Health Care > QUESTIONS & ANSWERS > PS 104: Teamwork and Communication in a Culture of Safety Questions and Answers Rated A (All)
PS 104: Teamwork and Communication in a Culture of Safety Questions and Answers Rated A Post-Lesson Assessment Effective health care teams have several important characteristics, including: (A) T... he ability to rehearse procedures together, like a choir or a sports team. (B) Stable membership; that is, they have the same people on the team from day-to-day. (C) Effective communication techniques. (D) The ability to achieve good results without strong communication. ✔✔(C) Effective communication techniques. Which of the following is likely to be the most immediate result of building an effective health care team? (A) Less costly health care (B) Safer care (C) Fewer delays in care (D) Elimination of waste in the system ✔✔(B) Safer care As a nurse practitioner in a small, rural urgent care clinic, you believe that your clinic team works well together. Which of the following facts would best support your belief? (A) Not a single complaint about unprofessional behavior has been filed by clinic members over the past year. (B) The providers work in rotating shifts and rarely need to transmit information from one shift to the next. (C) The team routinely takes a moment to discuss the plan and voice concerns before doing a procedure. (D) All of the above. ✔✔(C) The team routinely takes a moment to discuss the plan and voice concerns before doing a procedure. One reason it's critical for caregivers to improve their teams' effectiveness is: (A) Effective teams reduce the risk of errors by providing a "safety net" for individual caregivers. (B) Effective teams limit the number of caregivers patients have to speak with, reducing confusion among patients and families. (C) Teams rely less on technology and more on human capabilities, thus leading to better care. (D) All of the above ✔✔(A) Effective teams reduce the risk of errors by providing a "safety net" for individual caregivers. When considering your role within a health care team, it is important to keep in mind that: (A) No matter what profession you belong to, you will be a member of the team and must work intentionally toward making that team effective. (B) You may be part of a team, but will likely be able to work autonomously without much input or help from others. (C) Teamwork skills will come naturally to you, because we all learn them in other settings. (D) You will need to be a good team member until you become an expert in your field, at which point you probably won't need teamwork skills. ✔✔(A) No matter what profession you belong to, you will be a member of the team and must work intentionally toward making that team effective. Which of the following is a factor that might make it difficult for you to say something to this pharmacist? (A) You're just a student, and health care is hierarchical by design. (B) The pharmacist got annoyed when someone corrected him earlier. (C) You do not have time to say anything today. (D) A and B ✔✔(D) A and B Why should you tell the pharmacist about your concern? (A) So that the pharmacist will think well of you when completing your evaluation at the end of the rotation (B) So that you can make your knowledge and eye for details apparent (C) So that the patient does not experience an adverse event (D) So that the pharmacist gets some extra training ✔✔(C) So that the patient does not experience an adverse event You decide to speak with the pharmacist while he is filling the order. What would be the most appropriate thing to say? (A) "Did you check the bottle from which you're dispensing that medication?" (B) "I am concerned there is a safety issue here." (C) "What are you doing? Can I help?" (D) "Stop filling that prescription right now or I will be forced to call the manager." ✔✔(B) "I am concerned there is a safety issue here." After you speak up, which of the following responses by the pharmacist would best indicate that this pharmacy has a culture of safety? (A) "Thanks! I'll tell your supervisor that you helped me today." (B) "If you know what's good for you, you won't tell anyone about this." (C) "Thanks! But in the future, please correct me in private, when others aren't around." (D) "Thanks! I appreciate that. But don't ever say something like that to the other pharmacist here. He's got quite a temper." ✔✔(A) "Thanks! I'll tell your supervisor that you helped me today." What is a culture of safety? (A) A place where errors never happen (B) A place where errors are always caught (C) A place where all staff can talk freely about safety problems without fear (D) A place where all staff feel comfortable reporting errors only if they're guaranteed anonymity ✔✔(C) A place where all staff can talk freely about safety problems without fear What is "SBAR"? (A) A system for delivering information (B) A system for identifying areas for improvement (C) A system for confirming receipt of information (D) A system for assessing patient values ✔✔(A) A system for delivering information Linda, a pharmacist at an outpatient pharmacy for a medium-sized medical group, receives a call from John, a nurse practitioner in the cardiology clinic. John tells Linda he needs to call in a new prescription for hydrochlorothiazide at 50 mg once a day for Ms. Krane. At the end of the conversation Linda says to John, "Okay, so you want Ms. Joanne Krane to have a new prescription for hydrochlorothiazide at 50 mg by mouth once a day. Thirty pills and six refills." What has Linda just done? (A) Increased the likelihood of error by repeating an order (B) Provided a read back (C) Used SBAR in communication (D) B and C ✔✔(B) Provided a read back Use the following scenario to answer questions 3-4: You are a member of an intensive care unit team in a regional hospital. This morning, a patient had an unexpected severe allergic reaction (anaphylaxis) after being given a penicillin derivative. There was a significant delay in getting the physician involved and beginning treatment for this life-threatening condition. Fortunately, the patient is now stable and does not seem to be experiencing any lasting effects. At this point, what would an effective team leader do? (A) Report this adverse event in the anonymous reporting system so that it can be investigated (B) Ask administrators to launch an investigation immediately to find out who was responsible for this adverse event (C) Add this medication to the patient's allergy list (D) Conduct a debriefing ✔✔(D) Conduct a debriefing The unit leaders are trying to figure out what changes they should make to prevent this treatment delay from happening again. Given what you know about the incident, what change would you recommend? (A) Implement mandatory debriefings after the team works together on a patient. (B) Fire the physician who failed to respond in a timely way. (C) Stop using nursing assistants in the ICU. (D) Implement the use of critical language in the ICU. ✔✔(D) Implement the use of critical language in the ICU. Effective team leaders: (A) Have multiple degrees. (B) Are usually physicians. (C) Seek input from all members of the team. (D) Know the correct answer in any given situation ✔✔(C) Seek input from all members of the team. [Show More]
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IHI PS 104 BUNDLED EXAMS QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
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