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? ✔✔they fear disapproval
if
...
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? ✔✔they 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
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