UNIT 7 ASSIGNMENT PRINCIPLES
OF SAFE REVIEW IN HEALTH EXAM
PREP STUDY GUIDE QUESTIONS
AND ANSWERS
◉ error occurs in the presence of a potential hazard Answer: unsafe
acts
◉ True or False
Violations & errors always result in harm or accidents Answer:
False; they don't always but have the potential to do so
◉ deliberate act or deviation from policy & procedure or safe
practices as defined by regulatory agencies Answer: Violations
◉ Example of Violation Answer: Neglecting to check a patient's
name band before medication administration
Break protocol
◉ execution error & do not result in the intended outcome; observed
by others Answer: Slips
◉ Example: Nurse documented that she gave a medication on wrong
chart Answer: Slips
,◉ execution error & involves a memory failure; only observable to
nurse Answer: Lapse
◉ Example: Nurse forgets to give a medication & does not document
it Answer: Lapse
◉ reactions that do not result in the intended outcome; often
difficult to detect & pose a greater danger to patients Answer:
Mistakes
◉ Example: UAP tells the nurse that a patient's temp. is elevated.
The nurse checks the patient's chart for an order & administers
medication for fever. Later, the nurse realizes that the UAP told her
that the wrong patient had the elevated temp. & so the nurse gave
the medication to a patient who had an order but didn't have an
elevated temp. Answer: Mistake
◉ potential error that was discovered before it was carried out
Answer: Near Miss
◉ Example: Nurse enters a patient's room to administer a
medication & realizes that it's the wrong patient. She immediately
leaves the room with the medication & avoids the commission of an
error Answer: Near Miss
, ◉ injury to a patient is caused by medical management rather than
the patient's underlying condition Answer: Adverse Event or Patient
Safety Event
◉ Example: Wrong potassium dose or giving Heparin Answer:
Adverse Event or Patient Safety Event
◉ patient safety event that results in death, permanent harm, &
severe temporary harm, & intervention required to sustain life
Answer: Sentinel Event
◉ 3 Causes of Medical Errors Answer: Human Factors
Communication
Leadership
◉ when staffing is inadequate or nurses lack experience, patient
safety is jeopardized; staff education & competencies Answer:
Human Factors
◉ interactions with patient & family; intraprofessional &
Interprofessional Answer: Communication
OF SAFE REVIEW IN HEALTH EXAM
PREP STUDY GUIDE QUESTIONS
AND ANSWERS
◉ error occurs in the presence of a potential hazard Answer: unsafe
acts
◉ True or False
Violations & errors always result in harm or accidents Answer:
False; they don't always but have the potential to do so
◉ deliberate act or deviation from policy & procedure or safe
practices as defined by regulatory agencies Answer: Violations
◉ Example of Violation Answer: Neglecting to check a patient's
name band before medication administration
Break protocol
◉ execution error & do not result in the intended outcome; observed
by others Answer: Slips
◉ Example: Nurse documented that she gave a medication on wrong
chart Answer: Slips
,◉ execution error & involves a memory failure; only observable to
nurse Answer: Lapse
◉ Example: Nurse forgets to give a medication & does not document
it Answer: Lapse
◉ reactions that do not result in the intended outcome; often
difficult to detect & pose a greater danger to patients Answer:
Mistakes
◉ Example: UAP tells the nurse that a patient's temp. is elevated.
The nurse checks the patient's chart for an order & administers
medication for fever. Later, the nurse realizes that the UAP told her
that the wrong patient had the elevated temp. & so the nurse gave
the medication to a patient who had an order but didn't have an
elevated temp. Answer: Mistake
◉ potential error that was discovered before it was carried out
Answer: Near Miss
◉ Example: Nurse enters a patient's room to administer a
medication & realizes that it's the wrong patient. She immediately
leaves the room with the medication & avoids the commission of an
error Answer: Near Miss
, ◉ injury to a patient is caused by medical management rather than
the patient's underlying condition Answer: Adverse Event or Patient
Safety Event
◉ Example: Wrong potassium dose or giving Heparin Answer:
Adverse Event or Patient Safety Event
◉ patient safety event that results in death, permanent harm, &
severe temporary harm, & intervention required to sustain life
Answer: Sentinel Event
◉ 3 Causes of Medical Errors Answer: Human Factors
Communication
Leadership
◉ when staffing is inadequate or nurses lack experience, patient
safety is jeopardized; staff education & competencies Answer:
Human Factors
◉ interactions with patient & family; intraprofessional &
Interprofessional Answer: Communication
