UPDATED Exam Questions and CORRECT
Answers
IOM 4th core competencies - CORRECT ANSWER - Apply quality improvement -
identify errors and hazards and to implement basic safety design principles
- measured in terms of structure, process, and outcomes
- design and test interventions to change processes and systems of care
TJC definition of quality improvement - CORRECT ANSWER - Approach to the
continuous study and improvement of the process of providing health care services to meet needs
of patients
J CO - CORRECT ANSWER - Independent organization that accredits hospitals; set high
standards for hospitals to increase quality of care
To err is human - CORRECT ANSWER - report that has led to increase awareness of med
errors
- 44,000 americans die each year from med errors more ppl die from med errors than AIDS,
breast cancer
Nursing safety and quality improvement issues - CORRECT ANSWER - - needle sticks
- infections ; bacterial and viral
- violence
- chemical exposure
Hospital acquired complications - CORRECT ANSWER - - falls
, - decubiti
- performing wrong surgery
- air embolism
- CAUTI
- foreign object retained after surgery
Sentinel event - CORRECT ANSWER - Event resulting in harm to a patient
Safety - CORRECT ANSWER - freedom from accidental injury
Adverse event - CORRECT ANSWER - injury from medical intervention ie wrong
medication
Misuse - CORRECT ANSWER - given medication one is allergic to
Overuse - CORRECT ANSWER - Elderly patient given multiple meds ands providers not
communicating
Underuse - CORRECT ANSWER - insurance will not cover a medicine
Near miss - CORRECT ANSWER - pt is scheduled to have a right leg surgery but left leg
is prepped - caught before it happens
Root Cause analysis - CORRECT ANSWER - in depth analysis of an error to try to find
out what happens; doesnt ask who
No harm event - CORRECT ANSWER - Patient safety event that doesnt effect patient
Patient safety net (PSN) - CORRECT ANSWER - incident reporting system