Patient Safety and Quality Improvement: Developing a Systems View

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3PatientSafetyandQualityImprovementDevelopingaSystemsViewPatientSafetyI-HomeCourse.pdf

1. The Joint Commission model for high reliability organizations include the following components:

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point

Leadership, safety culture, robust process improvement

Respectful interactions and heedful interrelations

Preoccupation with failure, reluctance to simplify, sensitivity to operations, commitment to resilience, deference to expertise

Anticipation and prevention, containment and resilience

None of the above

2. Weick and Sutcliffe's model for high reliability organizations include the following components (select all that apply):

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point

Leadership, safety culture, robust process improvement

Respectful interactions and heedful interrelations

preoccupation with failure, reluctance to simplify, sensitivity to operations, commitment to resilience, deference to expertise

Anticipation and prevention, containment and resilience

None of the above

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point

Lesson 3 Quiz Quiz, 10 questions

3. Which of these are characteristics of high reliability organizations (select all that apply):

High risk

High casualties

Highly safe

Highly resilient

4. The aviation industry was able to become highly reliable over time due to improvements related to (select all that apply):

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point

Technical improvements

Teamwork improvements

5. A just culture is best described as:

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point

What gets reported when errors or near misses occur

How or if people are blamed when something goes wrong

How ready the organization is able to adapt with sudden changes in pressure, pace and intensity

How adequately we convert lessons learned into action

6.

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point

A reporting culture is best described as:

What gets reported when errors or near misses occur

How or if people are blamed when something goes wrong

How ready the organization is able to adapt with sudden changes in pressure, pace and intensity

How adequately we convert lessons learned into action

7. A learning culture is best described as:

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point

What gets reported when errors or near misses occur

How or if people are blamed when something goes wrong

How ready the organization is able to adapt with sudden changes in pressure, pace and intensity

How adequately we convert lessons learned into action

8. Which of the following behaviors is an example of preoccupation with failure:

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point

When giving a report to an oncoming nurse, we discuss what to look out for

We discuss alternatives as to how to go about our normal work activities

We have a good "map" of each other's talents and skills

We talk about our mistakes and ways to learn from them

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9. Which of the following behaviors is an example of a commitment to resilience:

point

When attempting to solve a problem we take advantage of the unique skills of our colleagues

When a patient crisis occurs, we rapidly pool our collective expertise to attempt to resolve it

We spend time identifying activities we do not want to go wrong

When errors happen, we discuss how we could have prevented them

10. Tools that support high reliability organizing include (select all that apply):

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point

CUSP

Event reporting system

Lean

A3

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