Certified Professional in Patient Safety, CPPS Patient Safety Certification, National Patient Safety Goals, Patient Safety and Risk Management Test Questions And Answers Verified 100% Correct

Certified Professional in Patient Safety, CPPS Patient Safety Certification, National Patient Safety Goals, Patient Safety and Risk Management Test Questions And Answers Verified 100% Correct unintended consequences of CPOE - ANSWER 1. more or new work for clinicians 2. unfavorable workflow 3. never-ending system demands 4. persistence of paper orders 5. changes in communication patterns and practices 6. neg towards new technology 7. new types of errors 8. change in power structure, org culture , or professional roles High Reliability Organizations (HROs) - ANSWER persistent mindfulness with in an organization cultivate resilience by relentlessly prioritizing safety over other performance pressures consistently minimize adverse events despite carrying out intrinsically complex and hazardous work safety is emergent vs. static commitment to safety at all levels HRO key features - ANSWER 1. know high-risk nature of activities and determine to have consistent safe operations 2. blame-free 3. collaboration across ranks and disciplines 4. commitment of resources to address safety concerns Patient Safety Culture Surveys and Safety Attitudes Questionnaire - ANSWER ask providers to rate the safety culture in their units and org as a whole poor perceived safety culture= increased error rates just culture - ANSWER addressing systems issues that lead individual to engage in unsafe behaviors while maintain accountability human error (slip) at risk behavior (short cuts) reckless behavior (ignoring required safety steps) Debriefing - ANSWER dialogue to learn from defects and improve performance through goal discussion, reflection to incorporate improvement or discover opportunities in future performance simulation real-life emergency responses teamSTEPPS Components of debriefing - ANSWER 1. setting the stage 2. description or reactions 3. analysis 4. application plus delta debriefing - ANSWER 1. What went well? 2. What did not go well? 3. what can we do differently or what needs to change to improve care? debriefing framework - ANSWER team evaluates if: had clear communication understanding of roles & responsibilities maintained situational awareness distributed workload cross-monitoring (asked and offered help prn) made, mitigated, or corrected errors detecting errors and safety hazards - ANSWER goal to prospectively id hazards before pt harmed and analyzing events that have occurred to id and address underlying systems flaws FMEA - ANSWER Failure Mode and Effects Analysis 1. identify all process steps "process mapping" 2. how each step can go wrong "failure modes" 3. impact of each error 4. likelihood of process failure 5. chance of detecting failure 6. impact of error SWIFT - ANSWER structured what-if technique perceived safety problems can be detected through - ANSWER safety culture surveys executive walk rounds techniques to retrospectively identify safety hazards - ANSWER 1. screen larger datasets for evidence of preventable adverse events that merit further investigation (trigger tools, patient safety indicators) 2. analyze individual cases of adverse events (RCA, mortality reviews, in-depth investigation) hazard detection methods - ANSWER voluntary error reports malpractice claims pt complaints executive walk rounds risk mgmt. database framing effects - ANSWER dx decision making unduly biased by subtle cues and collateral information (addicted pt with abd pain tx for withdrawal but had bowel perf) blind obedience - ANSWER undue reliance on test results or expert opinion (false neg rapid Strept test)