IHI Patient Safety 102 Questions All
Solved 2026/2027 Updated.
Which of the following is a latent unsafe condition in the system that contributes to the
resident's error? - Answer Long Work Schedule
To prevent this problem from happening again, which of the following would be the best course
of action? - Answer Develop a system that prevents messy handwriting from causing
miscommunication that leads to error.
"Latent errors" are best defined as: - Answer Defects in the design and organization of
processes and systems.
What is the active error in this scenario? - Answer The nurse administers an antibiotic to Ms.
Tyler and a sedative to Ms. Taylor.
What is one of the latent errors in this scenario? - Answer The forms are completed by hand at
the same time for different parts.
The physician skips hand-washing because she's in a hurry and just washed her hands in the
previous patient visit. - Answer Violation
The nurse accidentally brushed the sterile tube against a non-sterile surface. - Answer Slip
The physician forgets to remove the catheter when it's no longer needed. - Answer Lapse
The resident physician does not have sufficient training to perform a subclavian placement for
the line. - Answer Mistake
According to James Reason, by definition an "unsafe act" always includes: - Answer A potential
hazard.
Which of the following is the most significant advantage of shifting to a systems view of safety
within health care? - Answer It allows us to change the conditions under which humans work.
What type or error is this intervention best designed to address? - Answer Lapse
Solved 2026/2027 Updated.
Which of the following is a latent unsafe condition in the system that contributes to the
resident's error? - Answer Long Work Schedule
To prevent this problem from happening again, which of the following would be the best course
of action? - Answer Develop a system that prevents messy handwriting from causing
miscommunication that leads to error.
"Latent errors" are best defined as: - Answer Defects in the design and organization of
processes and systems.
What is the active error in this scenario? - Answer The nurse administers an antibiotic to Ms.
Tyler and a sedative to Ms. Taylor.
What is one of the latent errors in this scenario? - Answer The forms are completed by hand at
the same time for different parts.
The physician skips hand-washing because she's in a hurry and just washed her hands in the
previous patient visit. - Answer Violation
The nurse accidentally brushed the sterile tube against a non-sterile surface. - Answer Slip
The physician forgets to remove the catheter when it's no longer needed. - Answer Lapse
The resident physician does not have sufficient training to perform a subclavian placement for
the line. - Answer Mistake
According to James Reason, by definition an "unsafe act" always includes: - Answer A potential
hazard.
Which of the following is the most significant advantage of shifting to a systems view of safety
within health care? - Answer It allows us to change the conditions under which humans work.
What type or error is this intervention best designed to address? - Answer Lapse
