CHSOS LATEST STUDY GUIDE QUESTIONS AND
ANSWERS SET A+
✔✔what is a sentinel event vs serious reportable events? -✔✔The Joint Commission
defines a sentinel event as an unexpected occurrence involving death, serious physical
or psychological injury.[1] The event can result in death, permanent harm, or severe,
temporary harm. The term sentinel means a system issue that may result in similar
events in the future. The National Quality Forum defined the term serious reportable
events as "preventable, serious, and unambiguous adverse events that should never
occur."
✔✔What type of analysis is a systematic, proactive method for identifying potential risks
and assess their impact before harm has occurred? -✔✔Failure mode effect analysis is
a systematic, proactive method for identifying potential risks and assess their impact
before harm has occurred.
It is making a plan to manage cases, identify potential risks, and assess their impact
before harm has occurred.
Failure mode effect analysis in which each potential threat is assigned an occurrence,
detection, and severity score. The product of these factors provides a risk priority
number by which potential threats can then be objectively ranked and addressed by the
overall risk profile
✔✔What are Peyton's 4 steps of procedural skills training? -✔✔The 4 steps in Peyton's
model are demonstration, deconstruction, comprehension, and performance.
The second stage in Peyton's model is deconstruction which involves the trainer
performing the steps of a procedure slowly with the verbal explanation being given.
Peyton's four-step model is an effective tool in non-technical skills development and
transference of technical skills.
, The final step in Payton's model involves the student being able to narrate and execute
the skill from start to finish; demonstrating learning success.
✔✔Post-event debriefing is a common method of providing feedback to learners
following a simulation. Feedback during rapid cycle deliberate practice takes a different
form. Which of the following describes the rationale for the type of feedback employed
in rapid cycle deliberate practice? -✔✔Incorporation of frequent feedback allows for
improvement during iterative cycles of the same scenario.
Feedback is more frequent and may be more succinct in micro debriefings compared to
other forms of debriefing.
Feedback occurs during the scenario in the form of micro debriefings, rather than
exclusively at the end.
The repetition of a scenario after a micro debriefing has been reported variably in the
literature. Some facilitators repeat the preceding 10-30 seconds while others repeat the
entire simulation.
✔✔What approach uses a combination of advocacy (making an objective statement
about the scenario) and inquiry (asking a focused question about the learner's choices,
in a spirit of curiosity)? -✔✔The "debriefing with good judgment" approach uses a
combination of advocacy (making an objective statement about the scenario) and
inquiry (asking a focused question about the learner's choices, in a spirit of curiosity).
By encouraging learners to talk through their own performance, the facilitator creatively
encourages self-assessment and reflection while also allowing the learner to explain
where they are coming from in their own thoughts.
Debriefing with good judgment may be more effective than the "sandwich approach," as
the latter can excessively sugar-coat the problem, meaning that less self-reflection
occurs.
✔✔What is a simulated patient vs a teaching patient? -✔✔A simulated patient is one
that would portray signs and symptoms of a particular psychiatric illness- for, e.g., a
person can take on the role of an agitated patient so as to teach about different de-
escalation techniques.
A simulated patient tends to be an actor trained to portray illness.
Simulated patients DO not actually have the illness they are portraying.
A teaching patient may sometimes be referred to as a patient who may discuss actual
signs and symptoms that he /she may actually have, while role-play may refer to
learners that may portray the roles of one with illness for the purpose of learning.
✔✔What is the most effective way to practice communication skills? -✔✔Standardized
patient examinations are the most effective way to practice communication skills.
ANSWERS SET A+
✔✔what is a sentinel event vs serious reportable events? -✔✔The Joint Commission
defines a sentinel event as an unexpected occurrence involving death, serious physical
or psychological injury.[1] The event can result in death, permanent harm, or severe,
temporary harm. The term sentinel means a system issue that may result in similar
events in the future. The National Quality Forum defined the term serious reportable
events as "preventable, serious, and unambiguous adverse events that should never
occur."
✔✔What type of analysis is a systematic, proactive method for identifying potential risks
and assess their impact before harm has occurred? -✔✔Failure mode effect analysis is
a systematic, proactive method for identifying potential risks and assess their impact
before harm has occurred.
It is making a plan to manage cases, identify potential risks, and assess their impact
before harm has occurred.
Failure mode effect analysis in which each potential threat is assigned an occurrence,
detection, and severity score. The product of these factors provides a risk priority
number by which potential threats can then be objectively ranked and addressed by the
overall risk profile
✔✔What are Peyton's 4 steps of procedural skills training? -✔✔The 4 steps in Peyton's
model are demonstration, deconstruction, comprehension, and performance.
The second stage in Peyton's model is deconstruction which involves the trainer
performing the steps of a procedure slowly with the verbal explanation being given.
Peyton's four-step model is an effective tool in non-technical skills development and
transference of technical skills.
, The final step in Payton's model involves the student being able to narrate and execute
the skill from start to finish; demonstrating learning success.
✔✔Post-event debriefing is a common method of providing feedback to learners
following a simulation. Feedback during rapid cycle deliberate practice takes a different
form. Which of the following describes the rationale for the type of feedback employed
in rapid cycle deliberate practice? -✔✔Incorporation of frequent feedback allows for
improvement during iterative cycles of the same scenario.
Feedback is more frequent and may be more succinct in micro debriefings compared to
other forms of debriefing.
Feedback occurs during the scenario in the form of micro debriefings, rather than
exclusively at the end.
The repetition of a scenario after a micro debriefing has been reported variably in the
literature. Some facilitators repeat the preceding 10-30 seconds while others repeat the
entire simulation.
✔✔What approach uses a combination of advocacy (making an objective statement
about the scenario) and inquiry (asking a focused question about the learner's choices,
in a spirit of curiosity)? -✔✔The "debriefing with good judgment" approach uses a
combination of advocacy (making an objective statement about the scenario) and
inquiry (asking a focused question about the learner's choices, in a spirit of curiosity).
By encouraging learners to talk through their own performance, the facilitator creatively
encourages self-assessment and reflection while also allowing the learner to explain
where they are coming from in their own thoughts.
Debriefing with good judgment may be more effective than the "sandwich approach," as
the latter can excessively sugar-coat the problem, meaning that less self-reflection
occurs.
✔✔What is a simulated patient vs a teaching patient? -✔✔A simulated patient is one
that would portray signs and symptoms of a particular psychiatric illness- for, e.g., a
person can take on the role of an agitated patient so as to teach about different de-
escalation techniques.
A simulated patient tends to be an actor trained to portray illness.
Simulated patients DO not actually have the illness they are portraying.
A teaching patient may sometimes be referred to as a patient who may discuss actual
signs and symptoms that he /she may actually have, while role-play may refer to
learners that may portray the roles of one with illness for the purpose of learning.
✔✔What is the most effective way to practice communication skills? -✔✔Standardized
patient examinations are the most effective way to practice communication skills.
