Incident M 2

According to the SEIPS framework, what are the six broad elements of a work system?

• Environment, Technology, People, Organization, Tasks, Tools

• External environment, Organization, Internal environment, Tools and technology, Tasks, Person(s)

• Safety, Efficiency, Process, Systems, Technology, People

• Evaluation, Design, Implementation, Monitoring, Feedback, People

What does PSIRF stand for?

• Patient Safety Incident Reporting Framework

• Patient Safety Incident Response Framework

• Patient Safety Information Reporting Framework

• Patient Safety Improvement Response Framework

What is the purpose of immediate action in response to an incident?

• To delay the response until more information is available

• To address an emergency and stabilize the situation immediately

• To document the incident for future reference

• To assign blame for the incident

What are the three objectives of the National Patient Safety Team's patient safety strategy?

• Increase funding, reduce staff, limit patient interactions

• Improve understanding of safety, involve and equip patients, staff, and partners with the right skills, and design and support programs for sustainable change

• Eliminate all incidents, reduce patient numbers, increase paperwork

• Improve technology, hire more managers, increase training sessions

What is the first response when an incident occurs in the laboratory?

• Report to the patient

• Make it safe, perform immediate action, and report to a senior member of staff

• Document the incident in a personal log

• Ignore if it is a minor incident

According to PSIRF, what should organizations focus on instead of using arbitrary and subjective definitions of harm?

• Maximizing reporting numbers

• Maximizing learning and improvement from incidents

• Minimizing paperwork

• Reducing staff workload

Which of the following questions is NOT part of the AAR process?

• What was the expected outcome/expected to happen?

• Who is responsible for the incident?

• What was the actual outcome/what happened?

• What is the learning?

Which type of incident might require an AAR?

• Routine maintenance

• A spillage of reagents or harmful chemicals

• A planned training session

• Regular staff meetings

Which of the following is an example of a potential laboratory error?

• Routine blood draw

• Internal quality assurance (IQA) failure

• Successful equipment maintenance

• Accurate patient identification

What constitutes a nonconformity in Q Pulse?

• Events that cause direct patient harm

• Errors identified and corrected before reaching the patient

• Properly performed procedures

• Routine patient follow-ups