CPPS DOMAIN 3 PATIENT SAFETY RISKS & SOLUTIONS | Exams Social Sciences

CPPS DOMAIN 3: PATIENT SAFETY RISKS &

SOLUTIONS

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 for next steps. What next steps would you take to identify a replacement

system?

A. Ask Information Systems to either fix the old one or build a new one.

B. Identify key stakeholders and perform a gap analysis of current state to ideal state.

C. Poll colleagues and purchase what they use

D. Purchase the least expensive software and grow with it. - Answers - B. Identify key

stakeholders and perform a gap analysis of current state to ideal state.

Your organization is preparing to change to a new electronic health record. Many

departments have been involved with the planning of this huge effort. What would you

suggest as part of the preparation strategy?

A. Conduct a root cause analysis (RCA).

B. Conduct a failure modes and effects analysis (FMEA).

C. Offer a "plan, do, study, act" session.

D. Offer to do a claims analysis for any related errors. - Answers - B. Conduct a failure

modes and effects analysis (FMEA).

A new cath lab is under construction in your hospital, and the medical director contacts

you to express concerns related to the transport of patients from the cath lab to the ICU.

You agree to assist in the design of a FMEA. Components of the FMEA will include:

A. Assembling a multidisciplinary team whose members will brainstorm potential

failures.

B. Conducting the "5 Whys" to figure out what could go wrong

C. Listing potential root cuases of adverse events in the current cath lab

D. Asking the medical director to participate in leadership rounds in the current cath lab

to identify potential safety risks. - Answers - A. Assembling a multidisciplinary team

whose members will brainstorm potential failures

A new medication administration safety process was implemented in a hospital. A team

convened to perform a failure modes and effects analysis (FMEA) and calculate a risk

priority number (RPN). AFter a targeted medication safety program on the new process

was delivered to nurses, the same team was convened to perform another FMEA. The

team would be happy to see:

A. The detectability increased and RPNs were lower.

B. The detectability decreased and RPNs were lower.

C. The frequency numbers decreased and RPNs were higher

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CPPS DOMAIN 3: PATIENT SAFETY RISKS &

SOLUTIONS

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 for next steps. What next steps would you take to identify a replacement system? A. Ask Information Systems to either fix the old one or build a new one. B. Identify key stakeholders and perform a gap analysis of current state to ideal state. C. Poll colleagues and purchase what they use D. Purchase the least expensive software and grow with it. - Answers - B. Identify key stakeholders and perform a gap analysis of current state to ideal state. Your organization is preparing to change to a new electronic health record. Many departments have been involved with the planning of this huge effort. What would you suggest as part of the preparation strategy? A. Conduct a root cause analysis (RCA). B. Conduct a failure modes and effects analysis (FMEA). C. Offer a "plan, do, study, act" session. D. Offer to do a claims analysis for any related errors. - Answers - B. Conduct a failure modes and effects analysis (FMEA). A new cath lab is under construction in your hospital, and the medical director contacts you to express concerns related to the transport of patients from the cath lab to the ICU. You agree to assist in the design of a FMEA. Components of the FMEA will include: A. Assembling a multidisciplinary team whose members will brainstorm potential failures. B. Conducting the "5 Whys" to figure out what could go wrong C. Listing potential root cuases of adverse events in the current cath lab D. Asking the medical director to participate in leadership rounds in the current cath lab to identify potential safety risks. - Answers - A. Assembling a multidisciplinary team whose members will brainstorm potential failures A new medication administration safety process was implemented in a hospital. A team convened to perform a failure modes and effects analysis (FMEA) and calculate a risk priority number (RPN). AFter a targeted medication safety program on the new process was delivered to nurses, the same team was convened to perform another FMEA. The team would be happy to see: A. The detectability increased and RPNs were lower. B. The detectability decreased and RPNs were lower. C. The frequency numbers decreased and RPNs were higher

