CPPS PATIENT SAFETY COMBINED SETS WITH 100%
VERIFIED SOLUTIONS!!
-Certified Professional in Patient Safety, CPPS Patient Safety Certification, National
Patient Safety Goals, Patient Safety and Risk Management
-CPPS Patient Safety: Performance Measurement, Analysis, Improvement, and
Monitoring
Certified Professional in Patient Safety, CPPS Patient Safety Certification, National
Patient Safety Goals, Patient Safety and Risk Management
preventable adverse events - ANSWER those that occurred due to error or failure to
apply an accepted strategy for prevention
Ameliorable adverse event - ANSWER events that, while not preventable, could have
been less harmful if care had been different
adverse events due to negligence - ANSWER those that occurred due to care that falls
below the standards expected of clinicians in the community
near miss - ANSWER an unsafe situation that is indistinguishable from a preventable
adverse event except for the outcome - exposed but does not experience harm either
through luck or early detection
error - ANSWER broader term referring to any act of commission or omission that
exposes patients to a potentially hazardous situation
adverse event - ANSWER An injury caused by medical management (rather than the
underlying disease) and that prolonged the hospitalization, produced at disability at the
,time of discharge, or both
commision - ANSWER doing something wrong
omission - ANSWER failing to do the right thing
minimize alert fatigue - ANSWER 1. increase alert specificity to reduce inconsequential
alerts
2. tier alerts according to severity
3. only high level/severe alerts interruptive
4. apply human factors principles
three concepts that influence safety in ambulatory care - ANSWER 1. role of pt and
caregiver behaviors
2. role of provider-pt interactions
3. role of community and health system
checklist - ANSWER Algorithmic listing of actions to be performed for a given clinical
procedure designed to ensure that no matter how often performed by a given clinician,
no step will be forgotten
reduce risk of slips
consensus of required behaviors
slips - ANSWER failure of schematic (autopilot) behaviors
lapses in concentration, distractions, or fatigue
mistake - ANSWER failures in attentional behavior
lack of experience or insufficient training
,Situational Awareness - ANSWER the ability to access and track relevant to the task,
comprehend the data,
forecast what may happened based on the data, and
formulate an appropriate plan in response
situational awareness cannot be achieved without - ANSWER clear and high-quality
communication between all providers
most common root cause of sentinel events - ANSWER communication
elements that affect communication - ANSWER 1. rigid hierarchies
2. overtly disruptive and unprofessional behavior
3. nonverbal cues
4. interpersonal relations
5. group dynamics
communication tools - ANSWER read-back protocols
SBAR
teamwork training
CDSS - ANSWER Clinical Decision Support System
assist healthcare providers in the actual diagnosis and treatment of patients, analyze
data from clinical information systems
avoids commission and omission errors
unintended consequences of CPOE - ANSWER 1. more or new work for clinicians
2. unfavorable workflow
3. never-ending system demands
, 4. persistence of paper orders
5. changes in communication patterns and practices
6. neg towards new technology
7. new types of errors
8. change in power structure, org culture, or professional roles
High Reliability Organizations (HROs) - ANSWER persistent mindfulness with in an
organization
cultivate resilience by relentlessly prioritizing safety over other performance pressures
consistently minimize adverse events despite carrying out intrinsically complex and
hazardous work
safety is emergent vs. static
commitment to safety at all levels
HRO key features - ANSWER 1. know high-risk nature of activities and determine to
have consistent safe operations
2. blame-free
3. collaboration across ranks and disciplines
4. commitment of resources to address safety concerns
Patient Safety Culture Surveys and Safety Attitudes Questionnaire - ANSWER ask
providers to rate the safety culture in their units and org as a whole
poor perceived safety culture= increased error rates
just culture - ANSWER addressing systems issues that lead individual to engage in
unsafe behaviors while maintain accountability
human error (slip)
at risk behavior (short cuts)
reckless behavior (ignoring required safety steps)
VERIFIED SOLUTIONS!!
