WITH QuESTIONS AND VERIFIED THE ANSWRS
/JuST RElEASED GET A+
You are educating clinical managers in your healthcare facility on how to identify appropriate
events for conducting a Root Cause Analysis. Which event provides the best opportunity for an
RCA? - THE ANSWR-a. A post-op patient removes his own IV causing a skin tear from the tape
b. A patient with no known allergies experiences an anaphylactic reaction to an antibiotic
requiring transfer to ICU.
c. The biopsy samples from a colonoscopy are never received by pathology after the procedure
d. There have been 3 occurrences of depressed respirations in the same department in the last
4 months related to sedation
The answer is C. The biopsy samples from a colonoscopy are never received by pathology after
the procedure - THE ANSWR-
The instrument count is incorrect at the conclusion of a surgical procedure. The hospital policy
does not stipulate that the surgeon remain on the premises until an x-ray is obtained. The
surgeon leaves the hospital to catch a flight. The x-ray reveals a retained instrument. Another
surgeon is contacted to remove the retained instrument. What should leadership do next? -
THE ANSWR-a. Create a process map of how instruments are managed during surgery looking
for latent flaws
b. Revise the hospital policy to make it clear that surgeons must stay in the OR until instrument
count issues are resolved
, c. Counsel the surgeon about customary clinical standards for a surgeon using appropriate
accountability system
d. Reeducate the OR nursing staff on keeping track of instruments on the sterile field
The answer is C. Counsel the surgeon about customary clinical standards for a surgeon using
appropriate accountability system - THE ANSWR-
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: - THE
ANSWR-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 - THE ANSWR-
Sharing lessons learned from RCA's does what? - THE ANSWR-a. exposes the fallibility of the
involved clinician(s)
b. Allows others to introduce work arounds to avoid the same situation