Patient Safety: IHI PS 201 Root Cause Analyses and Actions UPDATED ACTUAL Questions and CORRECT Answers
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Patient Safety: IHI PS 201 Root Cause
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Patient Safety: IHI PS 201 Root Cause
Patient Safety: IHI PS 201 Root Cause
Analyses and Actions UPDATED ACTUAL
Questions and CORRECT Answers
RCA2 can be useful in health care because:
(A) It holds people accountable for their actions.
(B) It helps to identify system failures that can be corrected.
(C) It helps to assess the po...
Patient Safety: IHI PS 201 Root Cause
Analyses and Actions UPDATED ACTUAL
Questions and CORRECT Answers
RCA2 can be useful in health care because:
(A) It holds people accountable for their actions.
(B) It helps to identify system failures that can be corrected.
(C) It helps to assess the potential risk of introducing a new idea or process.
(D) All of the above - CORRECT ANSWER✔✔- B
RCA2 makes health care safer by focusing on systems failures and improving processes. It
does not blame individuals for their actions and is not a method for enforcing accountability.
It is not a method for assessing the risk of introducing a new idea or process.
Mr. Reynolds, a 75-year-old man, recently suffered from a wrong-site surgery. An RCA2
team is exploring what happened. They consider characteristics of the patient and staff
members. According to Charles Vincent, what other areas should they consider?
(A) Team factors
(B) Work environment
(C) Institutional context
(D) All of the above - CORRECT ANSWER✔✔- D
The best answer is all of the above. A wide range of factors influence medical outcomes.
Charles Vincent lists seven categories these factors, including: patient characteristics, task
factors, individual staff member characteristics, team factors, work environment,
organizational and management factors, and institutional context.
Which of the following scenarios would most likely call for RCA2?
(A) An occupational therapist quits after only three days on the job.
, (B) A physician is convinced that there is a better way to deliver pain medications on her unit.
(C) A social worker catches a patient who is falling out of bed.
(D) An administrator needs to develop a balanced budget. - CORRECT ANSWER✔✔- C
RCA2 is important to address adverse events as well as near misses, such as the near-fall in
answer choice C, that indicate a potential for harm to patients. Although the other options
may represent opportunities for improvement, they are not indicative of an imminent threat to
patient safety and would not trigger RCA2.
In regard to RCA2, "The chance of a specific event occurring; measured in terms of
consequences and likelihood" is the definition of:
(A) Quality
(B) Risk
(C) Safety
(D) Hazard - CORRECT ANSWER✔✔- B
This is a description of risk. As opposed to harm-based prioritization, RCA2 recommends
using risk-based prioritization for responding to adverse events.
Which of the following is a helpful tool/method for identifying underlying causes of
problems?
(A) 'Five whys' exercise
(B) Cause and effect diagram
(C) Harm-based prioritization matrix
(D) A and B - CORRECT ANSWER✔✔- D
Cause and effect diagrams and the 'Five Whys' exercise are useful tools to determine the root
cause of a problem. The Safety Assessment Code Matrix is a method for determining which
adverse events warrant close investigation.
What is the ultimate purpose of conducting RCA2 after an adverse event?
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