-Certified Professional in Patient Safety, CPPS Patient Safety Certification, National
Patient Safety Goals, Patient Safety and Risk Management
-CPPS Patient Safety: Performance Measurement, Analysis, Improvement, and
Monitoring
Certified Professional in Patient Safety, CPPS Patient Safety Certification, National
Patient Safety Goals, Patient Safety and Risk Management
preventable adverse events - ANSWER those that occurred due to error or failure to
apply an accepted strategy for prevention
Ameliorable adverse event - ANSWER events that, while not preventable, could have
been less harmful if care had been different
adverse events due to negligence - ANSWER those that occurred due to care that falls
below the standards expected of clinicians in the community
near miss - ANSWER an unsafe situation that is indistinguishable from a preventable
adverse event except for the outcome - exposed but does not experience harm either
through luck or early detection
error - ANSWER broader term referring to any act of commission or omission that
exposes patients to a potentially hazardous situation
adverse event - ANSWER An injury caused by medical management (rather than the
underlying disease) and that prolonged the hospitalization, produced at disability at the
,time of discharge, or both
commision - ANSWER doing something wrong
omission - ANSWER failing to do the right thing
minimize alert fatigue - ANSWER 1. increase alert specificity to reduce inconsequential
alerts
2. tier alerts according to severity
3. only high level/severe alerts interruptive
4. apply human factors principles
three concepts that influence safety in ambulatory care - ANSWER 1. role of pt and
caregiver behaviors
2. role of provider-pt interactions
3. role of community and health system
checklist - ANSWER Algorithmic listing of actions to be performed for a given clinical
procedure designed to ensure that no matter how often performed by a given clinician,
no step will be forgotten
reduce risk of slips
consensus of required behaviors
slips - ANSWER failure of schematic (autopilot) behaviors
lapses in concentration, distractions, or fatigue
mistake - ANSWER failures in attentional behavior
lack of experience or insufficient training
,Situational Awareness - ANSWER the ability to access and track relevant to the task,
comprehend the data,
forecast what may happened based on the data, and
formulate an appropriate plan in response
situational awareness cannot be achieved without - ANSWER clear and high-quality
communication between all providers
most common root cause of sentinel events - ANSWER communication
elements that affect communication - ANSWER 1. rigid hierarchies
2. overtly disruptive and unprofessional behavior
3. nonverbal cues
4. interpersonal relations
5. group dynamics
communication tools - ANSWER read-back protocols
SBAR
teamwork training
CDSS - ANSWER Clinical Decision Support System
assist healthcare providers in the actual diagnosis and treatment of patients, analyze
data from clinical information systems
avoids commission and omission errors
unintended consequences of CPOE - ANSWER 1. more or new work for clinicians
2. unfavorable workflow
3. never-ending system demands
, 4. persistence of paper orders
5. changes in communication patterns and practices
6. neg towards new technology
7. new types of errors
8. change in power structure, org culture, or professional roles
High Reliability Organizations (HROs) - ANSWER persistent mindfulness with in an
organization
cultivate resilience by relentlessly prioritizing safety over other performance pressures
consistently minimize adverse events despite carrying out intrinsically complex and
hazardous work
safety is emergent vs. static
commitment to safety at all levels
HRO key features - ANSWER 1. know high-risk nature of activities and determine to
have consistent safe operations
2. blame-free
3. collaboration across ranks and disciplines
4. commitment of resources to address safety concerns
Patient Safety Culture Surveys and Safety Attitudes Questionnaire - ANSWER ask
providers to rate the safety culture in their units and org as a whole
poor perceived safety culture= increased error rates
just culture - ANSWER addressing systems issues that lead individual to engage in
unsafe behaviors while maintain accountability
human error (slip)
at risk behavior (short cuts)
reckless behavior (ignoring required safety steps)
