IHI PS 103 Q&A'S Graded A+
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
...
IHI PS 103 Q&A'S Graded A+
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 storageWhich 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
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