NUR 101 Exam 1 Safety Questions and
Answers
Institute of Medicine - Answer-Group of healthcare practitioners that disclose concerns
within medical or healthcare facilities to the public
To Err is Human - Answer-Humans make mistakes
Lag time between discovery of more effective forms of treatment and their incorporation
into routine patient care - Answer-17 years
What is taking away from patient focus, but making the healthcare worker's job and
function easier? - Answer-Technology
IOM 6 Quality Domains (SEPTEE) - Answer-Safe, Effective, Patient-centered, Timely,
Efficient, Equitable
This non-profit organization sets rules and regulations for hospitals to gain prestige and
notoriety. - Answer-The Joint Commission
National Patient Safety Goals - Answer-Identify patients, Identify patient safety risks,
Improve staff communications, Prevent infection, Prevent mistakes in surgery, Use
medicines safely, Use alarms safely
Never event - Answer-Should never occur. Medicare/Medicaid will not pay for it, the
hospital will foot the bill.
Examples of a never event - Answer-MRSA, falls, UTIs
Quality and Safety of Education for Nurses 6 Areas of Importance (STEPIQ) - Answer-
Safety, Teamwork and collaboration, Evidence, Patient-centered care, Informatics and
Technology, Quality
Adverse Event - Answer-Unintended harm by an act of omission or commission rather
than a result of disease process
Example of an Adverse Event - Answer-Allergic reaction, diabetic coma
Near Miss - Answer-Error of omission or commission that could have harmed a patient
but no harm came to be
Sentinel Event - Answer-Serious injury or death occurred from an adverse event. The
need to investigate arises through the root cause analysis.
, Error of Omission - Answer-Forgetting to do something
Error of Commission - Answer-Doing the wrong thing
Error of Execution - Answer-Doing the right thing but incorrectly
Just Culture - Answer-The balance of learning from mistakes but still having disciplinary
actions.
Mechanical Restraint - Answer-Physical restraint to prevent movement
Chemical Restraint - Answer-Change or manage behavior
Reasons to Use a Restraint - Answer-Harming others or themselves, Disrupting medical
treatment or life sustaining measures
What are these examples of Alternative restraints - Answer-Alternative restraints; ;
Family sitting in with patient, special belts, bed and chair alarms, distraction by tv or
music, having patient complete menial but time consuming tasks, ambulation of patient
2 Classifications of Restraints - Answer-non-violent and non-self destructive, violent and
self destructive
Ordering Restraints - Answer-Licensed healthcare provider, assessment face to face,
reviewed every 24 hours
Can restraints be prn or on standing orders? - Answer-Negatron, ghost rider
Application of Restraints - Answer-Make sure restraint is not too tight (fit 2 fingers), tie to
an unmovable part on bed, use a quick release or slip knot, be sure to pad bony
prominences
Monitoring Patient That is Restrained - Answer-Assess skin and circulation of restrained
limb every 2 hours, take restraint off every 4 hours for ROM, bathroom, and
repositioning
Types of Restraints - Answer-Belt, mitten, elbow, extremity (ankle or wrist)
What are these examples of Falls prevention - Answer-Keep rooms clutter free, keep
upper bed rails raised, wear non skid socks or shoes, low beds, floor mattresses, hourly
rounding, **** risk signs on doors, **** risk wrist bands, chair or bed alarms
What are these examples of; Daily skin assessments, hydrate, reposition every 2 hours,
cleaning areas of body often and properly, pad bony prominences when in bed, clean
sheets and bedding - Answer-Pressure ulcer prevention