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NUR 2207 Exam: Questions With Complete Solutions
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NUR 2207 Exam: Questions With Complete Solutions
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NUR 2207 Exam: Questions With Complete SolutionsTo Err Is Human Initiatives Right Ans - 1) creation of a national center for
patient safety within AHRQ or Agency for Healthcare Research and Quality
What does stand for QSEN? Right Ans - Quality and Safety in Nursing
Education
QSEN 6 competencies Right Ans - 1) Patient-centered care
2) Teamwork and collaboration
3) Evidence-Based Practice
4) Quality improvement
5) Safety
6) Informatics
* KSAs for each competency
ksa= knowledge, skills, and attitudes
To err is human Right Ans - 1) preventing death and injury from medical
errors requires system wide changes
2) preventing, recognizing, and mitigating harm from error
3) connection between quality care and patient safety
medical error defined as Right Ans - the failure of a planned action to be
completed as intended or the use of a wrong plan to achieve an aim
science of safety Right Ans - Minimizing the risk of harm to patients and
providers through both system effectiveness and individual performance
(QSEN)
Categories of errors in Sceince of Safety Right Ans - 1) Adverse event (AE)
2) Adverse drug (ADE)
3) Sentinel event
4) Medication error
Describe a Adverse event (AE) Right Ans - Injury caused by medical care
Describe a sentinel event Right Ans - adverse event that causes death or
serious harm to pt; usually events that are not expected or anticipated
,Describe an Adverse Drug Event (ADE) Right Ans - Adverse event involving
medication care
Medication error Right Ans - Preventable event related to mistake in
prescribing, dispensing, and or administering meds
What is the root cause analysis? Right Ans - - structured process for ID'ing
contributing factors underlying adverse events
- identiofy underlying probems that can increase likelihood of errors while
avoiding focusing on mistakes by individuals
What is important with reporting errors? Right Ans - It's important to
create a blame free non punitive reporting systems aimed at decreasing
errorsd and improving quality care/patient safety
What are some unsafe practices? describe them Right Ans - 1) work-
arounds (AHRQ)
- deviation from expected pattern of work to achieve end result by bypassing
safety measures
- often result of poorly designed process or equipment
2) dangerous abbreviations
3) relying on memory
What are some strategies to eliminate errors and unsafe practices? Right
Ans - 1) communication
- IPC or interprofessional communication
- Utilize SBAR
2) organizational error reporting system s
3) ROUNDING: 3 P's
- Potty
-Pain
- Positioning
4) Huddles
What are some more strategies to eliminate errors and unsafe practices ?
Right Ans - 1) peer checking
2) checklists
3) mnemonics
3) 60 second situational awareness (scan room for potential safety hazards)
,4) Patient ID using name and DOB
5) Utilize safety enhancing technology
- Bar coding
- Computer provider order entry (CPOE)
- Smart pumps
- Automatic alarms and alerts
Rank the order of error reducing strategies from most effective to most
effective:
1. Forcing functions and constraints
2. Standardization and protocols
3. Automation and computerization
4. Rules and policies
5. Checklists and double check systems
6. Education/Information
7. "Be more careful" Right Ans - 1. Forcing functions and constraints
2. Automation and computerization
3. Standardization and protocols
4. Checklists and double check systems
5. Rules and policies
6. Education/Information
7. "Be more careful"
What is a Culture of Safety Right Ans - The commitment to safety that
permeates all levels of an org from front-line personnel to executive
management
- product of individual and group values, attitudes, perceptions, etc.
- PURPOSE is prevention of errors and elimination of unsafe practices
What is included in a culture of safety? Right Ans - -Acknowledgement of
high-risk, error-prone nature of activities
-blame free environment for reporting errors
-an expectation of collaboration across ranks
- a willingness to direct resources for adressing safety concerns
Culture of Safety key elements Right Ans - 1) leadership
2) environment
3) communication
, Describe communication in regards to a culture of safety? Right Ans - -
open communication along team members
- conflict resolution
- handoffs
Describe enviornment in regards to a culture of safety? Right Ans - 2)
environment
- safe nurse-patient ratios
- BSN educated RNs
- teamwork
Describe leadership in regards to a culture of safety? Right Ans - 1)
leadership
- commitment to safety
- non-punitive approach to error reporting
What is a magnet hospital? Right Ans - -hospitals that opt into a voluntary
accreditation that offers a blueprint for improving work enviroments
-these hospitals experience improvements in care environments and safety
and minimize patient harm
- allows nurses and leaders to share best practices/strategies to achieve good
work environment -----> better patient safety
teamSTEPPS Right Ans - 1) planning
- brief short session before starting to disucss team formation
- assign roles
- expectations and climate
-anticipate outcomes and contingencies
2) problem solving
- huddle-ad hoc planning to reestablish situation awareness
- reinforcing plans already in place
- assess need to adjust the plan
-huddles
3) process improvement
- debriefing
situation monitoring process Right Ans - - situational awareness: precedes
another important competency
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