Ihi ps 102 questions - Study guides, Class notes & Summaries

PS 102: From Error to Harm Questions and Answers Rated A Which of the following is a latent unsafe condition in the system that contributes to the resident's error? Long work schedule To prevent this problem from happening again, which of the following would be the best course of action? Develop a system that prevents messy handwriting from causing miscommunication that leads to error. "Latent errors" are best defined as: Defects in the design and organization of processes and systems Wha...

PS 102: From error to harm questions and answers rated A Nearing the end of her 18-hour work shift, a resident sees a patient with extremely high blood glucose levels. She writes the patient a prescription for insulin; however, in her exhaustion, she closes her "U" (for "units"), and it looks more like an extra zero. As a result, the pharmacist dispenses an insulin dose that's ten times stronger than the patient needs. Which of the following is a latent unsafe condition in the system that...

PS 102 Questions and Answers 100% Pass Swiss cheese model of accident causation Serious adverse events are almost always the result of multiple failed opportunities to stop a hazard from causing harm Latent conditions defects in the design and organization of processes and systems — things like poor equipment design, inadequate training, or insufficient resources. These errors are often unrecognized, or just become accepted aspects of the work, because their effects are delayed. Active failu...

At University Hospital, the rate of Clostridium Difficile colitis has doubled during the past year. After reviewing the data, the hospital's senior leaders conclude that this is due to poor hand hygiene on the part of the staff, even though they have a clear hand washing policy in place and don't believe most staff are intentionally disregarding the policy. They decide to start a hand washing campaign and post signs all over the hospital reminding providers to wash their hands. What type ...

At University Hospital, the rate of Clostridium Difficile colitis has doubled during the past year. After reviewing the data, the hospital's senior leaders conclude that this is due to poor hand hygiene on the part of the staff, even though they have a clear hand washing policy in place and don't believe most staff are intentionally disregarding the policy. They decide to start a hand washing campaign and post signs all over the hospital reminding providers to wash their hands. What t...