IHI PS101 EXAM QUESTIONS WITH
CORRECT ANSWERS
According |to |WHO, |in |developed |countries |worldwide, |what |is |the |approximate |likelihood |that
|a |hospitalized |patient |will |be |harmed |while |receiving |care?
A |<1%
B |10% |
C |50%
D |>75% |- |CORRECT |ANSWER✔✔-B |10%
Since |the |publication |of |To |Err |Is |Human |in |1999, |the |health |care |industry |overall |has |seen |
which |of |the |following |improvements?
| (A) |A |75 |percent |reduction |in |preventable |medical |errors
| (B) |Stronger |repercussions |for |providers |who |commit |preventable |medical |errors
| (C) |Wider |awareness |that |preventable |errors |are |a |problem
|(D) |Wider |recognition |that |medical |errors |are |most |often |attributable |to |individual |
performance
|(E) |All |of |the |above |- |CORRECT |ANSWER✔✔-C |wider |awareness |that |preventable |errors |are |a |
problem
Safety |has |been |called |a |"dynamic |non-event" |because |when |humans |are |in |a |potentially |
hazardous |environment:
| (A) |It |is |natural |to |establish |and |follow |safe |practices
| (B) |It |requires |the |same |kind |of |thinking |that |causes |problems |to |set |them |right
, | (C) |It |takes |significant |work |to |ensure |nothing |bad |happens
|(D) |There |is |generally |a |high |prevalence |of |"near |misses" |- |CORRECT |ANSWER✔✔-C |it |take |
significant |work |to |ensure |nothing |bad |happens
James |is |a |first-year |surgery |resident |on |his |first |pediatric |rotation. |His |attending |(consultant) |
asks |him |to |start |intravenous |(IV) |replacement |fluids |on |a |two-year-old |boy |who |is |having |
vomiting |and |diarrhea. |Having |trouble |remembering |the |guidelines |for |calculating |fluid |
replacement |rates |for |very |small |children, |James |asks |Maria, |a |nurse |on |the |unit. |Maria |
responds, |"You're |the |doctor. |It's |your |job |to |decide |this." |James |picks |a |rate |that |is |much |too |
high, |putting |the |child |into |fluid |overload. |
To |prevent |this |type |of |error |from |recurring |in |this |unit, |which |of |the |following |is |MOST |
important?
| (A) |Clear |medical |guidelines |for |fluid |replacement |in |patients |of |all |ages
| (B) |An |improved |culture |of |safety |and |teamwork
| (C) |Closer |supervision |of |residents, |especially |in |the |first |year
|(D) |More |severe, |well-publicized |consequences |for |providers |who |are |reckless |- |CORRECT |
ANSWER✔✔-B |an |improved |culture |of |teamwork |and |safety
James |is |a |first-year |surgery |resident |on |his |first |pediatric |rotation. |His |attending |(consultant) |
asks |him |to |start |intravenous |(IV) |replacement |fluids |on |a |two-year-old |boy |who |is |having |
vomiting |and |diarrhea. |Having |trouble |remembering |the |guidelines |for |calculating |fluid |
replacement |rates |for |very |small |children, |James |asks |Maria, |a |nurse |on |the |unit. |Maria |
responds, |"You're |the |doctor. |It's |your |job |to |decide |this." |James |picks |a |rate |that |is |much |too |
high, |putting |the |child |into |fluid |overload.
Who |is |likely |to |be |negatively |affected |by |this |medical |error?
| (A) |The |patient |and |his |family
| (B) |James |(the |first-year |surgery |resident)
CORRECT ANSWERS
According |to |WHO, |in |developed |countries |worldwide, |what |is |the |approximate |likelihood |that
|a |hospitalized |patient |will |be |harmed |while |receiving |care?
A |<1%
B |10% |
C |50%
D |>75% |- |CORRECT |ANSWER✔✔-B |10%
Since |the |publication |of |To |Err |Is |Human |in |1999, |the |health |care |industry |overall |has |seen |
which |of |the |following |improvements?
| (A) |A |75 |percent |reduction |in |preventable |medical |errors
| (B) |Stronger |repercussions |for |providers |who |commit |preventable |medical |errors
| (C) |Wider |awareness |that |preventable |errors |are |a |problem
|(D) |Wider |recognition |that |medical |errors |are |most |often |attributable |to |individual |
performance
|(E) |All |of |the |above |- |CORRECT |ANSWER✔✔-C |wider |awareness |that |preventable |errors |are |a |
problem
Safety |has |been |called |a |"dynamic |non-event" |because |when |humans |are |in |a |potentially |
hazardous |environment:
| (A) |It |is |natural |to |establish |and |follow |safe |practices
| (B) |It |requires |the |same |kind |of |thinking |that |causes |problems |to |set |them |right
, | (C) |It |takes |significant |work |to |ensure |nothing |bad |happens
|(D) |There |is |generally |a |high |prevalence |of |"near |misses" |- |CORRECT |ANSWER✔✔-C |it |take |
significant |work |to |ensure |nothing |bad |happens
James |is |a |first-year |surgery |resident |on |his |first |pediatric |rotation. |His |attending |(consultant) |
asks |him |to |start |intravenous |(IV) |replacement |fluids |on |a |two-year-old |boy |who |is |having |
vomiting |and |diarrhea. |Having |trouble |remembering |the |guidelines |for |calculating |fluid |
replacement |rates |for |very |small |children, |James |asks |Maria, |a |nurse |on |the |unit. |Maria |
responds, |"You're |the |doctor. |It's |your |job |to |decide |this." |James |picks |a |rate |that |is |much |too |
high, |putting |the |child |into |fluid |overload. |
To |prevent |this |type |of |error |from |recurring |in |this |unit, |which |of |the |following |is |MOST |
important?
| (A) |Clear |medical |guidelines |for |fluid |replacement |in |patients |of |all |ages
| (B) |An |improved |culture |of |safety |and |teamwork
| (C) |Closer |supervision |of |residents, |especially |in |the |first |year
|(D) |More |severe, |well-publicized |consequences |for |providers |who |are |reckless |- |CORRECT |
ANSWER✔✔-B |an |improved |culture |of |teamwork |and |safety
James |is |a |first-year |surgery |resident |on |his |first |pediatric |rotation. |His |attending |(consultant) |
asks |him |to |start |intravenous |(IV) |replacement |fluids |on |a |two-year-old |boy |who |is |having |
vomiting |and |diarrhea. |Having |trouble |remembering |the |guidelines |for |calculating |fluid |
replacement |rates |for |very |small |children, |James |asks |Maria, |a |nurse |on |the |unit. |Maria |
responds, |"You're |the |doctor. |It's |your |job |to |decide |this." |James |picks |a |rate |that |is |much |too |
high, |putting |the |child |into |fluid |overload.
Who |is |likely |to |be |negatively |affected |by |this |medical |error?
| (A) |The |patient |and |his |family
| (B) |James |(the |first-year |surgery |resident)
