comprehensive questions and verified
detailed solutions ( MULTIPLE CHOICES)
a. A post-op patient removes his own IV causing a skin tear from the tape
b. A patient with no known allergies experiences an anaphylactic reaction to an
antibiotic requiring transfer to ICU.
c. The biopsy samples from a colonoscopy are never received by pathology after
the procedure
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d. There have been 3 occurrences of depressed respirations in the same
department in the last 4 months related to sedation - - You are educating
clinical managers in your healthcare facility on how to identify appropriate events
for conducting a Root Cause Analysis. Which event provides the best opportunity
for an RCA?
-📌📌 - The answer is C. The biopsy samples from a colonoscopy are never
received by pathology after the procedure
a. Create a process map of how instruments are managed during surgery looking
for latent flaws
b. Revise the hospital policy to make it clear that surgeons must stay in the OR
until instrument count issues are resolved
c. Counsel the surgeon about customary clinical standards for a surgeon using
appropriate accountability system
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d. Reeducate the OR nursing staff on keeping track of instruments on the sterile
field - - The instrument count is incorrect at the conclusion of a surgical
procedure. The hospital policy does not stipulate that the surgeon remain on the
premises until an x-ray is obtained. The surgeon leaves the hospital to catch a
flight. The x-ray reveals a retained instrument. Another surgeon is contacted to
remove the retained instrument. What should leadership do next?
-📌📌 - The answer is C. Counsel the surgeon about customary clinical
standards for a surgeon using appropriate accountability system
a. Ask staff if there are adequate scanners to meet their needs
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d. Ask the nurse what was occurring at the time, and why she chose to bypass
the policy - - A nurse on a medical-surgical unit does not comply with
barcode medication administration (BCMA) while caring for one of her patients.
What should her supervisor do?
-📌📌 - The answer is D. Ask the nurse what was occurring at the time, and why
she chose to bypass the policy
a. Control charts of overall infection rate by quarter for the past two years for
each hospital in the region
b. A table indicating the CLABSI infection rates of all hospitals in the region
relative to the National Healthcare Safety Network benchmark for CLABSI
infections for the past 2 years
c. A written report summarizing the current CLABSI prevention protocols of each
hospital in the region
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d. A table showing the number of CLABSI infections in each hospital in the region
by quarter for the past 2 years - - The Board of Hospital A wants to know
how Hospital A's safety performance in central line associated blood stream
infection (CLABSI) compares to that of other hospitals in their region. Which data
display would best inform them for that decision?
- 📌📌 - The answer is B. A table indicating the CLABSI infection rates of all
hospitals in the region relative to the National Healthcare Safety Network
benchmark for CLABSI infections for the past 2 years
a. Ask information systems to either fix the old one or build a new one
b. Identify key stakeholders and perform a gap analysis of current state to ideal
state
c. Poll colleagues and purchase what they use
d. Purchase the lease expensive software and grow with it - 📌📌 - Your
organization utilizes a "home grown" electronic safety event reporting system that
is no longer meeting the needs of the organization. Hospital administration is
asking for your opinion for next steps. What next steps would you take to identify
a replacement system?
- 📌📌 - The answer is B. Identify key stakeholders and perform a gap analysis
of current state to ideal state
a. Conduct a root cause analysis