NURS 2725: IHI 100+ Questions and
correct answers latest solution well
researched answers graded A
According to WHO, in developed countries worldwide, what is the
approximate likelihood that a hospitalized patient will be harmed while
receiving care?
Since the publication of To Err Is Human in 1999, the health care industry
overall has seen which of the following improvements?
(A) A 75 percent reduction in preventable medical errors
(B) Stronger repercussions for providers who commit preventable medical
errors
(C) Wider awareness that preventable errors are a problem
(D) Wider recognition that medical errors are most often attributable to
individual performance
(E) All of the above - CORRECT ANSWER>>(c) Wider awareness that
preventable errors are a problem
,Safety has been called a "dynamic non-event" because when humans are
in a potentially hazardous environment:
(A) It is natural to establish and follow safe practices
(B) It requires the same kind of thinking that causes problems to set them
right
(C) It takes significant work to ensure nothing bad happens
(D) There is generally a high prevalence of "near misses" - CORRECT
ANSWER>>(C) It takes significant work to ensure nothing bad happens
James is a first-year surgery resident on his first pediatric rotation. His
attending (consultant) asks him to start intravenous (IV) replacement fluids
on a two-year-old boy who is having vomiting and diarrhea. Having trouble
remembering the guidelines for calculating fluid replacement rates for very
small children, James asks Maria, a nurse on the unit. Maria responds,
"You're the doctor. It's your job to decide this." James picks a rate that is
much too high, putting the child into fluid overload.
To prevent this type of error from recurring in this unit, which of the
following is MOST important?
(A) Clear medical guidelines for fluid replacement in patients of all ages
(B) An improved culture of safety and teamwork
(C) Closer supervision of residents, especially in the first year
(D) More severe, well-publicized consequences for providers who are
reckless - CORRECT ANSWER>>(B) An improved culture of safety and
teamwork
James is a first-year surgery resident on his first pediatric rotation. His
attending (consultant) asks him to start intravenous (IV) replacement fluids
on a two-year-old boy who is having vomiting and diarrhea. Having trouble
remembering the guidelines for calculating fluid replacement rates for very
small children, James asks Maria, a nurse on the unit. Maria responds,
"You're the doctor. It's your job to decide this." James picks a rate that is
much too high, putting the child into fluid overload.
,Who is likely to be negatively affected by this medical error?
(A) The patient and his family
(B) James (the first-year surgery resident)
(C) Maria (the nurse on the unit)
(D) All of the above - CORRECT ANSWER>>(D) all of the above
What is most likely to happen if a health system punishes an individual for
an unintended error that was the result of a systems problem?
(A) Staff may be less likely to talk openly about and learn from errors.
(B) Staff will be more careful and errors will decrease.
(C) The response will weaken the safety culture.
(D) A and C - CORRECT ANSWER>>(D) A and C
Which of the following statements is true about blame and punishment of
individuals for making errors?
(A) They can undo the error.
(B) They can prevent the error from happening again.
(C) They can be appropriate responses if that individual intentionally
caused harm.
(D) All of the above - CORRECT ANSWER>>(C) They can be appropriate
responses if that individual intentionally caused harm.
A colleague accesses and delivers a medication, believing it is the correct
one. Unfortunately, it isn't — it is another medication in a similar vial. Which
of the following is the best way to address his error?
(A) Ask him to take a couple of weeks off without pay.
(B) Make sure that he is supervised more closely in the future.
(C) Send an email to him as well as others who administer those
medications to remind them that the vials look similar.
, (D) Investigate whether others find the vials confusing and consider
making a change to how they are packaged or accessed. - CORRECT
ANSWER>>(D) Investigate whether others find the vials confusing and
consider making a change to how they are packaged or accessed.
When an error occurs, which of the following is a productive response?
(A) Interview all participants in the process to determine what happened.
(B) Suspend the licenses of everyone involved.
(C) Determine if reasonable changes can be made to prevent the same
type of error in the future.
(D) A and C - CORRECT ANSWER>>(D) A and C
Which of the following situations seems to warrant punitive action?
(A) A colleague routinely refuses to perform a mandatory safety process.
(B) A colleague is involved in the same type of error more than once.
(C) A colleague makes a mistake because she is distracted.
(D) All of the above - CORRECT ANSWER>>(A) a colleague routinely
refuses to perform a mandatory safety process
Which of these is a behavior providers should adopt to improve patient
safety?
(A) Develop ways to work around broken systems
(B) Ignore patients' individual preferences when they disagree with "best
practice"
(C) Follow written safety protocols, even if they slow you down
(D) Obey your superiors without question
(E) All of the above - CORRECT ANSWER>>(C) Follow written safety
protocols, even if they slow you down
After a team training system is implemented in an operating room (OR), a
junior circulating nurse notices that a particular anesthesiologist goes
missing from the OR at odd times, often seems sluggish, and occasionally
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