ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% PASS | 2025 UPDATE!
A hospital's patient safety team is exploring strategies to reduce the
number of patient identification errors in the lab specimen collection
process. Which of the following strategies will provide the highest
impact in reduction of errors?
A. Revise the process to allow only one specimen label on the
nurse/phlebotomist tray at a time.
B. Educate all nurses and phlebotomists to ask about patient identifiers
before obtaining specimen.
C. Utilize barcode scanners to generate a specimen label at the bedside.
D. Standardize the process to require the nurse/phlebotomist to ask the
patient to state their name prior to the specimen collection. - ✔✔✔
Correct Answer > C. Utilize barcode scanners to generate a specimen
label at the bedside.
Utilizing bar code scanners is the correct answer because it entails a
forcing function at the bedside. After scanning the armband, the
correct label for that patient will print from the scanner.
,Which of the following statements best describes the science of human
factors?
A. It consists of a set of principles that can be learned during training.
B. It represents the intersection of medicine and engineering.
C. It is applied to address problems by modifying the design of the
system to better aid the people in it.
D. It is about eliminating human error. - ✔✔✔ Correct Answer > C. It
is applied to address problems by modifying the design of the system to
better aid the people in it.
Human factors science can't eliminate errors, but it can be applied to
help modify the design of the system to aid people in performing
better, given their limitations as human beings.
In regard to the other options: Education is always the lowest impact
(soft fix) in any action plan. Changing processes is better but will still
rely on individuals to do the right thing, e.g., the nurse/phlebotomist
would need to make sure multiple labels were not on the tray, which is
a common shortcut to avoid having to walk back and forth between
specimen collections. Direct observation would be required to make
sure people didn't introduce workarounds.
In the context of failure modes and effects analysis (FMEA), how is the
risk priority number (RPN) used?
A. It prioritizes the failure modes that do not require action.
B. It specifies the failure modes that have been shown to cause harm.
,C. It identifies the highest priority failure modes to address.
D. It calculates the failure modes that will create the most errors -
✔✔✔ Correct Answer > C. It identifies the highest priority failure
modes to address.
The Risk Priority Number (RPN) is a score that provides the team a way
to identify the highest risk failure modes in descending order. If the
team does not have the resources to address all the identified risks, this
number can be used to filter out failure modes that are acceptable in
the current state.In regard to the other answer options: The RPN does
not determine that an action is not required; that determination comes
from the team evaluating the issue at hand, and, to some degree, may
be decided based on time and resources available. The RPN does not
identify error potential or represent harm that has already occurred; it
identifies the impact of a failure mode if it does occur.
Team Strategies and Tools to Enhance Performance and Patient Safety
(TeamSTEPPS) is a process improvement program that can be used to:
A. Reduce waste.
B. Find the root cause of an incident.
C. Help address disruptive behavior.
D. Eliminate variation. - ✔✔✔ Correct Answer > C. Help address
disruptive behavior.
, TeamSTEPPS can be used to increase communication skills with teams
and reduce the risk of miscommunication that can lead to disruptive
behavior.
In regard to the other answer options: Finding the root cause of an
incident is performing a root cause analysis. Reducing waste is Lean
process improvement, and eliminating variation is Six Sigma.
Your organization utilizes a "home grown" electronic safety event
reporting system that is no longer meeting the needs of the
organization. Hospital administration is asking for your opinion: What
would you do for next steps to identify a replacement system?
A. Ask Information Systems to either fix the old system or build a new
one.
B. Purchase the least expensive software.
C. Identify key stakeholders and perform a gap analysis of current state
to ideal state.
D. Poll colleagues and purchase what they use. - ✔✔✔ Correct
Answer > C. Identify key stakeholders and perform a gap analysis of
current state to ideal state.
Performing a thorough search of available products that meet the
standards for the organization is the primary action you should take.
Once the collated information is obtained, convening a meeting with
the key stakeholders (nursing, medicine, finance, patient safety, legal,
etc.) to determine the organizational needs in relation to the intended
financial impact and return on investment may be required.