HCQM-Patient Safety Exam 2025
Questions and Answers
First organization developed expressly to improve safety for patients. - ANSWER-
Anesthesia Patient Safety Foundation - founded 1985.
Ellison Pierce - ANSWER-Established the Committee on Patient Safety and Risk
Management in 1982; coined the term "patient safety", founded the Anesthesia
Patient Safety Foundation in 1985; delivered the Rovenstine Lecture in 1996.
1996's Rovenstine Lecture (40 Years behind the Mask: Safety Revisited) -
ANSWER-Ellison Pierce described the beginning of anesthesiology's patient safety
movement
1982 20/20's The Deep Sleep: 6000 will Die or Suffer Brain Damage - ANSWER-
Inspired Pierce's Rovenstine Lecture about patient safety
After attending a workshop by Deming, Berwick realized he was misguided
because he had been - ANSWER-An inspector rather than a promoter of quality.
1988 Institute for Healthcare Improvement was founded by - ANSWER-Don
Berwick, Paul Batalden, and Gene Nelson. The institute focuses on all aspects of
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
, quality, but their discovery of a modern approach to quality helped transform the
patient safety movement.
Harvard Medical Practice Study I and II - ANSWER-Published in 1991 by the
New England Journal of Medicine it had the results from two large studies of
adverse medical events and provided the evidence that significant numbers of
patients are harmed by medical treatment and a framework for understanding the
types of harm they experience.
Harvard Medical Practice Study I - ANSWER-30,000 Medical records from 1984
non psych hospitals in NYS were screened for adverse events (injury caused by
medical management rather than underlying disease and prolonged the
hospitalization or produced a disability at the time of discharge) and negligence
(care falling below the standard expected of physicians in their community).
Harvard Medical Practice Study II - ANSWER-Classified the injuries described in
Study I and the management errors that were responsible.
Results of Harvard Medical Study II - ANSWER-Adverse events occurred in 3.7%
of hospitalizations and 27.6% of the events were due to negligence. 70.5% gave
rise to disability lasting less than six months, 2.6% caused permanently disabling
injuries and 13.6% led to death. Unfortunately it did not lead to immediate change.
Lucian Leape - ANSWER-Co-author of the Harvard Medical Practice Study;
prominent leader in the patient safety movement; discovered how cognitive
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
Questions and Answers
First organization developed expressly to improve safety for patients. - ANSWER-
Anesthesia Patient Safety Foundation - founded 1985.
Ellison Pierce - ANSWER-Established the Committee on Patient Safety and Risk
Management in 1982; coined the term "patient safety", founded the Anesthesia
Patient Safety Foundation in 1985; delivered the Rovenstine Lecture in 1996.
1996's Rovenstine Lecture (40 Years behind the Mask: Safety Revisited) -
ANSWER-Ellison Pierce described the beginning of anesthesiology's patient safety
movement
1982 20/20's The Deep Sleep: 6000 will Die or Suffer Brain Damage - ANSWER-
Inspired Pierce's Rovenstine Lecture about patient safety
After attending a workshop by Deming, Berwick realized he was misguided
because he had been - ANSWER-An inspector rather than a promoter of quality.
1988 Institute for Healthcare Improvement was founded by - ANSWER-Don
Berwick, Paul Batalden, and Gene Nelson. The institute focuses on all aspects of
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
, quality, but their discovery of a modern approach to quality helped transform the
patient safety movement.
Harvard Medical Practice Study I and II - ANSWER-Published in 1991 by the
New England Journal of Medicine it had the results from two large studies of
adverse medical events and provided the evidence that significant numbers of
patients are harmed by medical treatment and a framework for understanding the
types of harm they experience.
Harvard Medical Practice Study I - ANSWER-30,000 Medical records from 1984
non psych hospitals in NYS were screened for adverse events (injury caused by
medical management rather than underlying disease and prolonged the
hospitalization or produced a disability at the time of discharge) and negligence
(care falling below the standard expected of physicians in their community).
Harvard Medical Practice Study II - ANSWER-Classified the injuries described in
Study I and the management errors that were responsible.
Results of Harvard Medical Study II - ANSWER-Adverse events occurred in 3.7%
of hospitalizations and 27.6% of the events were due to negligence. 70.5% gave
rise to disability lasting less than six months, 2.6% caused permanently disabling
injuries and 13.6% led to death. Unfortunately it did not lead to immediate change.
Lucian Leape - ANSWER-Co-author of the Harvard Medical Practice Study;
prominent leader in the patient safety movement; discovered how cognitive
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
