A known barrier to patient safety is staff not speaking up when they are
concerned or if they see safety violations. You would help foster a
culture that supports speaking up by: - CORRECT ANSWER - a. Putting
up posters around the organization that reinforce speaking up as a
safety strategy
b. Using culture of safety data to assist low performing departments
with defining strategies for improvement
c. Using tends in event reporting to identify staff who don't speak up
d. Re-educating management on the use of Just Culture principles
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: - CORRECT ANSWER -
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
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: - CORRECT ANSWER - a. The detectability increased and RPNs
were lower
b. The detectability decreased and RPNs were lower
c. The frequency numbers decreased and RPNs were higher
d. The frequency numbers increased and RPNs were lower
A nurse on a medical-surgical unit does not comply with barcode
medication administration (BCMA) while caring for one of her patients.
What should her supervisor do? - CORRECT ANSWER - a. Ask staff if
there are adequate scanners to meet their needs
b. Counsel the nurse on the importance of following policy