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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
The answer is b. Conduct a failure modes and effects analysis -
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
The answer is A. 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
c. The frequency numbers decreased and RPNs were higher
d. The frequency numbers increased and RPNs were lower
The answer is b. (I think) The detectability decreased and RPNs
were lower -
Sharing lessons learned from RCA's does what? - a. exposes
the fallibility of the involved clinician(s)