Incident reports—correcting processes and reducing errors - Examination

AORN Journal,  August, 2003  

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1. The study of human performance and the error process (ie, causes, circumstances, conditions, other associated factors) is known as

a. the organization accident model

b. a systems approach.

c. root-cause analysis.

d. human factor analysis.

2. An error of execution is one in which the

a. correct action does not proceed as intended.

b. original intended act is incorrect.

c. expected unintended action is incorrect.

d. incorrect act does not proceed as intended.

3. Systems that are tightly -- have processes that are more time-dependent and sequences that are fixed (ie, rigid), and often there only is one way to reach the goal.

a. buffered

b. coupled

c. redundant

d. stratified

4. A tool designed to prevent failure before it occurs, reduce costs by preventing problems and complications, and assist in the designing of improved processes is called

a. normal accident theory.

b. failure mode and effects analysis.

c. root-cause analysis.

d. pathophysiology of error.

5. One of the areas that treatment errors focus on is

a. failure to provide prophylactic treatment.

b. failure to act on test results.

c. dose employed or method of using a medication.

d. equipment failure.

6. -- are one type of error most reported in the literature because they are among the most common errors committed, substantial numbers of individuals are affected, and they account for a sizeable increase in health care costs.

a. Patient falls

b. Wrong site surgery

c. Medication errors

d. Retained foreign bodies

7. The hallmark of a safety culture is

a. ensuring educational opportunities are available for all health care providers to guarantee competent performance at all levels.

b. ensuring limited liability parameters to effectively control litigation settlements.

c. improving hiring processes to ensure competent health care providers and weed out unqualified applicants.

d. providing an environment that is conducive to blameless voluntary reporting and error prevention.

8. -- states that accidents or errors can be prevented with good organizational design and management.

a. The high reliability theory

b. User-centered design

c. Pathophysiology of error

d. Root-cause analysis

9. The Institute of Medicine report specifically states that problems in the system of health care delivery result in errors, and in general, these problems are the fault of incompetent or malicious employees.

a. true

b. false

10 Patients who were involved with an incident want all of the following things afterward except

a. an explanation of what happened.

b. an apology from someone with responsibility.

c. significant financial restitution.

d. an assurance that changes will be made to protect others from similar harm.

AORN Home Study

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