Nursing Quality and Safety Exam 1
"Sharp end" of health care - ANS - -Nurses
2021 TJC Hospital NPSG 01.03.01: Prevent mistakes in surgery - ANS - Pause
before the surgery to make sure that a mistake is not being made
2021 TJC Hospital NPSG 03.06.01: Use medicines safely - ANS - Record and pass
along correct information about a patient's medicine. Find out what medicines the
patient is taking. Compare those medicines to new medicines given to the patient. Give
the patient written information about the medicines they need to take. Tell the patient it
is important to bring their up-to-date list of medicines every time they visit a doctor
2021 TJC Hospital NPSG 1: Identify patients correctly - ANS - Use at least two ways
to identify patients. For example, use the patient's name and date of birth. This is done
to make sure that each patient gets the correct medicine and treatment
2021 TJC Hospital NPSG 15: Identify patient safety risks s - ANS - Reduce the risk for
suicide
2021 TJC Hospital NPSG 2: Improve staff communication - ANS - Get important test
results to the right staff person on time
2021 TJC Hospital NPSG 3. 04. 01: Use medicines safely - ANS - Before a
procedure, label medicines that are not labeled. For example, medicines in syringes,
cups and basins. Do this in the area where medicines and supplies are set up
2021 TJC Hospital NPSG 3.05.01: Use medicines safely - ANS - Take extra care with
patients who take medicines to thin their blood
2021 TJC Hospital NPSG 6: Use alarms safely - ANS - Make improvements to ensure
that alarms on medical equipment are heard and responded to on time
2021 TJC Hospital NPSG 7: Prevent infection - ANS - Use the hand cleaning
guidelines from the Centers for Disease Control and Prevention or the World Health
,Organization. Set goals for improving hand cleaning. Use the goals to improve hand
cleaning.
2021 TJC Hospital NPSG UP 01.01.01: Prevent mistakes in surgery - ANS - Make
sure that the correct surgery is done on the correct patient and at the correct place on
the patient's body
2021 TJC Hospital NPSG UP 01.02.01: Prevent mistakes in surgery - ANS - Mark the
correct place on the patient's body where the surgery is to be done
4 types of variation - ANS - -The underuse of effective treatment or intervention
-The misuse of preference-sensitive treatments
-Variations in outcomes attributable to the quality of care
-The overuse of supply-sensitive services
A ________ ____________, initially defined for health care by the lawyer and engineer
David Marx, recognizes that competent professionals make mistakes. However, it has
zero tolerance for reckless behavior. - ANS - Just culture
A medical unit in a hospital is in the midst of hiring some new physicians. During an
orientation for new employees, a senior leader stands up and says, "We expect that the
same rules apply to everyone on the unit, regardless of position."
Which aspect of a culture of safety does this unit seem to value?
A. Psychological safety
B. Accountability
C. Negotiation
D. None of these - ANS - B. Accountability
According to IHI, making dramatic improvements in patient safety will require which of
the commitments?
A. Recognizing that most patient harm is caused by bad systems and not bad people
B. Avoiding lawsuits related to medical errors at all costs
C. Singling out individuals who refuse to work in teams and take disciplinary action
against them
D. Patients and their families are the only ones affected by adverse events - ANS - A.
Recognizing that most patient harm is caused by bad systems and not bad people
, According to Steve Spear, the first step in building a system in which problems are
routinely "seen and solved" is:
A. Defining normal and helping workers to recognize abnormality
B. Replacing middle managers who are not focused on improvement
C. Escalating system-wide problems
D. Performing a root cause analysis - ANS - A. Defining normal and helping workers
recognize abnormality
According to WHO, in developed countries worldwide, what is the approximate
likelihood that a hospitalized patient will be harmed while receiving care?
A. <1%
B. 10%
C. 50%
D. >75% - ANS - B. 10%
Accountability - ANS - Holding individuals responsible for acting in a safe and
respectful manner when they are given the training and support to do so
Active errors - ANS - Frontline operator
All nurses that work together on the same intensive care unit are trained on new IV
pump equipment and medication administration protocols. This is an example of which
of the 5 principles for the design of safety systems in health care organizations?
