Preventing Medical Errors Assessment – PSA

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1. The most frequently occurring sentinel events reported to Joint Commission are:

Patient suicide, post operative and intra operative complications, and medication errors.

Patient suicide, wrong site surgery and medication errors

Dela ys in treatment, injury and death of restrained patients and patient falls

All of the above

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2. In regard to root cause analysis (RCA), it is true that:

It is a JCAHO's requirement for all sentinel events.

RCA is a process for identifying basic and contributing factors associated with adverse drug events, near misses and sentinel events

RCA requires a safety assessment code (SAC) for follow up

All of the above.

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3. The following groups are at risk for medical errors:

Psychiatric patients.

Adults over 45 years old.

A and B.

None of the above.

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4. At least one corrective action plan must be implemented for each and every contributory root cause analysis.

True

False

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5. The primary reason that medical errors must be prevented is because they:

Are costly.

Jeopardize patient safety.

Lead to JCAHO type 1 recommendations.

Waste valuable healthcare provider time.

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6. Adverse events include:

Patient abuse, suicide, falls, equipment failure, nosocomial infections, medication errors, and surgical errors.

Missing patient, diagnostic inaccuracies, postsurgical wound infections, and blood transfusion related injuries.

Sentinel events, near misses, and intentional safe acts.

A and B.

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7. According to the Institute of Medicine (IOM) as many as 100,000 people in the U.S. die from preventable medical injuries.

True

False

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8. A root cause analysis is considered credible by JCAHO when:

It identifies risk points.

The team has a note taker at all meetings.

The team includes staff from all clinical areas.

Includes brainstorm about the possible root causes

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9. A medication error is:

Any unexpected physical reaction to a drug with the potential to cause injury.

Any unexpected event to a drug that requires discontinuing a drug.

An error at any stage in the process of ordering, dispensing, and administering medication.

An unintended physical reaction to a drug when it is used in the approved manner.

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10. The key to reducing medical errors is to focus on improving the systems and not to blame individuals.

True

False

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11. A near miss (close call) is a sentinel event that has been thwarted as the result of good back or the highly astute insight of a healthcare provider who acted to prevent it.

True

False

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12. The education of the healthcare consuming public is essential to the prevention of medical errors

True

False

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13. Recommendations from IOM committee include:

A national center for patient safety.

Mandatory and voluntary reporting system.

Building a culture of safety.

All of the above.

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14. About sentinel events, it is true:

JCAHO requires that all sentinel events be analyzed and used to generate a corrective action plan.

Sentinel events can affect patients, staff and visitors.

A timely and credible root cause analysis must be performed for each sentinel event.

All of the above.

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15. According to Joint Commission, a medical error is:

An unexpected occurrence involving death or serious injury.

An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof.

An unintended act either of omission or commission or an act that does not achieve its intended outcome.

Any process variation for which a recurrence would carry a significant chance of an adverse outcome.

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