A strategy used to overcome failure in a process is the use of a checklist. To match the
limit of working memory, a good rule when creating a checklist is to keep the number
of tasks between how many items?
A. 1 and 5
B. 3 and 10
C. 5 and 9
D. 10 and 15
Give this one a try later!
, C. 5 and 9
Psychologists who study human memory recommend keeping the number
of items between five and nine, which is the maximum number the human
memory can remember.
A nurse on a medical-surgical unit does not comply with the barcode medication
administration (BCMA) procedure while caring for one of her patients. Her supervisor
is deciding how to respond. As her supervisor, what would you do?
A. Request that the pharmacy run a report of the BCMA compliance rates of the unit.
B. Ask staff if there are adequate scanners to meet their needs.
C. Ask the nurse what was occurring at the time, and why she chose to bypass the
policy.
D. Counsel the nurse on the importance of following policy.
Give this one a try later!
C. Ask the nurse what was occurring at the time and why she chose to
bypass the policy.
In determining the appropriate response to a violation of policy, it is
important to learn what the incentive was for the behavior and what
conditions led the staff member to their action. The Just Culture algorithm
can serve as a guide.
In this case, it is important to understand the nurse's rationale for diverting
from the policy. For example, did she think the benefit outweighed the risk
for some reason?
Which of the following is emphasized in crew resource management?
A. care standards
B. team leadership
C. caregiver burnout
D. health literacy
,Give this one a try later!
B. team leadership
A patient safety officer has been asked to compare the incidence of medication
omissions on two medical surgical units. To normalize the data, the patient safety
officer should compare the:
A. Medication errors per administered dose on each unit
B. Total number of medication errors on each unit
C. Total number of medication omissions on each unit
D. Medication omissions per administered dose on each unit
Give this one a try later!
D. Medication omissions per administered dose on each unit
The patient safety officer has been asked to look at medication omissions,
not all medication errors, so medication omissions per administered dose
on each unit would be the correct answer. To normalize the data for
accurate comparison, the patient safety officer needs to compare rates (as
opposed to total numbers).
A recent hospital initiative to decrease venous thromboembolism (VTE) was not
successful, despite implementing a training program for staff. An interprofessional
team came together to analyze the persistent problem. Pharmacists reported that
patients often refused anticoagulant injections, particularly the midnight dose. Nurses
reported that patients did not care to be awakened and given an injection, and, other
times, nurses withheld the injection because the patient was walking to the bathroom.
Which of the following steps is the most important for the team to take to address this
problem?
A. Request that pharmacy and nursing brainstorm solutions with their staff.
B. Share the data with decision makers and continue to monitor run charts.
, C. Use the Plan-Do-Study-Act (PDSA) cycle method for improvement.
D. Require staff to attend an annual training on professional guidelines.
Give this one a try later!
C. Use the Plan-Do-Study-Act (PDSA) cycle method for improvement.
PDSA cycles can help the team test various ideas for improvement to see
which one leads to the best results. Requiring staff to receive more
education may not help if the staff are already aware of what they're
expected to do and why. Brainstorming solutions may be useful, but it
won't lead to improvement without the steps the team would take in
conducting PDSA cycles. It's important to monitor the data, but
measurement alone does not lead to improvement, as improvement
requires change.
To improve patient safety at transitions of care, the patient safety specialist supports
organizational systems to:
A. Promote workarounds to ensure timely patient discharge.
B. Prioritize cost efficiency.
C. Deliver discharge instructions verbally to all patients.
D. Restructure design to support clinician workflow.
Give this one a try later!
limit of working memory, a good rule when creating a checklist is to keep the number
of tasks between how many items?
A. 1 and 5
B. 3 and 10
C. 5 and 9
D. 10 and 15
Give this one a try later!
, C. 5 and 9
Psychologists who study human memory recommend keeping the number
of items between five and nine, which is the maximum number the human
memory can remember.
A nurse on a medical-surgical unit does not comply with the barcode medication
administration (BCMA) procedure while caring for one of her patients. Her supervisor
is deciding how to respond. As her supervisor, what would you do?
A. Request that the pharmacy run a report of the BCMA compliance rates of the unit.
B. Ask staff if there are adequate scanners to meet their needs.
C. Ask the nurse what was occurring at the time, and why she chose to bypass the
policy.
D. Counsel the nurse on the importance of following policy.
Give this one a try later!
C. Ask the nurse what was occurring at the time and why she chose to
bypass the policy.
In determining the appropriate response to a violation of policy, it is
important to learn what the incentive was for the behavior and what
conditions led the staff member to their action. The Just Culture algorithm
can serve as a guide.
In this case, it is important to understand the nurse's rationale for diverting
from the policy. For example, did she think the benefit outweighed the risk
for some reason?
Which of the following is emphasized in crew resource management?
A. care standards
B. team leadership
C. caregiver burnout
D. health literacy
,Give this one a try later!
B. team leadership
A patient safety officer has been asked to compare the incidence of medication
omissions on two medical surgical units. To normalize the data, the patient safety
officer should compare the:
A. Medication errors per administered dose on each unit
B. Total number of medication errors on each unit
C. Total number of medication omissions on each unit
D. Medication omissions per administered dose on each unit
Give this one a try later!
D. Medication omissions per administered dose on each unit
The patient safety officer has been asked to look at medication omissions,
not all medication errors, so medication omissions per administered dose
on each unit would be the correct answer. To normalize the data for
accurate comparison, the patient safety officer needs to compare rates (as
opposed to total numbers).
A recent hospital initiative to decrease venous thromboembolism (VTE) was not
successful, despite implementing a training program for staff. An interprofessional
team came together to analyze the persistent problem. Pharmacists reported that
patients often refused anticoagulant injections, particularly the midnight dose. Nurses
reported that patients did not care to be awakened and given an injection, and, other
times, nurses withheld the injection because the patient was walking to the bathroom.
Which of the following steps is the most important for the team to take to address this
problem?
A. Request that pharmacy and nursing brainstorm solutions with their staff.
B. Share the data with decision makers and continue to monitor run charts.
, C. Use the Plan-Do-Study-Act (PDSA) cycle method for improvement.
D. Require staff to attend an annual training on professional guidelines.
Give this one a try later!
C. Use the Plan-Do-Study-Act (PDSA) cycle method for improvement.
PDSA cycles can help the team test various ideas for improvement to see
which one leads to the best results. Requiring staff to receive more
education may not help if the staff are already aware of what they're
expected to do and why. Brainstorming solutions may be useful, but it
won't lead to improvement without the steps the team would take in
conducting PDSA cycles. It's important to monitor the data, but
measurement alone does not lead to improvement, as improvement
requires change.
To improve patient safety at transitions of care, the patient safety specialist supports
organizational systems to:
A. Promote workarounds to ensure timely patient discharge.
B. Prioritize cost efficiency.
C. Deliver discharge instructions verbally to all patients.
D. Restructure design to support clinician workflow.
Give this one a try later!
