Nursing in Today's World Final Exam
Question & Answers ( Latest 2025 )
Sentinel Event - CORRECT ANSWERS ✔✔definition: an unexpected
occurrence involving death or serious physical or psychological injury or
risk thereof
Near Miss - CORRECT ANSWERS ✔✔definition: implies that a
sentinel event has nearly occurred, cascade of events where a sentinel
event was prevented due to protection and recovery sequence
To Err is Human - CORRECT ANSWERS ✔✔1999 IOM report for
building a safer health system
Sentinel Event vs Error - CORRECT ANSWERS ✔✔A sentinel event
does not mean that an error has occurred, not every error ends in a
sentinel event
Communication - CORRECT ANSWERS ✔✔Poor ________ results in
70% of sentinel events
Post-event review - CORRECT ANSWERS ✔✔An after action review
(AAR), a structured review or debriefing process for analyzing WHAT
happened, WHY it happened, and HOW it can be done better by the
participants and those responsible for the project or event
,Nursing in Today's World Final Exam
Question & Answers ( Latest 2025 )
Failure to rescue - CORRECT ANSWERS ✔✔Failure to prevent a
patient from deteriorating
Hourly rounding - CORRECT ANSWERS ✔✔Helps to catch early
warning signs of pt deterioration, improves pt satisfaction score,
insinuates that the nurse cares more, decreased use of call light
Failure Mode Effects Analysis (FMEA) - CORRECT ANSWERS ✔✔A
step-by-step approach for identifying risk factors that may lead to a
break in process that may lead to a sentinel event occurring; happens
BEFORE anything occurs
Root Cause Analysis (RCA) - CORRECT ANSWERS ✔✔Investigates
what caused the break in process by asking "Why?" until the question
cannot be asked anymore; the end result is the root cause of the
problem; happens AFTER the fact
Quality Reviews - CORRECT ANSWERS ✔✔Processes to prevent
problems, a look at how well a process is being implemented and what
areas can be improved upon
Culture of Safety - CORRECT ANSWERS ✔✔Focusing not on WHO is
the issue, but WHAT went wrong in the process
, Nursing in Today's World Final Exam
Question & Answers ( Latest 2025 )
Problem: people get too relaxed with it
Benefit: people are more upfront about the issue if it occurs
Just Culture - CORRECT ANSWERS ✔✔Balance of not blaming the
individual responsible and not allowing egregious behavior; a look at
both process and person
AIM Statement - CORRECT ANSWERS ✔✔1. What are we trying to
Accomplish?
2. How will we know that a change is an Improvement?
3. What change can we Make that can result in an improvement?
Explicit description of a team's desired outcomes; expressed in a
measurable and time-specfic way
Methods, machines, manpower, materials, measurement, and
environment - CORRECT ANSWERS ✔✔What does an RCA look at?
Action plan - CORRECT ANSWERS ✔✔The product of an RCA, it
identifies strategies that need to be implemented in order to reduce
the occurrence of an adverse event
Question & Answers ( Latest 2025 )
Sentinel Event - CORRECT ANSWERS ✔✔definition: an unexpected
occurrence involving death or serious physical or psychological injury or
risk thereof
Near Miss - CORRECT ANSWERS ✔✔definition: implies that a
sentinel event has nearly occurred, cascade of events where a sentinel
event was prevented due to protection and recovery sequence
To Err is Human - CORRECT ANSWERS ✔✔1999 IOM report for
building a safer health system
Sentinel Event vs Error - CORRECT ANSWERS ✔✔A sentinel event
does not mean that an error has occurred, not every error ends in a
sentinel event
Communication - CORRECT ANSWERS ✔✔Poor ________ results in
70% of sentinel events
Post-event review - CORRECT ANSWERS ✔✔An after action review
(AAR), a structured review or debriefing process for analyzing WHAT
happened, WHY it happened, and HOW it can be done better by the
participants and those responsible for the project or event
,Nursing in Today's World Final Exam
Question & Answers ( Latest 2025 )
Failure to rescue - CORRECT ANSWERS ✔✔Failure to prevent a
patient from deteriorating
Hourly rounding - CORRECT ANSWERS ✔✔Helps to catch early
warning signs of pt deterioration, improves pt satisfaction score,
insinuates that the nurse cares more, decreased use of call light
Failure Mode Effects Analysis (FMEA) - CORRECT ANSWERS ✔✔A
step-by-step approach for identifying risk factors that may lead to a
break in process that may lead to a sentinel event occurring; happens
BEFORE anything occurs
Root Cause Analysis (RCA) - CORRECT ANSWERS ✔✔Investigates
what caused the break in process by asking "Why?" until the question
cannot be asked anymore; the end result is the root cause of the
problem; happens AFTER the fact
Quality Reviews - CORRECT ANSWERS ✔✔Processes to prevent
problems, a look at how well a process is being implemented and what
areas can be improved upon
Culture of Safety - CORRECT ANSWERS ✔✔Focusing not on WHO is
the issue, but WHAT went wrong in the process
, Nursing in Today's World Final Exam
Question & Answers ( Latest 2025 )
Problem: people get too relaxed with it
Benefit: people are more upfront about the issue if it occurs
Just Culture - CORRECT ANSWERS ✔✔Balance of not blaming the
individual responsible and not allowing egregious behavior; a look at
both process and person
AIM Statement - CORRECT ANSWERS ✔✔1. What are we trying to
Accomplish?
2. How will we know that a change is an Improvement?
3. What change can we Make that can result in an improvement?
Explicit description of a team's desired outcomes; expressed in a
measurable and time-specfic way
Methods, machines, manpower, materials, measurement, and
environment - CORRECT ANSWERS ✔✔What does an RCA look at?
Action plan - CORRECT ANSWERS ✔✔The product of an RCA, it
identifies strategies that need to be implemented in order to reduce
the occurrence of an adverse event