A. Create a learning environment
B. Anticipate the unexpected
C. Promote effective team functioning
D. Respect human limits in process design
E. Provide leadership - ANS - C. Promote effective team functioning
An organization's _________ ____________ is the product of individual and group
values, attitudes, competencies, and behaviors that form the foundation on which to
build a learning system - ANS - Safety culture
Anita, a nurse practitioner, is seeing Mr. Drummond in clinic. Mr. Drummond is a
57-year-old man with diabetes and chronic kidney disease. Having kept up on the
literature, Anita is aware that tightly controlling his diabetes can slow the progression of
his renal disease. She discusses her plan to increase his dose of glargine (long-acting
"Sharp end" of health care - ANS - -Nurses
2021 TJC Hospital NPSG 01.03.01: Prevent mistakes in surgery - ANS - Pause
before the surgery to make sure that a mistake is not being made
2021 TJC Hospital NPSG 03.06.01: Use medicines safely - ANS - Record and pass
along correct information about a patient's medicine. Find out what medicines the
patient is taking. Compare those medicines to new medicines given to the patient. Give
the patient written information about the medicines they need to take. Tell the patient it
is important to bring their up-to-date list of medicines every time they visit a doctor
2021 TJC Hospital NPSG 1: Identify patients correctly - ANS - Use at least two ways
to identify patients. For example, use the patient's name and date of birth. This is done
to make sure that each patient gets the correct medicine and treatment
2021 TJC Hospital NPSG 15: Identify patient safety risks s - ANS - Reduce the risk for
suicide
2021 TJC Hospital NPSG 2: Improve staff communication - ANS - Get important test
results to the right staff person on time
2021 TJC Hospital NPSG 3. 04. 01: Use medicines safely - ANS - Before a
procedure, label medicines that are not labeled. For example, medicines in syringes,
cups and basins. Do this in the area where medicines and supplies are set up
2021 TJC Hospital NPSG 3.05.01: Use medicines safely - ANS - Take extra care with
patients who take medicines to thin their blood
2021 TJC Hospital NPSG 6: Use alarms safely - ANS - Make improvements to ensure
that alarms on medical equipment are heard and responded to on time
2021 TJC Hospital NPSG 7: Prevent infection - ANS - Use the hand cleaning
guidelines from the Centers for Disease Control and Prevention or the World Health
,Organization. Set goals for improving hand cleaning. Use the goals to improve hand
cleaning.
2021 TJC Hospital NPSG UP 01.01.01: Prevent mistakes in surgery - ANS - Make
sure that the correct surgery is done on the correct patient and at the correct place on
the patient's body
2021 TJC Hospital NPSG UP 01.02.01: Prevent mistakes in surgery - ANS - Mark the
correct place on the patient's body where the surgery is to be done
4 types of variation - ANS - -The underuse of effective treatment or intervention
-The misuse of preference-sensitive treatments
-Variations in outcomes attributable to the quality of care
-The overuse of supply-sensitive services
A ________ ____________, initially defined for health care by the lawyer and engineer
David Marx, recognizes that competent professionals make mistakes. However, it has
zero tolerance for reckless behavior. - ANS - Just culture
A medical unit in a hospital is in the midst of hiring some new physicians. During an
orientation for new employees, a senior leader stands up and says, "We expect that the
same rules apply to everyone on the unit, regardless of position."
Which aspect of a culture of safety does this unit seem to value?
A. Psychological safety
B. Accountability
C. Negotiation
D. None of these - ANS - B. Accountability
According to IHI, making dramatic improvements in patient safety will require which of
the commitments?
A. Recognizing that most patient harm is caused by bad systems and not bad people
B. Avoiding lawsuits related to medical errors at all costs
C. Singling out individuals who refuse to work in teams and take disciplinary action
against them
D. Patients and their families are the only ones affected by adverse events - ANS - A.
Recognizing that most patient harm is caused by bad systems and not bad people
, According to Steve Spear, the first step in building a system in which problems are
routinely "seen and solved" is:
A. Defining normal and helping workers to recognize abnormality
B. Replacing middle managers who are not focused on improvement
C. Escalating system-wide problems
D. Performing a root cause analysis - ANS - A. Defining normal and helping workers
recognize abnormality
According to WHO, in developed countries worldwide, what is the approximate
likelihood that a hospitalized patient will be harmed while receiving care?
A. <1%
B. 10%
C. 50%
D. >75% - ANS - B. 10%
Accountability - ANS - Holding individuals responsible for acting in a safe and
respectful manner when they are given the training and support to do so
Active errors - ANS - Frontline operator
All nurses that work together on the same intensive care unit are trained on new IV
pump equipment and medication administration protocols. This is an example of which
of the 5 principles for the design of safety systems in health care organizations?
A. Create a learning environment
B. Anticipate the unexpected
C. Promote effective team functioning
D. Respect human limits in process design
E. Provide leadership - ANS - C. Promote effective team functioning
An organization's _________ ____________ is the product of individual and group
values, attitudes, competencies, and behaviors that form the foundation on which to
build a learning system - ANS - Safety culture
Anita, a nurse practitioner, is seeing Mr. Drummond in clinic. Mr. Drummond is a
57-year-old man with diabetes and chronic kidney disease. Having kept up on the
literature, Anita is aware that tightly controlling his diabetes can slow the progression of
his renal disease. She discusses her plan to increase his dose of glargine (long-acting
