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Preventing Clinical Errors: Part Two- Devices
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1: An error that sets the stage for future errors and usually is committed by the system is known as a/an _______.
active error
slip
latent error
mistake
2: Which of the following is/are characteristic(s) of 'Root Cause Analysis?'
identifies all contributing factors
aims at problem-solving, NOT reactive measures and finger-pointing
aims at performance improvement by eliminating root causes
all of the above
3: A monitor that has a display that is difficult to see is an example of a ____.
human factor engineering defect
device misuse
product defect
all of the above
4: A practitioner removes a new manual resuscitator from its packaging and finds that the exhalation valve is not functional. This is an example of a ____.
human factor engineering defect
device misuse
product defect
all of the above
5: Potential system failures that promote errors with medical devices include all of the following, EXCEPT ____.
purchasing decisions
device misuse
management
inadequate training
6: Specific goals for human factor engineering for medical devices includes all of the following, EXCEPT ____.
improved comprehensiveness of user manuals to increase reliance on them
reducing the risk of device user error
making device usage more intuitive
reducing the need for training
7: Possible actions in the event of a device recall by the (Center for Devices and radiologic health (CDRH) include which of the following?
software upgrade
re-labeling the device
destroying the device
all of the above
8: The Joint Commission's analysis of ventilator-related Sentinel Events found ____ to be the most frequent contributing factor.
ventilator mechanical failure
inadequate orientation/training process
incomplete assessment
alarms set incorrectly
9: Strategies to prevent device-related adverse events include all of the following, EXCEPT ___.
adopting safe devices
purchasing a wide variety of device brands
trial evaluations with structured input from staff
competency assurance for all users
10: Responsibilities of individual respiratory care staff in preventing device-related errors include(s) which of the following?
assuring their own competency on all devices
report any potential device-related risks
removing malfunctioning equipment from service
all of the above
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