Questions with Answers & Rationales
Your organization is preparing to change to a new electronic
health record. Many departments have been involved with the
planning of this huge effort. What would you suggest as part of
the preparation strategy?
a. Conduct a root cause analysis
b. Conduct a failure modes and effects analysis
c. Offer a "plan, do, study, act" session
d. Offer to do a claims analysis for any related errors
Correct Answerb. Conduct a failure modes and effects analysis
Correct Answer
A new cath lab is under construction in our hospital, and the
medical director contacts you to express concerns related to the
transport of patients from the cath lab to the ICU. You agree to
, assist in the design of an FMEA. Components of the FMEA will
include:
a. Assembling a multidisplinary team whose members will
brainstorm potential failures
b. Conducting the 5 "whys" to figure out what could go wrong
c. Listing potential root causes of adverse events in the current
cath lab
d. Asking the medical director to participate in leadership rounds
in the current cath lab to identify potential safety risks
Correct AnswerA. Assembling a multidisplinary team whose
members will brainstorm potential failures
A new medication administrative safety process was implemented
in a hospital. A team convened to perform a failure mode effects
analysis and calculate a risk priority number (RPN). After a
targeted medication safety program on the new process was
delivered to nurses, the same team convened to perform another
FMEA. The team would be happy to see:
a. The detectability increased and RPNs were lower
b. The detectability decreased and RPNs were lower