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WorksheetsRCA quiz
Total questions: 8
Worksheet time: 4mins
A nurse accidentally administers the wrong dosage of medication to a patient. Fortunately, the patient suffers no serious harm. An RCA is initiated.
Question:
What is the primary purpose of conducting the RCA in this situation?
A. To determine who is at fault and issue disciplinary action
B. To identify system failures and prevent recurrence
C. To report the incident to media outlets
D. To assess the nurse’s competency for legal purposes
Several patient lab results were delayed because specimens were mislabeled and had to be re-collected.
Question:
Which of the following best represents a root cause that the team might uncover?
A. Patients did not follow pre-test instructions
B. Staff were rushed during peak hours and skipped double-checking labels
C. Lab staff noticed the issue and reported it
D. The hospital had a backlog in reporting lab results
After surgery, imaging reveals that a surgical instrument was left inside the patient’s body. A multidisciplinary team is assembled for an RCA.
Question:
Which RCA tool would be most appropriate to explore multiple factors (e.g., staffing, communication, policies) that led to this error?
A. Control chart
B. Fishbone (Ishikawa) diagram
C. Histogram
D. Run chart
Scenario:
Mrs. Smith, an 82-year-old patient admitted for pneumonia, fell while attempting to walk to the bathroom unassisted during the night shift. She sustained a minor hip fracture and required surgery. The hospital decides to conduct a Root Cause Analysis (RCA) to understand how this incident occurred and prevent future falls.
What initial information should the RCA team collect about the fall incident?
I) Patient’s medical history and fall risk assessment results
II) Staff notes and shift handover documentation
III) Previous medication record
IV) Previous fall incidents or near misses on the ward
Choose the best answer.
II & III
I, III & IV
I, II & IV
D. All of the above
5. Referring to scenario in question 4.
Which RCA tools or techniques would be useful for analyzing this incident?
I) Fishbone (Ishikawa) Diagram: To categorize and visualize factors related to people, environment, processes, equipment, and policies.
II) 5 Whys Technique: To drill down each contributing factor and identify underlying root causes.
III) Process Mapping: To review how patient care and monitoring are organized during night shifts.
IV) Staff Interviews: To gain insights about leadership and workflow during the incident.
A. I, II & III
B. I & IV
C. II & III
D. All of the above
6. Scenario:
Mr. Johnson, a 65-year-old patient admitted with heart failure, was accidentally given twice the prescribed dose of his diuretic medication during a morning ward round. The overdose caused him to become severely dehydrated, leading to a prolonged hospital stay. The hospital management initiates a Root Cause Analysis to understand the underlying causes of this medication error.What types of information and data should the team need NOT to collect?
A) Medication administration records and orders (including electronic or paper charts).
B) Any previous similar incident reports or near misses
C) KKM's policies on medications.
D) Interviews with healthcare professionals involved
7. Based on scenario in question 6.
Which of the below are not the possible root causes or contributing factors that might lead to this medication error?
A) Communication barriers during handover between shifts leading to confusion about the dosage.
B) Tall man lettering label of medications causing confusion.
C) High workload or staffing shortages
D) Failure to follow double-check protocols.
8. Based on scenario in question 6.
Suggest possible corrective actions to prevent similar medication errors in the future.
A) Rotate staff between departments to ensure versatility in knowledge.
B) Implement mandatory double-check procedures for all medications.
C) Use electronic prescribing and administration systems with built-in alerts for overdoses.
D) Mandatory staff training at premier healthcare centres.
