AWHONN Perinatal Safety & Risk management 2023/2024

AWHONN Perinatal Safety & Risk management Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes in the cheese represent - correct answer latent weaknesses you are assigned to a patient who is at 38 weeks and 6 days gestation. She is being admitted for an elective induction of labor because her husband is going on as extended business trip in 2 days and he wants to be there fort he deliveery. The hospital has no policy regarding elective induction, but you know that the AWHONN "Go the full 40" campaign doesn't support early elective induction. You approach the physician with your concerns. He responds that he's been doing this for 30 years and has never has a bad outcome from an elective induction at this gestation. This scenario is an example of: - correct answer normalization of deviance Which of the following has been noted among the top 3 root causes of sentinel events for over 10 years: assessment, medication administration, health information technology, or communication. - correct answer not assessment a shared understanding of what is going on and what is likely to happen next is known as - correct answer not normalization of understanding A patient safety event, unrelated to the natural course of the underlying illness, that reaches a patient and results in death, permanent harm, or severe temporary harm with intervention required to sustain life is an example of - correct answer a sentinel event which tool is used when an adverse event has occurred to identify variations in performance that led tot he outcome? - correct answer not case review Yearly objectives developed by the joint commission that focus on problems in healthcare safety are known as - correct answer National Patient Safety Goals The perinatal care core measures include all of the following except: