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Leadership exam 1/ PATIENT SAFETY Stats
Can you name the leadership exam 1?
By
vf95
10m
39 Questions
10 Plays
10 Plays
10 Plays
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Score
0/39
Timer
10:00
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Plays Today
Hint
Answer
% Correct
failure of planned action to be completed as intended
error
100%
culture where individual blamed, disciplinary actions, lead to underreporting of incidents
culture of blame
90%
Taxonomy of error root cause analysis & practice -
purpose to differentiate what was related to practice vs what was related to the system
TERCAP
90%
leads to reporting unsafe conditions, changes are made so the focus is on the problem itself not on the person, however still considers the person
culture of safety
80%
individual practitioners should not be held accountable for system failing but does not tolerate conscious disregard of clear risks to patients or gross misconduct
Just culture
80%
is a method of problem solving used for identifying the root causes of faults or problems
root cause analysis
80%
error due to deviation in the pattern of a routine activity such as an interruption
skill based
80%
type of decision making where relates to everyday situations
routine
80%
IOM recommends to NOT rely on _
_
_
_
_
and instead to standardize and simplify procedures
memory
75%
IOM also recommends addressing work hours, workloads and staffing ratios which is a part of work _
_
_
_
_
safety
75%
Types of error include (3)
communication, patient management, clinical performance
70%
errors related to organizational issues-
outdated policies, understaffed
latent failure
70%
errors related to direct patient care, contact
active failure
70%
errors related to management, how organization is run from top down, priorities, resources, etc..
system failures
70%
error due to the nurse not having the knowledge to provide the safest care
knowledge based
70%
error due to conscious decision of the nurse to take short cuts
Rule-based
70%
Safe, timely, effective, efficient, equitable, patient centered
STEEP
70%
may not involve a problem, always involves making a choice
decision making
70%
involves diagnosing a problem and solving it, may or may not require a decision
problem solving
70%
type of decision making that is a modification of other solutions
adaptive
70%
Hint
Answer
% Correct
decision making condition where the alternative solutions and conditions are known
state of certainty
70%
decision making condition where most decisions are made with some uncertainty
uncertainty and risk
70%
likelihood that an event will or will not occur based on facts and reliable information
objective probability
70%
the likelihood that an event will or will not occur based on personal judgement and beliefs
subjective probability
70%
identifies all probable outcomes, examines the probabilities of each alternative, take the action that yields the highest probability of achieving the most desirable outcome
Rational model
70%
emphasizes limitations of decision maker and the situation -
limits of time, energy, money etc.
descriptive rationality model
70%
the decision maker chooses an alternative that is not the best but it's good enough or the first acceptable alternative -
not the best way
satisficing
70%
group members meet and generate many diverse ideas about the nature, cause, definition, or solution to a problem, lots of ideas as quickly as possible
brainstorming
70%
applying one solution after another until the problem is solved or appears to be improving
trial and error
70%
involves testing a theory or a hunch-
project or study is carried out in either a controlled or uncontrolled setting
experimentation
70%
an individual's experience can determine how much risk he or she will take in present circumstances
past experience
70%
an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof. Ex: wrong site events, wrong procedure, med errors, criminal events
sentinel event
60%
visual representation of the relationship among concepts and ideas -
relationships among the patient's problems
concept mapping
60%
high cost factor, time consuming, superficiality of many solutions
disadvantages of brainstorming
60%
Takes into accounts the prevention strategies like surgical checklists etc.
Reasons Adverse Event Trajectory
50%
decisions based on the interests of powerful people in the organization.
Political decision making model
50%
IOM recommends this bc it has functions that make it hard or impossible to do the wrong thing; like pharmacy mixing drugs instead of nurses doing it on the nurses
user centered designs
50%
IOM says to use _
_
_
_
and _
_
_
_
_
to increase vigilence
alarms checklists
50%
0%
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