IHI PS 103 Q&A'S Already Passed

IHI PS 103 Q&A'S Already Passed At the end of a double shift, an experienced nurse with an excellent track record gives a medication to the wrong patient. Based on human factors principles, what would you recommend as ...

IHI PS 103 Q&A'S Already Passed At the end of a double shift, an experienced nurse with an excellent track record gives a medication to the wrong patient. Based on human factors principles, what would you recommend as the best way to prevent the same error form recurring? ✔✔Improve medication administration processes Which one of the following is an example of unconscious processing by the brain? ✔✔Optical illusions & mistaking one drug for another because of look-alike packages Which of the following types of errors is associated with controlled thinking? ✔✔Errors of planning When attempting to decrease the risk of error, its important to use human factors principles because: ✔✔If you understand the factors that affect human performance on critical tasks, you can design a safer system Human factors is the study of: ✔✔all of the above (people, equipment & environment) Which of the following factors can increase human risk for error? ✔✔All of the above Which of the following is associated with automatic thinking? ✔✔errors of execution or memory storage Which of the following circumstances do you think warrants a redundancy? ✔✔A secondary system is needed in the event a first system fails A situation where a failure in the first step can result in serious harm Which of the following is a basic strategy for minimizing the opportunity for error in a process? ✔✔Standardizing how the process is completed At the end of your training sessions on your clinics new EHR, you are handed a two sided laminated card title "Quick Start Guide." It provides step-by-step instructions for basic tasks such as entering orders and writing daily notes in the EHR. This is an example of: ✔✔Avoiding reliance on memory Your hospital is implementing an electronic health record (EHR) and is teaching all staff how to use it. As you go through the EHR training, you notice that it takes five clicks to bring up the vital signs for a patient. In the past, when you wanted to see a patient's vital signs, you could simply look at the sheet of paper clipped onto the end of the bed. Which of the following likely needs to be improved about the new process to review vital signs? ✔✔It needs to be simplified Which of the following is a basic strategy for minimizing the opportunity for error in a process? ✔✔checklists prompt providers to remember and appreciate the importance of tasks The first time you admit a patient using your health systems new EHR, you see a screen pop up as you are attempting to enter orders. At the top it says,"You must enter orders for DVT(blood clot) prevention before completion of this admission order set. Click here to complete this order." This pop-up box is an example of the use of: ✔✔Forcing function Which of the following statements about bar-coding systems is true? ✔✔They can help providers keep track of lab specimens, ID medications & med equipment & ID patients Effective ways for addressing defects in the human technology interface include: ✔✔test technology in real-world situations You're caring for a patient with diabetes who was admitted to your hospital with an elevated blood glucose level. She is on an insulin pump that is programmed to deliver one unit of insulin per hour through her IV line. Which of the following is a risk of this technology? ✔✔The pump could malfunction You're working in an outpatient clinic that recently started using an electronic health record (EHR). You are entering a prescription for an antibiotic into the EHR to treat Mrs. Jones's urinary tract infection. As you enter the order, a warning screen pops up saying that she has chronic kidney disease, and the medication dose should be adjusted based upon her last recorded creatinine level (a measure of kidney function). However, you know that Mrs. Jones's most recent creatinine level — recorded at a different clinic and therefore not available in your EHR — came back normal. When you attempt to move past the warning, the system will not allow you to proceed. Which of the following concepts does this scenario demonstrate? ✔✔All of the above You enter a medication order in your hospital's EHR, and a warning screen pops up saying that your patients medication dose should be adjusted based upon her last lab results. However, you know that the patient has a lab draw more recently- recorded at a different clinic and therefore not available in your EHR- that showed different values. When you attempt to move past the warning, the system will not allow you to proceed. What does this block best exemplify? ✔✔How technology that dictates your work — rather than facilitates it — can introduce unintended problems (workaround that may make patients less safe)