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PS 102: From Error to Harm Questions and Answers Rated A Which of the following is a latent unsafe condition in the system that contributes to the resident's error? ✔✔Long work schedule To prevent this problem from h ...

PS 102: From Error to Harm Questions and Answers Rated A Which of the following is a latent unsafe condition in the system that contributes to the resident's error? ✔✔Long work schedule To prevent this problem from happening again, which of the following would be the best course of action? ✔✔Develop a system that prevents messy handwriting from causing miscommunication that leads to error. "Latent errors" are best defined as: ✔✔Defects in the design and organization of processes and systems What is the active error in this scenario? ✔✔The nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor. What is one of the latent errors in this scenario? ✔✔The forms are completed by hand at the same time for different patients According to James Reason, by definition an "unsafe act" always includes: ✔✔A potential hazard This is an example of what type of error? ✔✔Lapse This is an example of what type of unsafe act? ✔✔Violation Which of the following is the most significant advantage of shifting to a systems view of safety within health care? ✔✔It allows us to change the conditions under which humans work What type of error is this intervention best designed to address? ✔✔Lapse What intervention helped prove that catheter-associated bloodstream infections (CLABSIs) were preventable consequences of care? ✔✔A checklist of evidence-based practices applied consistently and collectively every time a catheter is used What is one reason that patient safety has shifted to work on reducing harm in addition to preventing errors? ✔✔Harm is more preventable than providers once thought. Which of the following is included in the IHI Global Trigger Tool definition of harm? ✔✔Physical injury caused by medical care that triggers additional care The Swiss cheese model of harm illustrates what important concept in patient safety? ✔✔B and C Why do some patient safety leaders such as Dr. David Bates believe the definition of harm should be broader than the definition in the IHI Global Trigger Tool? ✔✔Because health care systems should work to prevent more types of harm than the current definition includes

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