A staff member discovered a medication with an incorrect label. The staff immediately notified the pharmacist and the correct label was sent prior to medication administration. Then, the staff completed an event report t
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A staff member discovered a medication with an incorrect label. The staff immediately notified the pharmacist and the correct label was sent prior to medication administration. Then, the staff completed an event report through the organization's reporting tool.
Which of the following actions should the unit manager take in response to this event?
A.) Document the incident in the employee's performance review.
B.) Investigate system failures and recognize the employee for reporting a near-miss event.
C.) Notify the director of pharmacy about the pharmacist's error.
D.) No action, since the incident did not cause patient harm.
B.) Investigate system failures and recognize the employee for reporting a near-miss event.
You are educating clinical managers in your health care facility on how to identify appropriate events for conducting a root cause analysis (RCA). Which event provides the BEST opportunity for an RCA?
A.) A post-operative patient removes his own IV, causing a skin tear from the tape.
B.) A patient with no known allergies experiences an anaphylactic reaction to an antibiotic, requiring transfer to ICU.
C.) The biopsy samples from a colonoscopy are never received by pathology after the procedure.
D.) In the last four months, there have been three occurrences of depressed respirations related to sedation in the same department.
C.) The biopsy samples from a colonoscopy are never received by pathology after the procedure.
A hospital is using the AHRQ Hospital Survey on Patient Safety Culture. There were 80 employees who responded. Responses to the survey item that states "we have patient safety problems in this unit" were as follows:
Strongly Agree: 16
Agree: 32
Neither Agree nor Disagree: 12
Disagree: 17
Strongly Disagree: 3
A.) 75%
B.) 60%
C.) 25%
D.) 20%
C.) 25%The AHRQ Hospital Survey on Patient Safety Culture User Guide scoring guidance says to use the "Strongly Agree/Agree" response sum, or, for negatively worded items—such as this one—use the "Strongly Disagree/Disagree" sum.
In this example, 17+3 gives us the response sum (i.e., 20), which we divide by total number of respondents (i.e., 80): 20/80 = 25%.
What is one example of a communication technique providers can use to improve communication with patients?
A.) SBAR
B.) Teach-back
C.) CUSP
D.) Two-Challenge Rule
B.) Teach-back
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