At a hospital, there has been a 20% increase in incidents of instruments and sponges being left in patients during surgery, and surgeries performed on the wrong limbs. These incidents are known as:
Never events or sentinel events.
Medically sensitive events.
Nurse-sensitive events.
Operating team performance errors.
The Correct Answer is A
Choice A reason: The term "never events" or "sentinel events" refers to serious, preventable, and costly medical errors that should never occur. Leaving surgical instruments or sponges in patients and operating on the wrong limbs fall under this category because they are clear indicators of serious systemic problems within a healthcare setting.
Choice B reason: "Medically sensitive events" is not a standard term used in healthcare for these types of incidents. Therefore, this choice is incorrect.
Choice C reason: While nurse-sensitive events are a valid category, they typically refer to outcomes that are directly related to nursing care, such as patient falls or infections, rather than surgical errors.
Choice D reason: "Operating team performance errors" could be considered a broader category that might include these incidents, but it is not the specific term used to describe such critical events in the medical field.
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Correct Answer is D
Explanation
Choice A reason: Conducting a chart review can provide insights into the care issue, but it does not directly address the employee's performance or reasons for failing to meet standards.
Choice B reason: Asking other staff to document concerns may be part of a broader investigation into the issue, but it should not be used solely for the purpose of discharging an employee without a fair assessment and opportunity for improvement.
Choice C reason: Asking questions of the employee can help understand their perspective and knowledge base, but it is not a comprehensive approach to dealing with performance issues.
Choice D reason: Determining if the issue is related to the employee's will or skill is essential. If it is a skill issue, the leader can provide additional training or resources. If it is a will issue, then further action, such as motivational interviewing or disciplinary measures, may be necessary. This approach ensures a fair and constructive response to the problem.
Correct Answer is A
Explanation
Choice A reason: Quality Management (QM) emphasizes systemic improvements and avoids assigning blame to individuals. It focuses on identifying and correcting processes that can lead to errors.
Choice B reason: A thorough commitment to quality improvement for the benefit of the organization is a fundamental principle of QM. It involves continuous efforts to enhance patient care and safety.
Choice C reason: QM relies on focusing on outcomes and making data-driven decisions. This ensures that changes lead to measurable improvements in patient care.
Choice D reason: QM operates most effectively within a flat, democratic organizational structure, which fosters open communication and collaboration among healthcare team members.
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