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Quality Management Two Question and answers verified to pass 2024 $13.99   Add to cart
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Quality Management Two Question and answers verified to pass 2024

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Quality Management Two Question and answers verified to pass 2024 Quality Management Two: Patient Safety What is the most common cause of a sentinel event? - correct answer Lack of communication Which of the following underlying causes of medical errors is described as the lack of effective ...

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  • September 9, 2024
  • 3
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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Quality Management Two: Patient Safety
What is the most common cause of a sentinel event? - correct answer ✔Lack
of communication


Which of the following underlying causes of medical errors is described as the
lack of effective "hand off" of work (e.g., transfer of medical information about
a patient)? - correct answer ✔Poor process or system design


What is the most important question you can ask when analyzing a quality or
patient safety issue? - correct answer ✔Why did the problem occur?


Which of the following is an example of lack of fail-safe methods? - correct
answer ✔Nurses not individually verifying the "five rights" of administering
medications: right drug, dose, route, time and patient


What percentage of adverse events are not reported? - correct answer ✔50-
96%


A patient was admitted for preterm labor, screened by RN #1 and examined
by a physician. The physician gave RN #2 a verbal order for 4 gm bolus/2 gm
maintenance MgSO4. RN #2 placed a large bag of MgSO4 on the IV pole and
programmed the IV pump; she started the MgSO4 bolus and then was called
away. Later the IV pump alarm went off and RN #1 started a second bolus.
The patient complained of feeling sick but this was not addressed; the FHT
alarm also was not addressed, which occurred around the time of change of
shift. The physician was concerned about his order being lost during the
change of shift, so he repeated the order to oncoming RN #3 but did not tell
her that it was a repeat order. RN #3 gave a third bolus... - correct answer
✔Lack of communication

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