CPPS Patient Safety Certification exam with correct
| | | | | | |
detailed answers |
preventable |adverse |events |- |correct |answer |those |that |occurred |due |to |error |or |failure |to |
apply |an |accepted |strategy |for |prevention
Ameliorable |adverse |event |- |correct |answer |events |that, |while |not |preventable, |could |have |
been |less |harmful |if |care |had |been |different
adverse |events |due |to |negligence |- |correct |answer |those |that |occurred |due |to |care |that |falls |
below |the |standards |expected |of |clinicians |in |the |community
near |miss |- |correct |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 |- |correct |answer |broader |term |referring |to |any |act |of |commission |or |omission |that |
exposes |patients |to |a |potentially |hazardous |situation
adverse |event |- |correct |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 |- |correct |answer |doing |something |wrong
omission |- |correct |answer |failing |to |do |the |right |thing
minimize |alert |fatigue |- |correct |answer |1. |increase |alert |specificity |to |reduce |inconsequential |
alerts
2. |tier |alerts |according |to |severity
,3. |make |only |high |level/severe |alerts |interruptive
4. |use |human |factors |principles
three |concepts |that |influence |safety |in |ambulatory |care |- |correct |answer |1. |role |of |pt |and |
caregiver |behaviors
2. |role |of |provider-pt |interactions
3. |role |of |community |and |health |system
checklist |- |correct |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 |- |correct |answer |failure |of |schematic |(autopilot) |behaviors
lapses |in |concentration, |distractions, |or |fatigue
mistake |- |correct |answer |failures |in |attentional |behavior
lack |of |experience |or |insufficient |training
Situational |Awareness |- |correct |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 |- |correct |answer |clear |and |high-quality |
communication |between |all |providers
most |common |root |cause |of |sentinel |events |- |correct |answer |communication
, elements |that |affect |communication |- |correct |answer |1. |rigid |hierarchies
2. |overtly |disruptive |and |unprofessional |behavior
3. |nonverbal |cues
4. |interpersonal |relations
5. |group |dynamics
communication |tools |- |correct |answer |read-back |protocols
SBAR
teamwork |training
CDSS |- |correct |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 |- |correct |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) |- |correct |answer |persistent |mindfulness |with |in |an |
organization
cultivate |resilience |by |relentlessly |prioritizing |safety |over |other |performance |pressures
| | | | | | |
detailed answers |
preventable |adverse |events |- |correct |answer |those |that |occurred |due |to |error |or |failure |to |
apply |an |accepted |strategy |for |prevention
Ameliorable |adverse |event |- |correct |answer |events |that, |while |not |preventable, |could |have |
been |less |harmful |if |care |had |been |different
adverse |events |due |to |negligence |- |correct |answer |those |that |occurred |due |to |care |that |falls |
below |the |standards |expected |of |clinicians |in |the |community
near |miss |- |correct |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 |- |correct |answer |broader |term |referring |to |any |act |of |commission |or |omission |that |
exposes |patients |to |a |potentially |hazardous |situation
adverse |event |- |correct |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 |- |correct |answer |doing |something |wrong
omission |- |correct |answer |failing |to |do |the |right |thing
minimize |alert |fatigue |- |correct |answer |1. |increase |alert |specificity |to |reduce |inconsequential |
alerts
2. |tier |alerts |according |to |severity
,3. |make |only |high |level/severe |alerts |interruptive
4. |use |human |factors |principles
three |concepts |that |influence |safety |in |ambulatory |care |- |correct |answer |1. |role |of |pt |and |
caregiver |behaviors
2. |role |of |provider-pt |interactions
3. |role |of |community |and |health |system
checklist |- |correct |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 |- |correct |answer |failure |of |schematic |(autopilot) |behaviors
lapses |in |concentration, |distractions, |or |fatigue
mistake |- |correct |answer |failures |in |attentional |behavior
lack |of |experience |or |insufficient |training
Situational |Awareness |- |correct |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 |- |correct |answer |clear |and |high-quality |
communication |between |all |providers
most |common |root |cause |of |sentinel |events |- |correct |answer |communication
, elements |that |affect |communication |- |correct |answer |1. |rigid |hierarchies
2. |overtly |disruptive |and |unprofessional |behavior
3. |nonverbal |cues
4. |interpersonal |relations
5. |group |dynamics
communication |tools |- |correct |answer |read-back |protocols
SBAR
teamwork |training
CDSS |- |correct |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 |- |correct |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) |- |correct |answer |persistent |mindfulness |with |in |an |
organization
cultivate |resilience |by |relentlessly |prioritizing |safety |over |other |performance |pressures
