Risk Management
Patient Safety and Risk Management is only available Monday through Friday from 8am-5pm.
What is False? Patient Safety and Risk Management are available 24/7.
Only one form of identification is needed when identifying patients.
What is false? JC and BHC require at least two forms of identification.
A Just Culture is a blame free culture?
What is false? Individuals who exhibit reckless behavior are held accountable for their actions.
Only leadership is responsible for reporting errors.
What is false? Everyone is responsible for reporting errors.
________ is a common source of error in healthcare.
What is communication?
This is the goal of the Patient Safety and Risk Management Program.
What is to prevent harm to patients and staff?
There are five rights of medication administration.
What is false? There are currently 10 rights of medication administration (right patient, medication, dose, route, time, education, documentation, refuse, assessment, evaluation)
In a Just Culture individuals are punished for Human Errors.
What is false? A just culture focuses on system factors.
Only errors that result in harm need to be reported.
What is false? All events, not just those causing harm should be reported for tracking and trending.
The acronym SBAR stands for this.
What is: Situation, Background, Assessment, and Recommendation?
This is the extension at which Patient Safety and Risk management can be reached.
What is extension 0932?
If a fall is witnessed, then a RL6 is not required.
What is false? All falls require the completion of an RL6 for tracking and trending.
According to James Reason's Model of Accident Causation, human error is primarily responsible for medical errors.
What is false? The "Swiss Cheese" model recognizes both active and latent system factors as causes of errors.
You should document in a patient chart that an RL6 was filed.
What is false? Documentation of RL6 completion in the patient chart then makes that safety report subject to litigation.
The last step in closed loop communication is for the sender to _____ message was received.
What is verify?
The only function of the Risk Management Department is to review RL6 events.
What is false? The RL6 system is only one way in which the department gathers information of safety concerns.
This is the single most important strategy to decrease the risk of healthcare-associated infections.
What is hand hygiene.
A nurse shows up to work under the influence of an unauthorized substance and a patient safety event occurs. The nurse should be held culpable according to just culture principles.
What is true? According to just culture principles the nurse is responsible for the consequences of coming to work impaired.
To file an RL6 you must disclose your name.
What is false? Unanimous reporting of safety concerns is permissible.
This is the standard for shift hand-off at BHN.
What is a bedside shift report?
The Risk Managment department is a punitive department.
What is false? Patient Safety and Risk Management looks for process errors, it does not perform corrective action.
This is the name of the policy at BHN that helps to prevent mistakes in surgery.
What is Universal Protocol?
The organization that Radonda Vaught worked for, took correct actions after the medication error was identified, according to just culture principles.
What is false? The organization that Ms. Vaught worked for failed to follow just cultural principles.
RL6s are punitive and will result in corrective action.
What is false? The focus of the RL6 reporting system is to identify process issues and improve patient safety.
The Joint Commission 2023 patient safety goal to improve staff communication calls for staff to get important test results to the ____ person on time.
What is the right staff?