PS 101 Questions and Answers (A+ Solution guide)

Safety has been called a "dynamic non-event" because when humans are in a potentially hazardous environment: - It takes significant work to ensure nothing bad happens Isadora is a first-year surgery resident on her first pediatric rotation. Her attending (consultant) asks her to immediately start intravenous (IV) replacement fluids on a two-year-old girl who is experiencing vomiting and diarrhea. Isadora has recently learned the guidelines for calculating fluid replacement rates for very small children; however, she confuses them and picks a rate that is too high. To prevent this type of error from recurring in this unit, which of the following is MOST important? - A change to the system so that it does not rely so heavily on human memory "Patient safety" means: - Eliminating errors and adverse effects to patients associated with health care James is a first-year surgery resident on his first pediatric rotation. His attending (supervising physician) asks him to start intravenous (IV) replacement fluids on a two-year-old boy who is having vomiting and diarrhea. Having trouble remembering the guidelines for calculating fluid replacement rates for very small children, James asks Maria, a nurse on the unit. Maria responds, "You're the doctor. It's your job to decide this." James picks a rate that is much too high, putting the child into fluid overload. Who is likely to be negatively affected by this medical error? - All the above James is a first-year surgery resident on his first pediatric rotation. His attending (supervising physician) asks him to start intravenous (IV) replacement fluids on a two-year-old boy who is having vomiting and diarrhea. Having trouble remembering the guidelines for calculating fluid replacement rates for very small children, James asks Maria, a nurse on the unit. Maria responds, "You're the doctor. It's your job to decide this." James picks a rate that is much too high, putting the child into fluid overload. To prevent this type of error from recurring in this unit, which of the following is MOST important? - Culture of safety fostering better teamwork, Isadora is a first-year surgery resident on her first pediatric rotation. Her attending (consultant) asks her to immediately start intravenous (IV) replacement fluids on a two-year-old girl who is experiencing vomiting and diarrhea. Isadora has recently learned the guidelines for calculating fluid replacement rates for very small children; however, she confuses them and picks a rate that is too high