Reducing Medical Errors: Strategies for Improving Patient Safety, Exams of Advanced Education

Download Reducing Medical Errors: Strategies for Improving Patient Safety and more Exams Advanced Education in PDF only on Docsity!

MEDICAL ERRORS

Healthcare is a highly regulated business because of (b) Severe consequence of medical errors Competency involves checking (d) All the above Performance Improvement is defined as: (b) A way to systematically monitor, analyze, and improve an organization's performance and outcomes Segregation means that a process is separated from the rest of a clinical setting to reduce or eliminate errors. This eliminates the potential error; however, it is: (b) Too expensive and impractical Avoidance is a technique that eliminates the possibility of a loss, also known as a forcing function. An example of this technique is: (a) Designing equipment to make it impossible to use it incorrectly Risk control techniques include: (d) All the above Cross-training employees is a form of duplication. (a) True A Sentinel Event is defined as: (c) A patient safety event that results in death, severe harm, or permanent harm Root Cause Analysis is a process that helps identify and clarify the bottom-line factors that precipitate an error or near miss. (a) True The Root Cause Analysis process repeatedly digs deeper into an issue by asking (d) Why TJC requires the use of Root Cause Analysis to investigate the processes and systems that contribute to a sentinel event. The tool to help in this process is: (b) Framework for Root Cause Analysis and Corrective Actions The healthcare professional should document in the patient's chart which of the following items: All of the above When documenting in a patient's chart, the healthcare professional should do all of the following EXCEPT: Use abbreviations to save space Solutions reached by trial and error, or workarounds, might shift the risk elsewhere. (a) True Reason's model of human error: (d) All the above The study of human cognitive process is: (c) How we think and remember Information acquired through education and experience is: (b) Stored in long-term memory Most human errors related to human/machine interactions are due to: (c) Both of the above

One of the major contributors to errors is fatigue caused by: (a) Loss of sleep and circadian rhythm changes Workarounds make the process faster and do not cause an error. (b) False Equipment becomes a practice environment problem when: (d) All the above One human factor involved in hand-off errors is poor communication. (a) True The angry healthcare provider may be dangerous because he/she is: (d) All the above An emotionally distressed employee can manifest increased risk-taking behavior, such as: (d) All the above Standards of practice and hospital policies are instituted and established for patient safety. True Attitudes that predispose to risk-taking behavior and increase the risk of errors include all the following except: (c) Desire to be a follower, not a leader Work should be designed to minimize the requirements for particularly fallible human functions such as: (a) Tasks requiring short-term memory and prolonged attention The best way to reduce reliance on memory for high-risk procedures, or multi-step processes, is by: (b) Using checklists Medication errors are complex and are rarely the result of one person's actions. (a) True Areas of medication administration that are particularly error-prone are: (e) All the above The most effective method to reduce medication prescription errors is: (c) Requiring physicians to enter computerized orders An IV pump with built-in anti-free-flow is a pump that does the following: (b) Automatically clamps IV tubing when it is removed from the pump IV pump inservice should include staff who may not be administering medication but may handle the infusion pumps, such as aides, radiology technicians, and transporters. (a) True Which of the following is NOT a step in the medication reconciliation process? (e) Communicate the list to the patient's family Misconnection of tubing can lead to patient deaths. (a) True Which of the following is a measure to be taken to reduce misconnecting tubing? (c) Emphasize the risk of tubing misconnections in orientation and training curricula Misconnecting tubing can be stopped if the following is done: Connect tubing with connectors made for that purpose Always trace a tube or catheter from the patient to the origin point before connecting any new device or infusion.

(a) True The family should be trained to connect tubing to avoid errors. (b) False Involving staff in purchasing and planning new technology is not needed. (b) False During the introduction of new technology (a) Continuously monitor for problems All alarms are important. Identifying priority alarms is not an issue. (b) False Authorize all levels of staff to disable or silence alarms to avoid wasting time. False Use at least two identifiers when providing care for a patient. (a) True