IHI PS 103 and QI 202 Questions and Answers 100% Pass

IHI PS 103 and QI 202 Questions and Answers 100% Pass Human factors is the study of: All of the above or All the factors that make it easier to do work in the right way Which of the following is an example of unconscious processing by the brain? A and C When attempting to decrease the risk of error, it's important to use human factors principles because: If you understand the factors that affect human performance on critical tasks, you can design a safer system. Which of the following types of errors is associated with controlled thinking? Errors of planning At the end of a double shift, an experienced nurse with an excellent track record gives a medication to the wrong patient. Based on human factors principles, what would you guess was the biggest contributor to this error? The nurse was prone to error because she was tired. Which of the following types of errors is associated with automatic thinking? A and B Which of the following factors can increase human risk for error? All of the above At the end of a double shift, an experienced nurse with an excellent track record gives a medication to the wrong patient. Based on human factors principles, what would you recommend as the best way to prevent the same error from recurring? Improving medication administration processes Which of the following is a basic strategy for minimizing the opportunity for error in a process? Standardizing how the process is completed or Reducing the number of steps Which of the following statements about redundancies within processes is always true? None of the above Which of the following likely needs to be improved about the new process to review vital signs? It needs to be simplified At the end of your training session on the new EHR, you are handed a two-sided laminated card titled "Quick Start Guide." It provides step-by-step instructions for basic tasks such as entering orders and writing daily notes in the EHR. This is an example of: Avoiding reliance on memory The first time you admit a patient to the hospital using the new EHR, you see a screen pop up as you are attempting to enter orders. At the top it says, "You must enter orders for DVT (blood clot) prevention before completion of this admission order set. Click here to complete this order." This pop-up box is an example of the use of: A forcing function Which of the following is an important reason for checklists in health care? Checklists prompt providers to remember and appreciate the importance of tasks. Which of the following concepts does this scenario demonstrate? All of the above As a caregiver, which of the following common health IT issues would you be in the best position to help solve? Incomplete data entries into the computer Which of the following is the best example of using technology to improve safety and prevent errors? Giving nursing assistants electronic tablets to ensure there's no delay in recording patients' vital signs Effective ways for addressing defects in the human-technology interface include: Testing the technology in real-world situations or A and B You're caring for a patient with diabetes who was admitted to your hospital with an elevated blood glucose level. She is on an insulin pump that is programmed to deliver one unit of insulin per hour through her intravenous (IV) line. How does this technology help make her care safer? The pump helps automate a complex care process. Which of the following statements about bar-cording systems is true? They can help providers keeps track of laboratory specimens, identify medications and medical equipment, and identify patients. What does this block best exemplify? How technology that dictates your work — rather than facilitates it — can introduce unintended problems You're caring for a patient with diabetes who was admitted to your hospital with an elevated blood glucose level. She is on an insulin pump that is programmed to deliver one unit of insulin per hour through her intravenous (IV) line. Which of the following is a risk of this technology? The pump could malfunction. You're working in an outpatient clinic that recently started using an electronic health record (EHR). You are entering a prescription for an antibiotic into the EHR to treat Mrs. Jones's urinary tract infection. As you enter the order, a warning screen pops up saying that she has chronic kidney disease, and the medication dose should be adjusted based upon her last recorded creatinine level (a measure of kidney function). However, you know that Mrs. Jones's most recent creatinine level — recorded at a different clinic and therefore not available in your EHR — came back normal. When you attempt to move past the warning, the system will not allow you to proceed. Which of the following concepts does this scenario demonstrate? All of the above With which of their following statements would you agree? Care has become more complex and specialized during the last 40 years. You're an administrator at a hospital in a fast-growing suburb. Your hospital has hired three new orthopedic surgeons, including a new chief. These new hires are likely to triple the number of knee replacements done in your hospital. Currently, this procedure is done infrequently, and each time it feels a bit chaotic. As you consider the number of individuals with specialized skills required to execute a safe, effective knee replacement (nurses, surgeons, and anesthesiologists, as well as pre-operative, operating room, and post-operative staff), you realize that this process has the properties of a complex system.A few weeks after the new chief of orthopedic surgery comes on board, she has a moment of inspiration and sketches out a new, radically different way for patients to "flow" through the pre-operative, intra-operative, and post-operative phases. She sends you an email saying that she wants you to meet with her Monday morning to begin implementing it. Which of the following should you keep in mind as your hospital redesigns the way it handles knee replacements? How system components are integrated with one another is as important as how well they function independently. Which of the following is typically true of "weak signals"? They can combine with other human or environmental factors to result in catastrophe. The term "normalized deviance" refers to: Acceptance of events that are initially allowed because no catastrophic harm appears to result. You meet with the nurse administrator responsible for improvement when issues in the process of care are identified by those on the wards. She listens carefully to your concern, but in the end says she can only try to help improve nursing issues, and not those that extend to pharmacy or transport. The primary reason your meeting is unlikely to lead to an adequate solution is: The nurse administrator did not have the appropriate span of responsibility to engage the system components needed to solve the problem. Compared to today, the treatment of breast cancer in the 1960s typically: Required fewer individuals to participate in a single patient's care. Which of the following might be an appropriate system-level response to a "weak signal"? A and B According to Steve Spear, the first step in building a system in which problems are routinely "seen and solved" is: Defining normal and helping workers to recognize abnormality. What can we learn from the example of how Allegheny General Hospital reduced its central line infections? Dramatically improving safety and quality requires many small changes in a system. You have a safety concern and feel that you must escalate the problem. In this context, "escalation" means: Communicating the problem, including when and where it is occurring, to the person who has the span of authority to fix system flaws.