2025/2026 Exam Questions and Correct
1
Answers | New Update
What prompted the modern patient safety movement? - 🧠 ANSWER ✔✔The
publication of To Err is Human by IOM
What is the new name for the Institute of Medicine? - 🧠 ANSWER ✔✔National
Academy of Medicine (NAM)
What is the difference between adverse events vs adverse outcomes? - 🧠 ANSWER
✔✔Events are injuries resulting from medical care. Outcomes arise from
underlying disease.
What is the term used to describe an act of commission or omission that results in
an undesirable outcome? - 🧠 ANSWER ✔✔Error
T or F: Measuring errors is challenging - 🧠 ANSWER ✔✔True: dependent on
voluntary reports; other methods may require chart review which is very expensive
and time consuming.
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,What is the Global Trigger Tool and what shift is it providing? - 🧠 ANSWER
✔✔Increasing in popularity; shifts from focus on errors to adverse events as targets
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for measurement and interventions.
What % of adverse events cause true patient harm? - 🧠 ANSWER ✔✔33%
What are the differences between fee-for-service and value-based care models? - 🧠
ANSWER ✔✔Fee-for-service promotes volume over value, is income generated,
provides fragmented care, incentives for overtreatment (more $$$), and provides
limited preventitive care. Value-based care providers are rewarded for improved
patient outcomes, sets quality over quantity, is patient and prevention centered, and
had different payment models (pay-for-performance, bundled payments, ACOs)
What is "systems thinking"? - 🧠 ANSWER ✔✔Typically errors are a result of
systems vs one professional erring at the front line.
Describe James Reason's Swiss Cheese Model. - 🧠 ANSWER ✔✔Illustrates how
analyses of major accidents and catastrophic systems failures tend to reveal
multiple, smaller failures leading up the the actual hazard. Each slice of cheese
represents a safety barrier/precaution relevant to a particular hazard
What is a culture of safety? - 🧠 ANSWER ✔✔Describes an environment where
openness related to error is commonplace. Culture relates to HOW you do things.
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, Describe automatic and problem solving behavior. - 🧠 ANSWER ✔✔Automatic
only requires attention when there is a change in flow, things we are very familar
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with, errors=slips, non-conscious, greater threat to patient safety b/c most of what
we do is automatic, best mitigated by building in redundancies and cross checks.
Problem solving is often novel tasks, requires gathering information and
comparing to known info, slower than automatic, increased concentration,
errors=mistakes, conscious, more prone to make an error.
Slip vs mistake - 🧠 ANSWER ✔✔A slip results from distractions or failure to pay
attention at critical times. Mistakes are misapplication of a rule or choosing the
wrong rule; gaps in info.
Which mode from question 12 produces most errors? - 🧠 ANSWER ✔✔Automatic
What areas were determined to be of focus to improve ambulatory safety? - 🧠
ANSWER ✔✔Decreasing med errors, management of test results, improved
communication, engaging patients in their care
What is STEEEP? - 🧠 ANSWER ✔✔From the report Crossing the Chasm 2001
NAM named 6 components of quality heathcare; safety, timely, efficient, effective,
equitable, patient centered
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PRIVACY STATEMENT. ALL RIGHTS RESERVED