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CEUFast - Test Results Medical
Errors, Exams of Nursing
1.Healthcare is a highly regulated business because of. ----------Severe consequence of medical errors
- Competency involves checking. ---------- All the above
- Performance Improvement is defined as: --------- A way to systematically monitor, analyze, and improve an organization’s performance and outcomes
- Risk control techniques include: ---------- All the above
- Avoidance is a technique that eliminates the possibility of a loss, also known as a forcing function. An example of this technique is: --------- Designing equipment to make it impossible to use it incorrectly
- 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: The correct answer is: Too expensive and impractical
- Cross-training employees is a form of duplication. ---------- True
- A Sentinel Event is defined as: ------------ 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. ------- True
- The Root Cause Analysis process repeatedly digs deeper into an issue by asking. ----------- 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: ---------- Framework for Root Cause Analysis and Corrective Actions 12.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 14.Solutions reached by trial and error, or workarounds, might shift the risk elsewhere. ----------- True
- Reason’s model of human error: ------------ All the above
False (Bad outcomes are not necessarily medical errors. These are unfortunate events that can occur even when everything is done correctly and well.) 25.Four basic true, finding practices include? Leading with questions, not answers. Engaging in dialogue, debate, no coercion. Conducting a thorough review of issues, and or events without finger - pointing. Building " red flag" mechanisms, that turn information, into information that cannot be ignored. 26.Six topic areas that define a healthy environment include Skilled communication True collaboration Effective decision - making Appropriate staffing Meaningful recognition Authentic leadership 27.Other staff factors that increase the risk of medical errors include Substance abuse Lack of adequate sleep sleep Illness Distraction and emotional states Equipment design flaws are in adequate or inappropriate labeling or instructions for safe use 28.Lack of adequate sleep raises the risk of medical errors by what percentage? 53% 29.What is the most common medical error during a hospital stay? Medication errors
30.What is the most common category of sentinel events reported by the Joint commission? Wrong site surgery 31.One study showed that common blood pressure cuffs, often give incorrect readings, which causes doctors to mismanage hypertension this type of error is classified as? Error of diagnosis 32.Nosocomial infections are listed in the top ____ Most common medical errors? Top four most common medical errors 33.American Hospital Association (AHA) listed the most common factors of medicine errors. What are they? Incomplete patient information Unavailable drug /product information Miscommunication of drug orders, which can involve poor handwriting, confusion between drugs with similar names, miss use of zeros and decimal points, confusion of metric in other dosing units, and inappropriate abbreviations. Lack of appropriate labeling as a drug is prepared and repackage into smaller units. Environmental factors, such as lighting, heat, noise, and interruptions that can distract health professionals from their task. 34.Fatal medication, errors are most common with Anticoagulants and antibiotics 35.MAE stands for Medication administrations errors 36.The most common MAE is? Follow by?
47.What are the two sources of root causes? The two sources of root causes are the specific local cause that resulted in the problem, and the systematic caused that is part of the existing system that allows the specific local caused to occur. 48.What type of root caused do you want to focus on in step four of SPS? Specific local causes (system causes our addressed in step seven preventable problem reoccurrence) 49.What is the fifth step in SPS? Develop and verify solution 50.What is the sixth step in SPS? Implement corrective actions 51.What is the seven step in SPS? Prevent problem, reoccurrence 52.What is the eighth step in SPS? Recognition you're almost done mission 53.What are the 24 types of sentinel events sometimes called never events that must be publicly reported by certain state laws Surgery on wrong body parts, or the wrong patient, foreign objects left in the patient after surgery, patient, death or serious, disability from contaminated drugs or devices, infant discharged to the wrong person, patient death or disability after the patient disappears for more than four hours, Patient suicide or attempted suicide resulting in serious disability, patient death or serious disability from medication error or wrong blood type, patient death from fall, care provided by someone impersonating a doctor, nurse, or pharmacist, abduction of a patient, sexual assault on a patient, or physical assault on a patient resulting in death or serious disability.
54.PSET stands for Patient safety event taxonomy 55.PSET categorizes safety issues into five primary classifications, what are they? Impact Type Domain Cause Prevention and mitigation 56.Define impact The outcome or effects of the error (e.g harm to the patient ) 57.Define type The process that failed (e.g. Communication, clinical performance, etc.) 58.Define domain Setting in which the air occurred and type of individual involved (e.g patient ) 59.Define cause Factors and agents that led to the incident (e.g. human factors) 60.Define prevention and mitigation Measures taken to reduce incidents and effects. 61.What is the most common method of reporting used by facilities? Incident report
