Professional issues 3 Flashcards
Which statements represent norms in a culture of safety? (select 2)
a. providers are rewarded for erring on the side of caution even if wrong
b. a steep hierarchy exists so that junior personnel are excluded
c. explicit communication is frequent and ambiguity is challenged
d. workflow efficiency overrides patient safety concerns
a. providers are rewarded for erring on the side of caution even if wrong
c. explicit communication is frequent and ambiguity is challenged
Cultures of blame target
individuals for mistakes
Cultures of safety deal with
how individuals, groups, and systems interact to conduct their work
The element of a culture of safety include
values, beliefs, and norms
The majority of errors in medicine are due to
human error
A _______________ is typically designed for analysis when performance falls below acceptable levels; at this point, provider and systems data are reviewed
quality assurance program
_________________________ programs identify opportunities for improvement
Continuous quality improvement
Continuous quality improvement programs recognize that
errors will occur and focus on the processes involved in both successes and failures
JACHO defines a sentinel event as any
unexpected occurrence involving death or serious physical or psychologic injury or risk thereof
All sentinel events should undergo
root cause analysis
There is ___________________ to disclose medical errors that cause no harm
no duty
Reasons cited for reluctance to disclose errors include
personal shame
fear of loss of prestige among peers
fear of litigation
Medical errors are generally categorized as either:
failure of an action to occur as planned or
having or acting on the wrong plan altogether
What are 5 accepted norms included in a culture of safety?
anyone can raise safety issues
calling for help is encouraged
the hierarchy is flat
explicit communication is frequent
staff is rewarded for erring on the side of caution
Which skill is central to and most essential for effective crisis resources management?
a. communication
b. decision making
c. situation awareness
d. task management
a. communication
Crisis resource management uses a simple model in which _____________ is the “glue” that holds all the other components together
effective communication
Key aspects of crisis resource management include
know the environment
anticipate and plan
call for help early
mobilize all available resources
communicate effectively
prevent and manage fixation errors
cross-check and double-check everything
use cognitive aids
reevaluate repeatedly
use good teamwork
allocate attention wisely
