CPPS Review Course (2022/2023)
Rated A+
A staff member discovered a medication with an incorrect label. The staff immediately notified
the pharmacist and the correct label was sent prior to medication administration.
...
CPPS Review Course (2022/2023)
Rated A+
A staff member discovered a medication with an incorrect label. The staff immediately notified
the pharmacist and the correct label was sent prior to medication administration. Then, the staff
completed an event report through the organization's reporting tool.
Which of the following actions should the unit manager take in response to this event?
A.) Document the incident in the employee's performance review.
B.) Investigate system failures and recognize the employee for reporting a near-miss event.
C.) Notify the director of pharmacy about the pharmacist's error.
D.) No action, since the incident did not cause patient harm. ✔✔B.) Investigate system failures
and recognize the employee for reporting a near-miss event.
You are educating clinical managers in your health care facility on how to identify appropriate
events for conducting a root cause analysis (RCA). Which event provides the BEST opportunity
for an RCA?
A.) A post-operative patient removes his own IV, causing a skin tear from the tape.
B.) A patient with no known allergies experiences an anaphylactic reaction to an antibiotic,
requiring transfer to ICU.
C.) The biopsy samples from a colonoscopy are never received by pathology after the procedure.
D.) In the last four months, there have been three occurrences of depressed respirations related to
sedation in the same department. ✔✔C.) The biopsy samples from a colonoscopy are never
received by pathology after the procedure.
A hospital is using the AHRQ Hospital Survey on Patient Safety Culture. There were 80
employees who responded. Responses to the survey item that states "we have patient safety
problems in this unit" were as follows:
Strongly Agree: 16
Agree: 32
Neither Agree nor Disagree: 12
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