Certified Professional in Patient Safety, CPPS Patient Safety Certification, National Patient Safety Goals, Patient Safety and Risk Management

preventable adverse events - Correct Answer those that occurred due to error or failure to apply an accepted strategy for prevention Ameliorable adverse event - Correct Answer events that, while not preventable, could have been less harmful if care had been different adverse events due to negligence - Correct Answer those that occurred due to care that falls below the standards expected of clinicians in the community near miss - Correct Answer an unsafe situation that is indistinguishable from a preventable adverse event except for the outcome - exposed but does not experience harm either through luck or early detection error - Correct Answer broader term referring to any act of commission or omission that exposes patients to a potentially hazardous situation adverse event - Correct Answer An injury caused by medical management (rather than the underlying disease) and that prolonged the hospitalization, produced at disability at the time of discharge, or both commision - Correct Answer doing something wrong omission - Correct Answer failing to do the right thing minimize alert fatigue - Correct Answer 1. increase alert specificity to reduce inconsequential alerts 2. tier alerts according to severity 3. make only high level/severe alerts interruptive 4. use human factors principles three concepts that influence safety in ambulatory care - Correct Answer 1. role of pt and caregiver behaviors 2. role of provider-pt interactions 3. role of community and health system checklist - Correct Answer Algorithmic listing of actions to be performed for a given clinical procedure designed to ensure that no matter how often performed by a given clinician, no step will be forgotten