Patient Safety and Quality Improvement: Developing a Systems View

1. Preventable harm is defined as:

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The failure of a planned action to be completed as intended

Cannot be eliminated unless procedure, therapy or action is not performed

Harm caused by an error

Psychological or physical injury/damage

2. Examples of sentinel events include (select all that apply):

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wrong site surgery

adverse drug event

fall causing permanent harm

3. "A systematic process designed for investigating what, how, and why something happened and to figure out how to prevent something from happening again" is the definition of:

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Root cause analysis

Sentinel event

Error

Lesson 2 Quiz Quiz, 10 questions

Failure modes and effects analysis

4. Errors of omission include (select all that apply):

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Wrong drug given

Wrong patient given medication

Failing to order a medication that was indicated

Failing to assess for pregnancy

5. Common tools used in root cause analysis include:

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Swim lane diagram

5-Whys

Fish bone diagram

Process Map

All of the above

6. The Joint Commission requires hospitals to conduct a Failure Modes and Effects Analysis (FMEA) every

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6 months

12 months

18 months

As needed

7. As safety increases, quality also increases.

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Yes

No

Not necessarily

8. Patients, physicians, payers and regulatory organizations will all perceive quality of care by the same standards.

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True

False

9. An example of inevitable harm is:

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An allergy to an appropriate drug therapy with no history of allergy

Pharmacy technician makes the wrong medication for a patient

Physician fails to order an X-ray when it is indicated

None of the above

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10. Which factor(s) should be considered when evaluating the risks of a given treatment or therapy?

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Complete a benefit assessment of acceptable versus unacceptable risks

Patient/caregiver wishes

Both of these

Neither of these

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