NURSING 6700 EXAM 3 COMPREHENSIVE
STUDY GUIDE QUESTIONS AND VERIFIED
ANSWERS FULL REVIEW
●● Error
Answer: The failure of a planned action to be completed as intended or
the use of a wrong plan to achieve an aim with the goal of preventing,
recognizing, and mitigating harm
●● Culture of Safety
Answer: An atmosphere in which the focus in on what went wrong
rather than on who made the error
●● Just Culture
Answer: Approach to errors that balances not blaming individuals and
not tolerating careless or egregious behavior
●● Patient Handoff
Answer: The transfer of responsibility for a patient from one clinician to
another
●● Never Events
,Answer: Unexpected, serious, and often preventable adverse events in
health care
●● Sentinel Events
Answer: Unexpected occurrences involving death or serious physical or
psychological injury or the risk thereof
●● Quality
Answer: The degree to which health services for individuals and
populations increase the likelihood of desired health outcomes and are
consistent with current professional knowledge
●● Quality Improvement
Answer: Focuses on systems, processes, satisfaction, and cost outcomes,
usually within a specific organization. According to the Nurse of the
Future: Nursing Core Competencies, the Nurse of the Future uses data to
monitor the outcomes of care processes and uses improvement methods
to design and test changes to continuously improve the quality and
safety of healthcare systems
●● Care Bundle
Answer: A small set of evidence-based interventions for a defined
population of patients and care settings
●● Benchmarking
,Answer: An attribute or achievement that serves as a standard for other
providers or institutions to emulate
●● Healthcare Transparency
Answer: Making available to the public information on healthcare
system's quality, efficiency, and consumer satisfaction with care so that
patients and families can make informed decisions when choosing care
and to influence the behavior providers, payers, and others to achieve
better outcomes
●● Patient Safety
Answer: Ensures that nursing practice is safe, effective, efficient,
equitable, timely, and patient-centered (ANA)
Minimization of risk of harm to patients and providers through both
system effectiveness and individual performance (QSEN & NOF)
●● To ERR is Human: Building a Safer Health System (IOM, 2000)
Answer: At least 44,000 and possibly up to 98,000 people die each year
as the result of preventable harm.
Cause of the errors is defective system processes that either lead people
to make mistakes or fail to stop them from making a mistake, not the
recklessness of individual providers.
●● ERR
Answer: Error
, ●● Event Analysis
Answer: Individual approach or system approach (Culture of blame,
Culture of safety, Just culture)
Root-cause analysis
TERCAP
Reason's Adverse Event Trajectory
●● Fishbone Diagram
Answer: People \ Process \ Equipment \
--------------------------------------------> Problem
Materials / Environment /Management/
●● Common Errors include
Answer: Drug events and improper transfusions, surgical injuries and
wrong-site surgeries, suicides, restraint-related injuries or death, falls,
burns, pressure ulcers, and mistaken patient identities (IOM, 2000).
●● CLASSIFICATION OF ERROR: Type of error
Answer: Communication
Patient management
Clinical performance
STUDY GUIDE QUESTIONS AND VERIFIED
ANSWERS FULL REVIEW
●● Error
Answer: The failure of a planned action to be completed as intended or
the use of a wrong plan to achieve an aim with the goal of preventing,
recognizing, and mitigating harm
●● Culture of Safety
Answer: An atmosphere in which the focus in on what went wrong
rather than on who made the error
●● Just Culture
Answer: Approach to errors that balances not blaming individuals and
not tolerating careless or egregious behavior
●● Patient Handoff
Answer: The transfer of responsibility for a patient from one clinician to
another
●● Never Events
,Answer: Unexpected, serious, and often preventable adverse events in
health care
●● Sentinel Events
Answer: Unexpected occurrences involving death or serious physical or
psychological injury or the risk thereof
●● Quality
Answer: The degree to which health services for individuals and
populations increase the likelihood of desired health outcomes and are
consistent with current professional knowledge
●● Quality Improvement
Answer: Focuses on systems, processes, satisfaction, and cost outcomes,
usually within a specific organization. According to the Nurse of the
Future: Nursing Core Competencies, the Nurse of the Future uses data to
monitor the outcomes of care processes and uses improvement methods
to design and test changes to continuously improve the quality and
safety of healthcare systems
●● Care Bundle
Answer: A small set of evidence-based interventions for a defined
population of patients and care settings
●● Benchmarking
,Answer: An attribute or achievement that serves as a standard for other
providers or institutions to emulate
●● Healthcare Transparency
Answer: Making available to the public information on healthcare
system's quality, efficiency, and consumer satisfaction with care so that
patients and families can make informed decisions when choosing care
and to influence the behavior providers, payers, and others to achieve
better outcomes
●● Patient Safety
Answer: Ensures that nursing practice is safe, effective, efficient,
equitable, timely, and patient-centered (ANA)
Minimization of risk of harm to patients and providers through both
system effectiveness and individual performance (QSEN & NOF)
●● To ERR is Human: Building a Safer Health System (IOM, 2000)
Answer: At least 44,000 and possibly up to 98,000 people die each year
as the result of preventable harm.
Cause of the errors is defective system processes that either lead people
to make mistakes or fail to stop them from making a mistake, not the
recklessness of individual providers.
●● ERR
Answer: Error
, ●● Event Analysis
Answer: Individual approach or system approach (Culture of blame,
Culture of safety, Just culture)
Root-cause analysis
TERCAP
Reason's Adverse Event Trajectory
●● Fishbone Diagram
Answer: People \ Process \ Equipment \
--------------------------------------------> Problem
Materials / Environment /Management/
●● Common Errors include
Answer: Drug events and improper transfusions, surgical injuries and
wrong-site surgeries, suicides, restraint-related injuries or death, falls,
burns, pressure ulcers, and mistaken patient identities (IOM, 2000).
●● CLASSIFICATION OF ERROR: Type of error
Answer: Communication
Patient management
Clinical performance
