Introduction to periop safety

Question 1

AORN has endorsed The Joint Commission’s “Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™” and has developed a “Correct Site Surgery Tool Kit” that details steps for implementing the Universal Protocol. This tool kit was designed to standardize the implementation of the universal protocol. The four steps are:

Answer 1

1. Patient participation
2. Identifying the patient
3. Marking the site
4. Time Out

Question 2

The _____________ provides federal protections for individually identifiable health information held by covered entities and their business associates and gives patients an array of rights with respect to that information.

Answer 2

Health Insurance Portability and Accountability Act (HIPAA)

Question 3

WHO launched the _______ to examine patient safety in acute and primary care settings.

Answer 3

World Alliance on Patient Safety

Question 4

The Institute of Medicine (IOM) Report stated that __________

Answer 4

“changes within health care organizations will have the most direct impact on making care delivery processes safer for patients”

Question 5

Culture of Safety includes:

Answer 5

• Development and support of a proactive approach rather than a reactive, blaming approach.

Question 6

behavior errors generally occur when our attention is diverted and we fail to monitor the actions we are performing.
Example: A nurse inadvertently hits the wrong control button – the correct button is near the incorrect button.

Answer 6

Skill-Based

Question 7

performance errors Rule or knowledge-based performance errors arise when a nurse misinterprets a situation or incorrectly applies a rule.
Examples: A nurse misinterprets test results, or a nurse fails to respond to a device alarm.

Answer 7

Knowledge-based

Question 8

Lack of attention and situational factors play a significant role in medical errors. Be able to identify those situational factors that contribute to medical errors.

Answer 8

• Distraction (e.g., background noise, conversations, radios)
• Fatigue and/or sleep loss
• Drugs (including alcohol, and caffeine)
• Juggling multiple activities
• Stress
• Boredom
• Frustration
• Anxiety
• Anger
• Physical stamina due to occupational musculoskeletal injuries (e.g., back, shoulder)

Question 9

The _________ is responsible for setting up guidelines, policies, and practices that are related to safety and in accordance with regulatory agency guidelines and standards.

Answer 9

OR management team

Question 10

Responsibilities of individual OR staff members include:

Answer 10

• Know, understand, and comply with facility policies, procedures, and practices related to safety, including their facilities emergency power outage plan. (Staff members do not write the emergency power outage plan, but are expected to know, understand and comply with it.
• Practice sound, basic and OR-specific safety
• Monitor, identify, and report safety hazards