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Quantum Units Education®

Medical Errors Prevention

1. Which of the following is NOT one of the 9 tips mentioned in the pamphlet under "Medicines"?

A. "Brown bag" all meds and supplements to doctor visits, making sure the doctor knows about allergies, adverse reactions, prescription and over-the-counter meds, vitamins and herbs.

B. Get information about your meds in terms you can understand, such as what it is for, how and how long you are to take it, what likely side effects are and what to do if they occur.

C. Get clarity about medicine label directions and ask if the medicine you are retrieving is the medicine your doctor prescribed when you pick it up from the pharmacist.

D. Get advice from your pharmacist about the best devices for measuring liquid medicines to make sure doses are accurate.

E. Leave your doctor unbothered if the prescription writing is illegible; your pharmacist will be able to read and interpret it.

2. Which of the following is contrary to a tip mentioned regarding "Hospital Stays" & "Other Steps"?

A. Ask your doctor upon discharge to explain the details of the treatment plan you will follow at home including which meds to take, when to schedule follow-up appointments & when regular activities can resume.

B. Ask health care workers in a hospital who will come into physical contact with you if they have washed their hands.

C. Choose a facility that has a great deal of experience with your procedure or condition.

D. Avail yourself to every test or treatment possible and if you do not receive news on a test result assume the news is good as doctors and technicians are compelled to report contraindicated results.

E. Learn about your condition or treatment/treatment options on the internet and question your doctor and nurse to determine if your treatment is based on the latest evidence.

3. Which statement about the scope of the problem of medical errors and what is considered a medical error is inaccurate?

A. A 2010 Dept of Health and Human Services study found 1 in 7 Medicare recipients were harmed by hospital-acquired infections, poorly administered meds and faulty bedside care in hospitals.

B. Deaths attributable to medical errors represent only 0.58% of annual hospital admissions.

C. The failure of a planned action to be completed as intended or using a wrong plan to achieve an aim, when resulting in harm to a patient, is automatically considered a malpractice or negligence candidate.

D. Adverse medical events which in retrospect are considered preventable are labeled sentinel events - those which signal a need for immediate investigation.

E. Root Cause Analysis provides the opportunity to identify the need for improvements in processes or systems.

4. Which of the following is considered a sentinel event signaling the need for investigation and review by the Joint Commission?

A. Surgery on the wrong body part

B. Discharge of an infant to the wrong family

C. Administration of radiotherapy to the wrong body region

D. The rape or abduction of a patient

E. All of the above are subject to review

5. Florida law defines an adverse incident as one where healthcare personnel could exercise control and that is associated with the medical intervention versus the original condition.

A. True

B. False

6. Which of the most common categories of sentinel events reported to the Joint Commission from 1995 through March of 2010 is mismatched with its suggested intervention?

A. Patient suicide may be reduced by more complete suicide assessment on admission and educating family on risk factors.

B. Medication errors may be reduced by spelling out medication names, avoiding the use of abbreviations & acronyms and preceding a decimal point with a zero.

C. Patient falls may be reduced by establishment of fall prevention protocols, reporting falls / measuring their rates and introducing activities which enhance safe mobility.

D. Wrong-site surgery may be reduced by a pre-procedure verification process, by marking the procedure site with an indelible marker and by taking a 'time out' before the procedure.

E. All of the above interventions correctly match the common medical errors mentioned.

7. All of the following are listed as special populations at greater risk of sustaining medical errors except:

A. Elderly patients

B. Infants and young children

C. Psychiatric patients

D. Coronary artery disease patients

E. Developmental or learning disabled patients

8. Among the most common misdiagnosed conditions are cancer, coronary artery disease, stroke, and timely diagnosed surgical complications.

A. True

B. False

9. The informed patient who is able to become involved in his or her own care with the assistance of loved ones and friends is highly recommended toward insuring safety.

A. True

B. False

10. This paper advocates the use of staff who are fluent in a patient's native tongue and downplays the use of an interpreter for reducing medical errors.

A. True

B. False

11. Which of the following is not a concluding comment made by the author:

A. Medical errors contribute significantly to morbidity and mortality.

B. Medical errors are usually unanticipated and preventable.

C. Findings generated by root cause analysis provide information for improving systems and processes in the care facility.

D. Florida legislature has mandated reporting requirements for specific medical errors above and beyond the Joint Commission.

E. All of the above are concluded at the end of this paper.

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