A Systematic Process
1. Preventable harm is defined as:
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point
The failure of a planned action to be completed as intended
Cannot be eliminated unless procedure, therapy or action is not performed
Harm caused by an error
Psychological or physical injury/damage
2. Examples of sentinel events include (select all that apply):
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point
wrong site surgery
adverse drug event
fall causing permanent harm
3. “A systematic process designed for investigating what, how, and why something happened and to figure out how to prevent something from happening again” is the definition of:
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Root cause analysis
Sentinel event
Error
Lesson 2 Quiz Quiz, 10 questions
Failure modes and effects analysis
4. Errors of omission include (select all that apply):
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Wrong drug given
Wrong patient given medication
Failing to order a medication that was indicated
Failing to assess for pregnancy
5. Common tools used in root cause analysis include:
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Swim lane diagram
5-Whys
Fish bone diagram
Process Map
All of the above
6. The Joint Commission requires hospitals to conduct a Failure Modes and Effects Analysis (FMEA) every
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6 months
12 months
18 months
As needed
7. As safety increases, quality also increases.
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point
Yes
No
Not necessarily
8. Patients, physicians, payers and regulatory organizations will all perceive quality of care by the same standards.
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point
True
False
9. An example of inevitable harm is:
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An allergy to an appropriate drug therapy with no history of allergy
Pharmacy technician makes the wrong medication for a patient
Physician fails to order an X-ray when it is indicated
None of the above
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10. Which factor(s) should be considered when evaluating the risks of a given treatment or therapy?
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point
Complete a benefit assessment of acceptable versus unacceptable risks
Patient/caregiver wishes
Both of these
Neither of these
