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HSC 450: Patient Safety Midterm Review 2025/2026 Exam Questions and Correct Answers | New Update

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HSC 450: Patient Safety Midterm Review 2025/2026 Exam Questions and Correct Answers | New Update What prompted the modern patient safety movement? -

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Subido en
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HSC 450: Patient Safety Midterm Review
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
2
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
3
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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