Communication > QUESTIONS & ANSWERS > IHI PS 101-105 Questions and Answers Already Passed (All)
IHI PS 101-105 Questions and Answers Already Passed According to researchers, which of the following is a common reason why caregivers choose not to communicate when something bad happens? ✔✔th... ey fear disapproval if youre responsible for the initial communication with the patient about the error, which of the following should you be sure to do? ✔✔speak clearly and directly which of the following is true regarding communication about adverse events with patients? ✔✔open communication with patients can assuage caregivers feelings of guilt based on the common reason why caregivers choose not to communicate when something bad happens, why might it be difficult for you to discuss what happens with this patient? ✔✔a need to preserve a sense of self according to a survey in the Lancet, when patients and families pursue lawsuits against their providers, which of the following is one of the things they want most? ✔✔an explanation When an error occurs which of the following is generally the proper order for prioritization. ✔✔Care for the patient, communicate with the patient, reports all appropriate parties, check the medical record. You sit down with the patient to break the bad news about a lapse in follow up on a long mass detected in a recent chest x-ray. Which of the following is important information to include in the first discussion? ✔✔Your intentions to prevent this type of error from happening again When discussing the event with Mrs. Bernardo the most appropriate initial comment would be ✔✔How is your pain? Why is it important for Janice to apologize to Mrs. Bernardo for the delay in her pain medication? ✔✔An apology is needed to maintain provider patient trust. What are Aaron Lazare's 4 components of an apology ✔✔1. Acknowledgment. 2. Exclamation. 3. Expression of remorse, shame, and humility. 4. Reparation. When giving an explanation for why an adverse event happened, it can sometimes be a good idea to ✔✔Say something like, "There is just no excuse for what happened." When giving an explanation for why an event happened it is always ✔✔Be factual When an adverse event befalls the patient, who are the second victims according to Dr. Albert Wu? ✔✔The caregivers involved in the error When the supervisor informed you about what happened, you go now I'm thinking about those six hours and the cost to the patient. What should ideally happen? ✔✔She should speak calmly with you about what happened and how you're feeling about it Why is it important for the organization to offer you help and support after a medical error has been made? ✔✔Offering support helps prevent depression or decreased job satisfaction Based on what you know about the incident, which of the following statements thing to be fundamental attribution error? ✔✔The HUC almost killed someone yesterday because she doesn't pay enough attention Which of the following is a support mechanism that might be available to caregivers after traumatic events? ✔✔The employee assistance program Rumor spread quickly on your unit. The next day you overhear a nurse telling another nurse the HUC almost killed someone yesterday with her carelessness. What is this comment exemplify? ✔✔Fundamental attribution error According to a study by Scott and politics, what is the common type of support caregivers ask for after adverse events? ✔✔Early identification and suffering Why should a RCA be conducted by a team Rather than by an individual? ✔✔Understanding what led to an air requires diverse perspectives The heart of the RCA process is ✔✔Identifying what caused the event As the RCA for this case begins the team struggles with identification of the root causes of the outcome. They consider the patient's characteristics as well as the work environment. According to Charles Vincent, what other areas should they consider ? ✔✔Team factors, institutional context, and organizational factors Which of the following is an example of the type of causal statement that this team might expect to develop? ✔✔The patient was unattended for 30 minutes because the nurse was busy caring for other patients and this contributed to the outcome Which of the following types of interventions is likely to be the most effective for improving safety ✔✔Standardizing processes Root cause analyses Can't be useful in healthcare because ✔✔They help to identify system failures that can be corrected The surgical staff the operated on Mr. Reynolds is embarking on a root cause analysis RCA of the incident. If they complete a high-quality RCA, which of the following is an example of the kind of root cause they may identify? ✔✔The hierarchy in the operating room had a negative effect upon communication The team conducting the RCA of the wrong fight surgery realizes that one contributing factor was the pressure on a surgical team to start and end surgeries on time, as not to disrupt later schedule procedures,. Which of Vincent seven categories of factors influencing clinical practice does this best illustrate ✔✔Organizational and management factors Which of the following scenarios will call for root cause analysis ✔✔A social worker catches a patient who is falling out of bed Which is an important approach when conducting an RCA? ✔✔Use categories to organize events that led to errors The four behaviors ✔✔1. Follow safety protocols. 2. Speak up when you have concerns. 3. Listen to patients colleagues and mentors. 4. Take care of yourself What is most likely to happen if I health system punishes an individual for an unintended error that was the result of a systems problem? ✔✔Staff may be less likely to talk openly about and learn from errors, and the response will weaken the safety culture Since the publication of to air is human in 1999, the healthcare industry overall hissing which of the following improvements? ✔✔Wider awareness that preventable errors are a problem Which of these is a behavior provider should adopt to improve patient safety? ✔✔Follow written safety protocols, even if they slow down [Show More]
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