when an error occurs, which of the following is generally the proper order of prioritization?
care for the patient, communicate with the patient, report to all appropriate parties, check the medical record
Why is it important to communicate with the patient about this event?
a and b
Which of the following is true regarding communication about adverse events with patients?
open communication with patients can assuage caregivers’ feelings of guilt.
According to researchers, which of the following is a common reason why caregivers choose not to communicate when something bad happens?
they fear disapproval
If you are responsible for the initial communication with the patient about the error, which of the following should you be sure to do?
speak clearly and directly
When an error occurs, which of the following is generally the proper order of prioritization?
Care for the patient, communicate with the patient, report to all appropriate parties, check the medical record.
When discussing the event with Mrs. Bernardo, the most appropriate initial comment would be:
“How is your pain?”
Why is it important for Janice to apologize to Mrs. Bernardo for the delay in her pain medication?
An apology is needed to maintain provider-patient trust.
Which one of Aaron Lazare’s four components of an apology is missing in Janice’s apology?
When giving an explanation for why an adverse event happened, it can sometimes be a good idea to:
Say something like, “There is just no excuse for what happened.”
When an adverse event befalls a patient, who are the “second victims” according to Dr. Albert Wu?
The caregivers involved in the error
When your supervisor informs you about what happened, you go numb thinking about those six hours and the cost to the patient. What should ideally happen?
She should speak calmly with you about what happened and how you’re feeling about it.
Why is it important for the organization to offer you help and support at this time?
Offering support helps prevent depression or decreased job satisfaction.
Based on what you know about the incident, which of the following statements seems to be a fundamental attribution error?
“The HUC almost killed someone yesterday because she doesn’t pay enough attention.”
Which of the following is a support mechanism that might be available to caregivers after traumatic events?
The Employee Assistance Program
Why should a RCA be conducted by a team rather than by an individual?
Understanding what led to an error requires diverse perspectives.
The heart of the RCA process is:
Identifying what caused the event.
As the RCA for this case begins, the team struggles with identification of the root causes of the outcome. They consider the patient’s characteristics as well as the work environment. According to Charles Vincent, what other areas should they consider?
Team factors, institutional context, and organizational factors
Which of the following is an example of the type of causal statement that this team might expect to develop?
The patient was unattended for 30 minutes because the nurse was busy caring for other patients, and this contributed to the outcome.
Which of the following types of interventions is likely to be most effective for improving safety?