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Preventing Clinical Errors: Part One
Select the MOST CORRECT response.
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1: According to the Joint Commission, a ______ is defined as "an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof."
unpreventable error
sentinel event
preventable error
adverse event
2: Which statement does NOT correctly apply to adverse events?
Adverse events almost never occur in intensive care units
Adverse events occur in 3 - 4% of hospital patients
The average ICU patient experiences 1.7 errors per day
20% of ICU errors are potentially serious or fatal
3: Failure to provide an influenza vaccination for an eligible patient would be classified as a/an _____ error.
diagnostic
treatment
preventive
overuse
4: Contributing factors for adverse events come from which of the following categories?
system factors
individual factors
patient factors
all of the above
5: Personal factors that can contribute to adverse events include all of the following, EXCEPT ___.
professional commitment
competency
physical facility
health
6: System factors that contribute to adverse events include all of the following, EXCEPT ____.
supervision
comorbidities
communication
organization culture
7: Patient factors that contribute to adverse events include all of the following, EXCEPT ____.
physical constitution
psychological constitution
illness acuity
professional commitment
8: Examples of flaws in organizational culture that promote adverse events include which of the following?
implying blame
intimidation
tribalism
all of the above
9: Comprehensive reporting of adverse events helps to prevent future errors by which of the following mechanisms?
A. identifying error enablers
B. discovering strategies for error prevention
C. placing appropriate blame on individuals
A and B only
10: Which of the following is NOT an element of an institutional safety culture?
the belief that adverse events are inevitable and acceptable
enabling the ability to speak up and raise concerns
including the obligation to listen to others' concerns
promoting the obligation to work as a team
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