Ihi Module Ps 105

20 August 2022
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question
when an error occurs, which of the following is generally the proper order of prioritization?
answer
care for the patient, communicate with the patient, report to all appropriate parties, check the medical record
question
Why is it important to communicate with the patient about this event?
answer
a and b
question
Which of the following is true regarding communication about adverse events with patients?
answer
open communication with patients can assuage caregivers' feelings of guilt.
question
According to researchers, which of the following is a common reason why caregivers choose not to communicate when something bad happens?
answer
they fear disapproval
question
If you are responsible for the initial communication with the patient about the error, which of the following should you be sure to do?
answer
speak clearly and directly
question
When an error occurs, which of the following is generally the proper order of prioritization?
answer
Care for the patient, communicate with the patient, report to all appropriate parties, check the medical record.
question
When discussing the event with Mrs. Bernardo, the most appropriate initial comment would be:
answer
"How is your pain?"
question
Why is it important for Janice to apologize to Mrs. Bernardo for the delay in her pain medication?
answer
An apology is needed to maintain provider-patient trust.
question
Which one of Aaron Lazare's four components of an apology is missing in Janice's apology?
answer
Reparation
question
When giving an explanation for why an adverse event happened, it can sometimes be a good idea to:
answer
Say something like, "There is just no excuse for what happened."
question
When an adverse event befalls a patient, who are the "second victims" according to Dr. Albert Wu?
answer
The caregivers involved in the error
question
When your supervisor informs you about what happened, you go numb thinking about those six hours and the cost to the patient. What should ideally happen?
answer
She should speak calmly with you about what happened and how you're feeling about it.
question
Why is it important for the organization to offer you help and support at this time?
answer
Offering support helps prevent depression or decreased job satisfaction.
question
Based on what you know about the incident, which of the following statements seems to be a fundamental attribution error?
answer
"The HUC almost killed someone yesterday because she doesn't pay enough attention."
question
Which of the following is a support mechanism that might be available to caregivers after traumatic events?
answer
The Employee Assistance Program
question
Why should a RCA be conducted by a team rather than by an individual?
answer
Understanding what led to an error requires diverse perspectives.
question
The heart of the RCA process is:
answer
Identifying what caused the event.
question
As the RCA for this case begins, the team struggles with identification of the root causes of the outcome. They consider the patient's characteristics as well as the work environment. According to Charles Vincent, what other areas should they consider?
answer
Team factors, institutional context, and organizational factors
question
Which of the following is an example of the type of causal statement that this team might expect to develop?
answer
The patient was unattended for 30 minutes because the nurse was busy caring for other patients, and this contributed to the outcome.
question
Which of the following types of interventions is likely to be most effective for improving safety?
answer
Standardizing processes