quiz2 Flashcards
Documentation of information, communication of critical information and correct identification and procedure matching are specific items within which National Safety and Quality Health Service Standards:
Select one:
a.
Comprehensive Care Standard
b.
Recognising and Responding to Acute Deterioration Standard
c.
Communicating for Safety Standard
Communicating for Safety Standard
An apology or expression of regret is one of the five elements of open disclosure. The nurse knows that a statement such as ‘I would say that the night shift staff probably neglected to write down that you were given this medication…’ in response to disclosing a medication error is:
Select one:
a.
A speculative statement and apportions blame
b.
A factual statement explaining how the incident occurred
c.
Explaining what is being done to ensure it does not happen again
a.
A speculative statement and apportions blame
Open Disclosure is important because the process assists all of the following except:
Select one:
a.
To discipline involved staff.
b.
the recovery process of patients
c.
clinicians to manage their involvement in, and recovery from, adverse events
d.
health service organisations to learn from errors
To discipline involved staff.
Open disclosure is required when a patient has suffered unintended harm during health care. This may be in response to all of the following except:
Select one:
a.
recognised complication
b.
unanticipated incident
c.
result of human error
d.
systems error
e.
where a clinical audit has been performed on patients records
where a clinical audit has been performed on patients records
All of the following are matters that are outside of the scope of the open disclosure framework except?
Select one:
a.
The natural progression of a condition
b.
Disease process
c.
Predictable therapeutic complications
d.
Near misses
e.
Disciplinary processes
Near misses
What are the five elements of open disclosure?
- an apology or expression of regret, which should include the words ‘I am sorry’ or ‘we are sorry’
- a factual explanation of what happened
- an opportunity for the patient, their family and carers to relate their experience
- a discussion of the potential consequences of the adverse event
- an explanation of the steps being taken to manage the adverse event and prevent recurrence.
Can the Open Disclosure Framework only be implemented in acute care facilities?Why or why not?
no
What are the eight guiding principles of open disclosure?
Open and timely communication
Acknowledgement
Apology or expression of regret
Supporting, and meeting the needs and expectations of patients, their family and carers
Supporting, and meeting the needs and expectations of those providing health care
Integrated clinical risk management and systems improvement
Good governance
Confidentiality
What matters are outside of the scope of the open disclosure framework? What does this mean?
This means that if, after an adverse event, it is considered that the harm may be the result of a criminal or intentionally unsafe act, management should follow their local complaints and disciplinary process, or refer the matter to the appropriate authority
The clinical workforce, have responsibilities associated with open disclosure. These responsibilities including:
Acknowledging their role in such events and delivering an apology in the form of an expression of regret
Participating in training and education about open disclosure
Active participation in open disclosure if the need occurs
Supporting colleagues after a harmful event has occurred. Blaming and defamatory actions are not to occur. Transparency and openness needs to occur.
Risk Appetite is:
Select one:
a.
One foundational element of a risk framework
b.
Explains how risks are to be identified and, controls developed through self-assessment procedures and processes
c.
Refers to an organisations susceptibility to, or the probability of adverse events occurring
check readings from Module 7 knowledge g
d.
Systems and processes the organisations have to withstand major disruptions and to recover within an acceptable time period
One foundational element of a risk framework
Which of the following is considered to be a non-clinical risk:
Select one:
a.
patients receiving several groups of titrated chemotherapeutic agents for cancer
b.
experiencing adverse effects of medications
c.
The facility pharmacy supply of drugs
d.
Risk of complex surgery
The facility pharmacy supply of drugs
Registered nurses participating by completing honest and transparent report of incidents and hazardous events that they are involved in or come across is an example of which aspect of Risk Awareness culture?
Select one:
a.
Risk data collection
b.
Scenario analysis
c.
Self-assessment procedures and processes
Risk data collection
Risk is defined as:
Select one:
a.
A static process
b.
Rare in occurrence
c.
Always changing
always changing
Is it possible to fully remove risk from procedures for patients?
Select one:
a.
It depends on the procedure
b.
Yes
c.
No
no
Girling (2013) claims that there are foundation elements of a risk framework that should be seen as foundation blocks. These are related to some of the elements you have been looking at this semester.
Risk appetite: this is about how much risk an organisation is prepared to carry before trying to mitigate it
Culture and awareness: you should be aware of the role of culture in risk
Policy and procedure: you looked at these when you looked at governance
Data collection: we will look at this in a bit more depth this semester
Risk and control self-assessment: Risks are to be identified and controls developed through self-assessment procedures and processes. In other words, the framework should identify, assess, control and mitigate risk.
Scenario analysis: This is usually focused on catastrophic risk, in health this would be sentinel and permanent harm adverse events. These generally make you think hard and in new ways.
Key risk indicators: These indicate that a risk is changing, and this provides opportunity to intervene (p. 35).
Which of the following constitute risks in healthcare:
Select one:
a.
Clinical Adverse Events
b.
Human resources
c.
Policy development
d.
a & b only
e.
all of the above
all of the above
Work breakdown analysis as well as Strength, Weakness, Opportunities and Threats (SWOT) analysis are:
Select one:
a.
elements of compliance
b.
components of scenario analysis
c.
specific processes to identify risk
specific processes to identify risk
In respect of incident investigation-asking questions such as: What happened? Why did it happen? How can it be prevented from occurring again? Is an example of:
Select one:
a.
Auditing
b.
RCA (Root Cause Analysis
c.
Work break down analysis
d.
SWOT analysis
RCA (Root Cause Analysis
Barriers to reporting incidents include all of the following except:
Select one:
a.
Forms are to complicated
b.
Fear of punishment
c.
No feedback
d.
No software for incident reporting
No software for incident reporting
Hazan’s 2016 article: Incident reporting and a culture of safety quotes Marx 2009 ‘Console the human error, Coach the at-risk behaviour, Punish the reckless behaviour’ as one definition for:
Select one:
a.
Risk Culture
b.
Blame culture
c.
Organisational culture
d.
Just culture
just culture
