A medication error is self-reported by a nurse to the risk manager. The risk manager
tells the nurse to complete an incident report. Upon review of the patient safety
event, the manager notices that the nurse overrode a safety check on the bar code
scan system. Further review of the "override" report reveals that several other nurses
have also overridden the system. The risk manager further investigates and finds out
that there was an issue with the printer in registration on that day, therefore the
barcode scanner couldn't read the patient ID bracelets. This is an example of what
type of analysis?
A. Failure Mode and Effects Analysis (FMEA)
B. Event Report Analysis
, C. Root Cause Analysis (RCA)
D. Process Analysis
Give this one a try later!
C. Root Cause Analysis (RCA) - what led to the event
A new medication administration safety process was implemented in a hospital. A
team convened to perform a failure modes and effects analysis (FMEA) and calculate
a risk priority number (RPN). AFter a targeted medication safety program on the new
process was delivered to nurses, the same team was convened to perform another
FMEA. The team would be happy to see:
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
Give this one a try later!
A. The detectability increased and RPNs were lower.
A patient safety professional wants to enhance a culture of safety of reporting by
introducing a quick, easy, and visual tool that provides opportunities for frontline staff
to share defects, promote their risk awareness, and share in resolution of defects, The
most suitable tool is:
A. Patient safety leadership walk rounds
B. Learning boards
C. Failure modes and effects analysis
D. Root cause analysis
Give this one a try later!
tells the nurse to complete an incident report. Upon review of the patient safety
event, the manager notices that the nurse overrode a safety check on the bar code
scan system. Further review of the "override" report reveals that several other nurses
have also overridden the system. The risk manager further investigates and finds out
that there was an issue with the printer in registration on that day, therefore the
barcode scanner couldn't read the patient ID bracelets. This is an example of what
type of analysis?
A. Failure Mode and Effects Analysis (FMEA)
B. Event Report Analysis
, C. Root Cause Analysis (RCA)
D. Process Analysis
Give this one a try later!
C. Root Cause Analysis (RCA) - what led to the event
A new medication administration safety process was implemented in a hospital. A
team convened to perform a failure modes and effects analysis (FMEA) and calculate
a risk priority number (RPN). AFter a targeted medication safety program on the new
process was delivered to nurses, the same team was convened to perform another
FMEA. The team would be happy to see:
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
Give this one a try later!
A. The detectability increased and RPNs were lower.
A patient safety professional wants to enhance a culture of safety of reporting by
introducing a quick, easy, and visual tool that provides opportunities for frontline staff
to share defects, promote their risk awareness, and share in resolution of defects, The
most suitable tool is:
A. Patient safety leadership walk rounds
B. Learning boards
C. Failure modes and effects analysis
D. Root cause analysis
Give this one a try later!
