IHI 101: pt safety | Questions 2024/25 Update All
with 100% Correct Verified Answers
what is a just culture? - ✔✔holds individuals to account for reckless behavior while also
recognizing that people make mistakes and aren't responsible for system failures
what is substitution test? - ✔✔asks whether three other individuals with similar experiences
would take the same action in the same situation
a culture of safety - ✔✔an environment in which providers can discuss errors and harm
openly because they know they won't be unfairly punished and have confidence that reporting
safety event --> improvement
what are 4 behaviors under your control that you or anyone can adopt to improve pt safety -
✔✔1. follow safety protocols
2. speak up when you have concerns
3. listen to pts, colleagues and mentors
4. take care of yourself
According to WHO, in developed countries worldwide, what is the approximate likelihood that
a hospitalized patient will be harmed while receiving care?
(A) <1%
(B) 10%
(C) 50%
(D) >75% - ✔✔10%
Since the publication of To Err Is Human in 1999, the health care industry overall has seen
which of the following improvements?
, (A) A 75 percent reduction in preventable medical errors
(B) Stronger repercussions for providers who commit preventable medical errors
(C) Wider awareness that preventable errors are a problem
(D) Wider recognition that medical errors are most often attributable to individual
performance
(E) All of the above - ✔✔(C) Wider awareness that preventable errors are a problem
Safety has been called a "dynamic non-event" because when humans are in a potentially
hazardous environment:
(A) It is natural to establish and follow safe practices
(B) It requires the same kind of thinking that causes problems to set them right
(C) It takes significant work to ensure nothing bad happens
(D) There is generally a high prevalence of "near misses" - ✔✔(C) It takes significant work to
ensure nothing bad happens
James is a first-year surgery resident on his first pediatric rotation. His attending (consultant)
asks him to start intravenous (IV) replacement fluids on a two-year-old boy who is having
vomiting and diarrhea. Having trouble remembering the guidelines for calculating fluid
replacement rates for very small children, James asks Maria, a nurse on the unit. Maria
responds, "You're the doctor. It's your job to decide this." James picks a rate that is much too
high, putting the child into fluid overload.
To prevent this type of error from recurring in this unit, which of the following is MOST
important?
(A) Clear medical guidelines for fluid replacement in patients of all ages
(B) An improved culture of safety and teamwork
(C) Closer supervision of residents, especially in the first year
(D) More severe, well-publicized consequences for providers who are reckless - ✔✔(B) An
improved culture of safety and teamwork
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