Certified Professional in Patient Safety Questions With Correct Answers

Certified Professional in Patient Safety Questions With Correct Answers iatrogenesis - ANSWER Greek for originating from a physician preventable adverse events - ANSWER those that occurred due to error or failure to apply an accepted strategy for prevention Ameliorable adverse event - ANSWER events that, while not preventable, could have been less harmful if care had been different adverse events due to negligence - ANSWER those that occurred due to care that falls below the standards expected of clinicians in the community near miss - 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 - ANSWER broader term referring to any act of commission or omission that exposes patients to a potentially hazardous situation adverse event - 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 - ANSWER doing something wrong omission - ANSWER failing to do the right thing CPOE - ANSWER Computerized Provider Order Entry 2009 HITECH Act and meaningful use program computer alerts three main findings - ANSWER 1. modestly effective at best 2. alert fatigue is common 3. fatigue increases with exposure and heavier use of CPOE systems minimize alert fatigue - 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 - ANSWER 1. role of pt and caregiver behaviors 2. role of provider-pt interactions 3. role of community and health system Medical Office Survey on Pt Safety Culture - ANSWER designed to assess safety culture in amb care and data is available from AHRQ Pt Engagement - ANSWER 1. ed pt about their illness and medications with pt demonstrating understanding "teach back" 2. empowering to act as a safety double check checklist - 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 - ANSWER failure of schematic (autopilot) behaviors lapses in concentration, distractions, or fatigue mistake - ANSWER failures in attentional behavior lack of experience or insufficient training Situational Awareness - 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