ANSWER 1.