As a result of an adverse drug event, a patient required renal dialysis. A patient
safety professional and other leaders are discussing what to disclose to the patient.
In addition to an apology, critical components of disclosure include
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a commitment to investigate what happened and how future errors will
be prevented.
,Results from recent tests were not included in a patient transfer from one facility to
another, resulting in an adverse event. Which of the following is the most common
cause of this type of harm?
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inadequate information flow
Which of the following actions provides evidence that a healthcare organization
considers patients' experiences to improve the safety of patient care?
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Patient feedback is used to redesign care processes.
A patient safety professional receives an event report stating that a physician
ordered anticoagulation medication to be discontinued through the physician
order entry system. The pharmacy computer system did not receive the order, and
the patient received four extra doses of the medication before the order was
identified to be discontinued. The patient safety professional's investigation should
focus on
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software interfaces.
, A patient safety professional notes an increase in safety events involving insulin.
Which of the following strategies is most likely to result in improvement?
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The quality committee requires monthly progress reports on
departmental insulin safety plans.
From a human factors engineering perspective, which of the following should be
known about identifying and eliminating diagnostic errors?
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Partnership with scientists in cognition, perception, and decision making
is needed.
Which of the following is an example of a high reliability principle?
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sensitivity to operations
When evaluating the conduct of a healthcare worker in the aftermath of a harm
event, which of the following considerations demonstrate consistency with the
principles of a fair and just culture?
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safety professional and other leaders are discussing what to disclose to the patient.
In addition to an apology, critical components of disclosure include
Give this one a try later!
a commitment to investigate what happened and how future errors will
be prevented.
,Results from recent tests were not included in a patient transfer from one facility to
another, resulting in an adverse event. Which of the following is the most common
cause of this type of harm?
Give this one a try later!
inadequate information flow
Which of the following actions provides evidence that a healthcare organization
considers patients' experiences to improve the safety of patient care?
Give this one a try later!
Patient feedback is used to redesign care processes.
A patient safety professional receives an event report stating that a physician
ordered anticoagulation medication to be discontinued through the physician
order entry system. The pharmacy computer system did not receive the order, and
the patient received four extra doses of the medication before the order was
identified to be discontinued. The patient safety professional's investigation should
focus on
Give this one a try later!
software interfaces.
, A patient safety professional notes an increase in safety events involving insulin.
Which of the following strategies is most likely to result in improvement?
Give this one a try later!
The quality committee requires monthly progress reports on
departmental insulin safety plans.
From a human factors engineering perspective, which of the following should be
known about identifying and eliminating diagnostic errors?
Give this one a try later!
Partnership with scientists in cognition, perception, and decision making
is needed.
Which of the following is an example of a high reliability principle?
Give this one a try later!
sensitivity to operations
When evaluating the conduct of a healthcare worker in the aftermath of a harm
event, which of the following considerations demonstrate consistency with the
principles of a fair and just culture?
Give this one a try later!
