FIPP 6 FINAL QUIZZES QUESTIONS & ANSWERS
Dr. Nau described the Shingo model that contains 10 guiding principles for creating a
high-quality organization. Based on this model, Dr. Nau emphasized that the ________
of an organization is the foundation for CQI. - Answer -culture
The most appropriate definition of a "Sentinel Indicator" is... - Answer -a screen for a
significant quality-related event that requires further investigation
Dr. Nau (with help from ISMP slides) noted that the causes of medication errors
generally fall in 2 categories. The 2 categories of causes of medication errors are... -
Answer -people and systems
Which of the following ideas may be helpful to managing the distractions and
interruptions that often occur in a busy practice site? (select all that apply) - Answer -
Using checklists to keep track of key steps in a process AND create a "no interruption
zone" for the pharmacist who is reviewing a prescription AND reducing the number of
invalid, or low-priority, alerts that display on the computer screen while entering
information into the computer
According to Dr. Nau, _______ thinkers recognize that the most proximal cause of an
event may have root causes that remain if we only address the most proximal cause -
Answer -systems
Perhaps the most important part of preventing future medication errors is
_________________. - Answer -reporting all errors when they occur
Which of the following abbreviations is error-prone and should be avoided? - Answer -u
for units
The 5 rights for patients are: - Answer -Right patient, right drug, right dose, right time,
right route
Clinical decision support software provides pharmacists with information about drug-
drug interactions, drug-disease interactions, duplicate medications, and so on. Which of
the following is true regarding these clinical decision alerts for pharmacists? - Answer -
Too many can fatigue a pharmacist, desensitizing them to potentially useful information
as they force past the system soft and hard "stops."
(T/F) Current literature suggests that lawsuits from medication errors can be prevented
by avoiding disclosure of the error or admitting fault to patients and their
caregivers/family. - Answer -false
, Which of the following statements are true of a Just Culture? (select all that apply) -
Answer -Realizes that competent professionals make errors AND recognizes that
individuals should not be held accountable for systems failures that were beyond the
control of the individual
The technicians in your hospital pharmacy are responsible for making sure that the
laminar airflow hood (for preparing IVs) is thoroughly sanitized at least once each shift.
Over the past week, the surge in IV orders and short staffing has led them to start
drifting away from getting the hood sanitized each shift. This drift away from the
standard procedures is best viewed as... - Answer -At-risk behavior
For the situation described in the preceding question (where the techs were drifting
away from making sure that the laminar airflow hood was sterilized each shift), the type
of response to this situation by a manager within a Just Culture would be.... - Answer -
Coach the team to remind them of the importance of sterilizing the hood every shift and
to discuss ways to make sure that the task is getting done each shift?
Which of the following is likely to be the strongest driver of the culture of a hospital? -
Answer -A pharmacy tech staying after her shift to help the techs on the next shift get
the IV prep hood cleaned
A pharmacy resident helped a QI team conduct a survey of pharmacy staff. In that
survey, the staff are asked to choose the most important root cause from a list of 8
potential causes of IV preparation errors. The resident tallies the number of respondents
who chose each of the 8 options and wants to create a simple way of displaying the
results to help the team focus their efforts on the most important root causes. Which of
the following tools may be the best way to display the results of the survey? - Answer -
Pareto Diagram
Calculate the absolute risk reduction for a therapy if the event rate in the control group
is 15% and the event rate in the treatment group is 10%. - Answer -5%
Read the following abstract and determine the type of study described.