D. The frequency numbers increased and RPNs were lower - Answers - A. The detectability increased and RPNs were lower. Sharing of lessons learned from RCAs does what? A. Exposes the fallibility of the involved clinician(s). B. Allows others to introduce work-arounds to avoid the same situation. C. Allows co-workers to learn the rationale for why an event occurred and incorporate new lessons learned into practice. D. Sharing these events allows for exposure from litigation perspective and should not be encouraged. - Answers - C. Allows co-workders to learn the rationale for why an event occurred and incorporate new lessons learned into practice. An incident involving a retained sponge following surgery has been determined to be reviewable under the Joint Commission sentinel event policy. A root cause analysis (RCA) will be performed. TJC considers the RCA to be credible if: A. It is reviewed and signed by a patient safety professional. B. There is participation by leadership and individuals closely involved in the process. C. Corrective actions have been developed and completed. D. A single, clearly defined root cause has been identified. - Answers - B. There is participation by leadership and individuals closely involved in the process. What is the best strategy/technique to identify and eliminate known and/or potential problems and errors from a system, design, process, and/or service before they occur? A. Failure modes and effects analysis (FMEA) B. Plan-Do-Study-Act (PDSA) C. Root Cause Analysis (RCA) D. Define, MEasure, Analyze, Improve, Control (DMAIC) - Answers - A. Failure modes and effects analysis (FMEA) - proactive A serious adverse event resulting in a patient death has occurred at your facility. According to TJC's policy on sentinel events, what is the first step in the root cause analysis (RCA) process? A. Gather appropriate information. B. Identify factors that contributed to the event. C. Identify RCA team members D. Perform individual interview with involved staff members. - Answers - C. Identify RCA team members. A hospital's patient safety team is exploring strategites 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?

Your hospital is considering implementing a robotic surgery program. As a patient safety professional you are concerned about the potential for patient injury associated with this new technology. The most appropriate tool/technique for assessing potential risks associated with implementation of a new technology is: A. Patient Safety Leadership Walk Rounds B. Root Cause Analysis (RCA) C. Failure Modes & Effects Analysis (FMEA) D. Meaningful Use Evaluation - Answers - C. Failure Modes & Effects Analysis (FMEA) An organization is getting ready to replace their IV pumps with brand new, more complex IV pumps. Which of the following actions below should be performed first prior to implementing the new IV pumps? A. Perform a root cause analysis with the medication safety officer. B. Gather a multi-disciplinary team and do a failure modes & effects analysis. C. Hold a meeting with clinical engineering, patient safety officer, and medication safety officer. D. Immediately start training the clinical staff. - Answers - B. Gather a multi-disciplinary team and do a failure modes and effects analysis. A strategy used to overcome failure in a process is the use of a checklist. To match the limit of working memory, a rule of thumb when creating a checklist is to keep the number of tasks between how many items? A. 1- 5 B. 3- 10 C. 5- 9 D. 10- 15 - Answers - C. 5- 9 When reviewing a serious harm event through the root cause analysis process, what elements should be considered for the individual's involved? A. Whether a claim was filed with risk management. B. There was harm, therefor, the person(s) involved must be at fault. C. The contribution of systems factors on the individual's behavior. D. How many years the individual has been practicing. - Answers - C. The contribution of systems factors on the individual's behavior. A patient safety professional wants to enhance a culture of safety of reporting by introducing a quick, easy, and visual tool that provides opportunities for frontline staff to share defects, promote their risk awareness, and share in resolution of defects, The most suitable tool is: A. Patient safety leadership walk rounds

B. Learning boards C. Failure modes and effects analysis D. Root cause analysis - Answers - B. Learning boards

CPPS DOMAIN 3 PATIENT SAFETY RISKS & SOLUTIONS, Exams of Social Sciences

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Download CPPS DOMAIN 3 PATIENT SAFETY RISKS & SOLUTIONS and more Exams Social Sciences in PDF only on Docsity!

CPPS DOMAIN 3: PATIENT SAFETY RISKS &

SOLUTIONS