BSNC 2055 FINAL EXAM REVIEW questions with
correct answers
Safety Correct Answer-The condition of being safe from undergoing or
causing hurt, injury, or loss
Requirements of a culture of safety Correct Answer-- trust
- recognition of the importance of safety
- an agreement that error-preventing strategies are effective in improving
safety
Characteristics of a culture of safety Correct Answer-- just culture
- transpancency
Just culture Correct Answer-- an explicit value of reporting errors
without fear of punishment
- encourages sharing and disclosure among HC professionals and people
are not punished for flawed systems
Transparency Correct Answer-- open communication and information
sharing with clients about their care, including adverse events
,Psychological safety Correct Answer-A belief that one will not be
punished or humiliated for speaking up with ideas, questions, concern or
mistakes
Importance of trust Correct Answer-- within the team, it allows us to not
fear repercussion of error and allows reporting, analysis of problems,
and improvement of systems
- within the HC system, it fosters public trust
Psychological safety is the foundation for Correct Answer-Effective
collaboration and patient safety
Ideal zone for psychological safety Correct Answer-Learning zone
Communication barriers Correct Answer-- behavioural
- cognitive
- linguistic
- environmental
- technological
Behavioural barrier Correct Answer-- lack of providers speaking up to
supervisors
- can use CUS protocol to address it
,CUS protocol Correct Answer-- concerned, uncomfortable, stop/safety
issue
- used when SBAR fails
- meants as a series of escalating statements, both in tone and
assertiveness, to stop a potentially dangerous situation
Cognitive barrier Correct Answer-- distractions from the environment
including alarms, human traffic, and unnecessary communication
- use communication templates like SBAR
SBAR Correct Answer-- situation
- background
- assessment
- recommendation
Linguistic barrier Correct Answer-- during handoffs senders and
receivers have differing speech tempos
- used closed loop communication
Environmental barrier Correct Answer-- during surgery physical barriers
such as drapes, maks, equipment impede verbal and nonverbal
communication
- implement clear window technologies
, Technological barrier Correct Answer-- providers spending too much
time interacting with computers/EMR and not enough time for patients
- leverage best practices and mnemonics
Structured communication tools Correct Answer-- e.g., CUS (concerned,
uncomfortable, stop) and SBAR
- improve effectiveness of information transfer
- short and concise
- increase patient safety
Situation Correct Answer-- identify yourself
- state the patient's name
- briefly describe the problem and your concern
Background Correct Answer-Clinical context (use chart):
- patient's diagnosis and reason for admission
- medical status and relevant history
Assessment Correct Answer-- provide specific information on vital
signs, recent labs and other data
- may include a clinical impression/picture of the pt.
Recommendation For Safety Correct Answer-- explain what is needed
clearly and specifically
correct answers
Safety Correct Answer-The condition of being safe from undergoing or
causing hurt, injury, or loss
Requirements of a culture of safety Correct Answer-- trust
- recognition of the importance of safety
- an agreement that error-preventing strategies are effective in improving
safety
Characteristics of a culture of safety Correct Answer-- just culture
- transpancency
Just culture Correct Answer-- an explicit value of reporting errors
without fear of punishment
- encourages sharing and disclosure among HC professionals and people
are not punished for flawed systems
Transparency Correct Answer-- open communication and information
sharing with clients about their care, including adverse events
,Psychological safety Correct Answer-A belief that one will not be
punished or humiliated for speaking up with ideas, questions, concern or
mistakes
Importance of trust Correct Answer-- within the team, it allows us to not
fear repercussion of error and allows reporting, analysis of problems,
and improvement of systems
- within the HC system, it fosters public trust
Psychological safety is the foundation for Correct Answer-Effective
collaboration and patient safety
Ideal zone for psychological safety Correct Answer-Learning zone
Communication barriers Correct Answer-- behavioural
- cognitive
- linguistic
- environmental
- technological
Behavioural barrier Correct Answer-- lack of providers speaking up to
supervisors
- can use CUS protocol to address it
,CUS protocol Correct Answer-- concerned, uncomfortable, stop/safety
issue
- used when SBAR fails
- meants as a series of escalating statements, both in tone and
assertiveness, to stop a potentially dangerous situation
Cognitive barrier Correct Answer-- distractions from the environment
including alarms, human traffic, and unnecessary communication
- use communication templates like SBAR
SBAR Correct Answer-- situation
- background
- assessment
- recommendation
Linguistic barrier Correct Answer-- during handoffs senders and
receivers have differing speech tempos
- used closed loop communication
Environmental barrier Correct Answer-- during surgery physical barriers
such as drapes, maks, equipment impede verbal and nonverbal
communication
- implement clear window technologies
, Technological barrier Correct Answer-- providers spending too much
time interacting with computers/EMR and not enough time for patients
- leverage best practices and mnemonics
Structured communication tools Correct Answer-- e.g., CUS (concerned,
uncomfortable, stop) and SBAR
- improve effectiveness of information transfer
- short and concise
- increase patient safety
Situation Correct Answer-- identify yourself
- state the patient's name
- briefly describe the problem and your concern
Background Correct Answer-Clinical context (use chart):
- patient's diagnosis and reason for admission
- medical status and relevant history
Assessment Correct Answer-- provide specific information on vital
signs, recent labs and other data
- may include a clinical impression/picture of the pt.
Recommendation For Safety Correct Answer-- explain what is needed
clearly and specifically