129,942 patients older than 65 years who were prescribed an oral or topical carbonic
anhydrase inhibitor in Ontario, Canada, between January 1, 1995, and January 1, 2020,
were identified. Time zero was defined as the date of the first identified prescription for
the medication, and the primary analysis focused on the first 120 days of follow-up. The
primary end point was a severe complicated adverse event of either Stevens-Johnson
syndrome, toxic epidermal necrolysis, or aplastic anemia. - Answer -Cohort
All of the following regarding population health is true, EXCEPT: - Answer -Population
health is about focusing on the sickest to the exclusion of the healthy
_____________ is the ability of a test to single out people who have disease. - Answer
-Sensitivity
Dr. Nau described the Shingo model that contains 10 guiding principles for creating a
high-quality organization. Based on this model, Dr. Nau emphasized that the ________
of an organization is the foundation for CQI. - Answer -culture
The most appropriate definition of a "Sentinel Indicator" is... - Answer -a screen for a
significant quality-related event that requires further investigation
Dr. Nau (with help from ISMP slides) noted that the causes of medication errors
generally fall in 2 categories. The 2 categories of causes of medication errors are... -
Answer -people and systems
Which of the following ideas may be helpful to managing the distractions and
interruptions that often occur in a busy practice site? (select all that apply) - Answer -
Using checklists to keep track of key steps in a process AND create a "no interruption
zone" for the pharmacist who is reviewing a prescription AND reducing the number of
invalid, or low-priority, alerts that display on the computer screen while entering
information into the computer
According to Dr. Nau, _______ thinkers recognize that the most proximal cause of an
event may have root causes that remain if we only address the most proximal cause -
Answer -systems
Perhaps the most important part of preventing future medication errors is
_________________. - Answer -reporting all errors when they occur
Which of the following abbreviations is error-prone and should be avoided? - Answer -u
for units
The 5 rights for patients are: - Answer -Right patient, right drug, right dose, right time,
right route
Clinical decision support software provides pharmacists with information about drug-
drug interactions, drug-disease interactions, duplicate medications, and so on. Which of
the following is true regarding these clinical decision alerts for pharmacists? - Answer -
Too many can fatigue a pharmacist, desensitizing them to potentially useful information
as they force past the system soft and hard "stops."
(T/F) Current literature suggests that lawsuits from medication errors can be prevented
by avoiding disclosure of the error or admitting fault to patients and their
caregivers/family. - Answer -false
, Which of the following statements are true of a Just Culture? (select all that apply) -
Answer -Realizes that competent professionals make errors AND recognizes that
individuals should not be held accountable for systems failures that were beyond the
control of the individual
The technicians in your hospital pharmacy are responsible for making sure that the
laminar airflow hood (for preparing IVs) is thoroughly sanitized at least once each shift.
Over the past week, the surge in IV orders and short staffing has led them to start
drifting away from getting the hood sanitized each shift. This drift away from the
standard procedures is best viewed as... - Answer -At-risk behavior
For the situation described in the preceding question (where the techs were drifting
away from making sure that the laminar airflow hood was sterilized each shift), the type
of response to this situation by a manager within a Just Culture would be.... - Answer -
Coach the team to remind them of the importance of sterilizing the hood every shift and
to discuss ways to make sure that the task is getting done each shift?
Which of the following is likely to be the strongest driver of the culture of a hospital? -
Answer -A pharmacy tech staying after her shift to help the techs on the next shift get
the IV prep hood cleaned
A pharmacy resident helped a QI team conduct a survey of pharmacy staff. In that
survey, the staff are asked to choose the most important root cause from a list of 8
potential causes of IV preparation errors. The resident tallies the number of respondents
who chose each of the 8 options and wants to create a simple way of displaying the
results to help the team focus their efforts on the most important root causes. Which of
the following tools may be the best way to display the results of the survey? - Answer -
Pareto Diagram
Calculate the absolute risk reduction for a therapy if the event rate in the control group
is 15% and the event rate in the treatment group is 10%. - Answer -5%
Read the following abstract and determine the type of study described.
129,942 patients older than 65 years who were prescribed an oral or topical carbonic
anhydrase inhibitor in Ontario, Canada, between January 1, 1995, and January 1, 2020,
were identified. Time zero was defined as the date of the first identified prescription for
the medication, and the primary analysis focused on the first 120 days of follow-up. The
primary end point was a severe complicated adverse event of either Stevens-Johnson
syndrome, toxic epidermal necrolysis, or aplastic anemia. - Answer -Cohort
All of the following regarding population health is true, EXCEPT: - Answer -Population
health is about focusing on the sickest to the exclusion of the healthy
_____________ is the ability of a test to single out people who have disease. - Answer
-Sensitivity
