Patient Safety and Quality Improvement: Developing a Systems View
1. The Joint Commission model for high reliability organizations include the following components:
1
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
1
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.
1
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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