HSMT 4202 - Final Quiz answers

The focus of the 1% steps to healthcare returns to break down the one big issue in healthcare, and look at decreasing spend 1% at a time

False

The greatest strength of QI comes in changing one or two key steps in healthcare delivery

False

Goals for the UNIADS 90-90-90 treatment for all include

- 90% of all people living with HIV will know their HIV status - 90% of all people diagnosed HIV infection will receive sustained antiretroviral therapy - 90% of all people receiving antiretroviral therapy will have viral suppression

Two questions that CQI focuses on are:

- How can I improve patient care? - How can I improve the system of care?

A new nurse forgets to administer a patients pain medication 30 minutes prior to procedure. At a risk manager for the hospital, you can understand that this is an error of...

- omission - skill-based

The following are all common features of high reliability organizations

- sensitivity to operations - resistance to simplification - admiration to experience

In order for resilient groups to have respectful interactions, the major elements that must be included are (select all that apply):

- trust - honesty - self respect

What level of risk in a medical setting is an unrealistic goal?

0%

Match the steps to be taken after sentinel event to the appropriate order in which they should be followed.

1. Perform a root cause analysis 2. disclose error and apologize to patient 3. report event to appropriate authority 4. waive all costs associated with the event

The functioning of small units of care falls under which level on Berwick's work?

B

A culture of safety could be built in the absence of

Budget as the top priority

In Dr. Goldman's Ted Talk, what were the 3 words mentioned that ER physicians fear the most?

Do you remember...

Assessment of the quality of healthcare began with

Donabedian

A patient entering an ER seeking help does not create a fiduciary duty.

False

According to Taleb, the COVID-19 pandemic could be considered a Black Swan Event because people saw it coming, yet they did not prepare for the devastating effect it has caused.

False

As of September 2020, the world is on track for hitting 90-90-90 targets regarding HIV testing and treatment.

False

QSEN is a case study in building consesus around education for nurses, pharmacists, and allied health professionals

False

Project Fives Alive was run in

Ghana

Which would be one result of realizing the triple aim?

Halved costs for bypass surgery

Risk management involves which order of steps?

Identify, Analyze, Control

Which hospital reinvented their safety program after the tragic death of josie king

Johns Hopkins Hospital

Advantages of learning from near-miss events includes all of the following EXCEPT

Lower chance of medical malpractice claims

What state was the first to pass legislation around mandatory "Never Event" reporting?

Minnesota

In the ecological model for public health, what is at the innermost ring?

Personal traits

Increasing access to ____ is crucial to saving lives, regardless of the country's economic status

Primary care

It is Friday afternoon and you need to submit the month end budget reports. Reports should not be submitted until after 4 pm, since physicians have until that time to complete charting requirements. You want to start your weekend early, so you submit the reports at 3:30 even though all the providers have yet to submit. Your mistake is

Rule based

What will equip clinicians to achieve the highest level of honesty and internal reflection on their own clinical practice?

Strong managerial leadership

What was developed in 2005, that includes five root nodes and 21 subclassifications of those root nodes?

The Joint Commission Patient Safety Event Taxonomy

44,000-98,000 patients die each year due to care received for some medical condition rather than from the condition itself.

True

Dr. Haddon's approach helped us comprehend that understanding injuries in a larger context can help better recognize unsafe systems and mitigate inherent hazards.

True

Near misses occur 3-300 times more often than adverse events

True

Organizational accidents are due to the effects of poor organizational culture

True

The first step towards more common use of CQI in healthcare is education

True

WHO's ICPS is a linear hierarchical system

True

When looking at auto accidents, the Haddon Matrix had three phases that were preinjury, injury, and postinjury.

True

In the Swiss Cheese Model what lies closest to a mishap

active failures

If a patient ends up with a damaged liver due to misadministration of medication resulting from poor management would be a

adverse event

In the SEIPS 2.0 framework, accidents arise from the interactions of all of the following except

behaviors

widespread adoption of CQI can be related to

best practices by experts and peers to carry out improvements initiatives

Characteristics of a culture of safety include all of the following except:

encouragement and practice of individual responsibility for actions

Administering a medication to one patient that was intended for a different patient is an example of a error of _______

execution

According to Dr. Berwick, true north lies with the patients

experiences

According to Vincent, seven elements that influence safety includes all of the following except

external payer factors

Errors

failures of action

Mistakes

failures of planning

A patient injury which occurs when a nurse does not follow rules about cross-checking medication is knowledge based.

false

Contributing factors in the ICPS can be pinpointed down to one issue, which is an accurate representation of the interacting components in events that contain errors

false

Deming created an implemented the systems engineering initiative for patient safety

false

unfortunately, most never events are common occurrences in healthcare organizations

false

Which is true of only some black swan events?

financial effects

Capitation can be described as

fixed, pre-arranged payments for healthcare services with a hard limit

Understanding the source of the problem is the key to ___ the problem.

fixing

According to the saying that Professor Halfmann was told in nursing school, "Nice people rarely..."

get sued

All improvement is change, but not all change is

improvement

In terms of QI, the WHO safe childbirth checklist

is only one part of the overall process

In Reason's Swiss Cheese Model, it is shown that the risk of a threat becoming a reality is mitigated by the offering layers and types of defense which are _________ behind each other

layered

In the video presented during lecture, the first physician who spoke that if he worked in this, his error could have been prevented

meaningful teams

What is the third leading cause of death in the united states?

medical errors

A retained foreign object inside a body cavity post-procedure is an example of a(n) _______________ _____________.

never event

Which level of HFACS is most general

organization influences

Transforming a system requires improving______

processes

If a patient is injured when a surgeon inadvertently leaves a surgical sponge inside a thoracic cavity, this is

skill based

How are life expectancy and country income related?

sometimes correlated

The goal of "Good Catch!" programs is to

spot trends

More effort is being made to train physicians to work as a part of a

team

QI application in Africa often runs up against focus on input/output instead of process

true