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NUR3816 Exam 2 questions with correct answers
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NUR3816 Exam 2 questions with correct answers
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NUR3816 Exam 2 questions with correct answersactive error Correct Answer-An error that occurs at the level of the
front-line operator & whose effects are felt almost immediately
latent error Correct Answer-a flaw in a system that does not immediately
lead to an accident but establishes a situation in which a triggering event
may lead to an error; *greatest threat to safety* bc often unrecognized &
have capacity to result in multiple types of active errors
adverse event Correct Answer-An injury caused by medical
management rather than the underlying condition of the patient
sentinel event Correct Answer-an unexpected occurrence involving
death or serious physical or psychological injury or the risk thereof
(NOT all are errors); requires investigation
examples of sentinel events Correct Answer-An unanticipated death of a
full term infant
An infant abduction or discharge to the wrong family
Rape
Suicide
Hemolytic transfusion reaction
Wrong site or wrong patient surgery
Foreign object left inside patient
Severe neonatal hyperbilirubinemia
,Too much radiation or radiation to wrong area
human factors associated with preventable *medical error* Correct
Answer-- bias, competency, complacency, distractions, fatigue,
increased workloads, new information (in-service education)
-rushing, staffing (levels, skills, supervision)
-not as readily noted as system/method errors
discuss the prevalence and cost of medical errors (i.e. deaths, result of
error) Correct Answer--result in 1 in 25 patients
-44k-98k preventable deaths
-1 of 10 patients develop HAI or fall, pressure ulcer, or med error
The Joint Commission goals for preventing medical errors Correct
Answer-1. ID patient correctly
2. Improve staff communication
3. Use machines safely
4. Use alarms safety
5. Prevent infection
6. Identify patient safety risks
7. Prevent mistakes in surgery
identify where medical errors are likely to occur (i.e. common types of
error) Correct Answer-- *system-based*: lack consistency in delivery of
care/process
,- *Medication*: most frequent type of error (adverse drug event)
- *Surgical*
- *Healthcare-Associated Infections (HAIs)*: surgical site, pneumonia,
UTI, C. diff, MRSA...
- *Diagnostic*: leads to ineffective treatment and unnecessary procedure
(i.e. harm)
identify how common errors occur Correct Answer-- Commission:
causes harm; wrong plan to achieve aim
- Omission: failure to complete planned action as intended
- Communication
- Context
- Diagnostic
Commission Correct Answer-- error in performance of operation,
procedure, or test
- error in administering treatment
- error in dose or method of using a drug
- avoidable delay in treatment or responding to abnormal test
- inappropriate (not indicated care)
Examples of Commission error Correct Answer--lookalike and sound
alike medications
-failure to identify surgical sites
-failure to identify patients using two patient identifiers
, -restraint injuries appropriate patient transfers to alternate level of care
settings
Omission error Correct Answer--An error because something is missing
-Failure to provide prophylactic treatment (Physician did not prescribe
med; May not know problems until after discharge)
-Failure to communicate important information in a timely manner
-Unavailable patient information
-Unavailable drug information (not up-to-date)
-Limited Staff Education
-Limited Patient Education
examples of Omission error Correct Answer--Failing to gather and chart
client information adequately
-Failing to recognize the significance of certain information (lab values,
vital signs)
-Failure to interpret and carry out a doctor's orders
-Failure to perform nursing tasks correctly (burning patient, med error,
etc)
-Patient at high risk for disease and did not give meds (ex: baby aspirin
with family history of MI)
-Inadequate monitoring or follow-up treatment - practice standards,
protocols
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