HCQM-Patient Safety Test Questions and
Answers
Question 1
First organization developed expressly to improve safety for patients.
Correct Answer
Anesthesia Patient Safety Foundation - founded 1985.
Question 2
Ellison Pierce
Correct Answer
Established the Committee on Patient Safety and Risk Management in 1982; coined
the term "patient safety", founded the Anesthesia Patient Safety Foundation in 1985;
delivered the Rovenstine Lecture in 1996.
Question 3
1996's Rovenstine Lecture (40 Years behind the Mask: Safety Revisited)
Correct Answer
Ellison Pierce described the beginning of anesthesiology's patient safety movement
Question 4
1982 20/20's The Deep Sleep: 6000 will Die or Suffer Brain Damage
Correct Answer
Inspired Pierce's Rovenstine Lecture about patient safety
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, HCQM-Patient Safety Test Questions and Answers
Question 5
After attending a workshop by Deming, Berwick realized he was misguided because
he had been
Correct Answer
An inspector rather than a promoter of quality.
Question 6
1988 Institute for Healthcare Improvement was founded by
Correct Answer
Don Berwick, Paul Batalden, and Gene Nelson. The institute focuses on all aspects of
quality, but their discovery of a modern approach to quality helped transform the
patient safety movement.
Question 7
Harvard Medical Practice Study I and II
Correct Answer
Published in 1991 by the New England Journal of Medicine it had the results from
two large studies of adverse medical events and provided the evidence that
significant numbers of patients are harmed by medical treatment and a framework
for understanding the types of harm they experience.
Question 8
Harvard Medical Practice Study I
Correct Answer
30,000 Medical records from 1984 non psych hospitals in NYS were screened for
adverse events (injury caused by medical management rather than underlying
disease and prolonged the hospitalization or produced a disability at the time of
discharge) and negligence (care falling below the standard expected of physicians in
their community).
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, HCQM-Patient Safety Test Questions and Answers
Question 9
Harvard Medical Practice Study II
Correct Answer
Classified the injuries described in Study I and the management errors that were
responsible.
Question 10
Results of Harvard Medical Study II
Correct Answer
Adverse events occurred in 3.7% of hospitalizations and 27.6% of the events were
due to negligence. 70.5% gave rise to disability lasting less than six months, 2.6%
caused permanently disabling injuries and 13.6% led to death. Unfortunately it did
not lead to immediate change.
Question 11
Lucian Leape
Correct Answer
Co-author of the Harvard Medical Practice Study; prominent leader in the patient
safety movement; discovered how cognitive psychology and human factors
engineering were important aspects of improving patient safety
Question 12
1994's Error in Medicine published in the Journal of the American Medical Association
Correct Answer
Written by Lucian Leape it presented statistical evidence of the occurrence of harm
caused by medical errors along with lessons from other high risk industries such as
aviation.
Question 13
The first mainstream article in healthcare literature arguing for a systems approach to
safety.
Correct Answer
Error in Medicine by Lucian Leape.
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