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Patient Safety Prelearning Content Performance Check


Across
Process change and culture change must work together to improve ________
Root cause analyses are __________: they look back in time at an error that occurred to understand the causes of an adverse event and identify system flaws
Some of the characteristics of this type of culture include: psychological safety, active leadership, transparency, fairness
Effective teamwork and _______ are critical to functioning safely in health care
Reminders, checklists, and double checks are _____ effective recommendations to avoid incidents of harm
These functions prevent the user from making a mistake
Down
Supervisors and other leaders in health care should ensure that policies, procedures and leadership practices build this type of safety and minimize power imbalances between low‐ and high‐status members in order to support greater reporting of adverse events
Accidents in health care almost never stem from a single, linear cause. They come from a mix of factors such as active failures, work conditions, and deeply embedded latent failures that all align precisely to slip through every existing defense
Can contribute to error and harm when it is poorly designed and poorly implemented; it should facilitate how you do your work, not dictate it.
A group of people who work together in a coordinated way, to maximize each team member’s strengths and achieve a common goal.
This approach holds that efforts to catch human errors before they occur or block them from causing harm will ultimately be more effective than ones that seek to somehow create flawless providers
The most effective motivators in health care and include: improved patient outcomes, increased satisfaction, and decreased mortality
When creating recommendations, this type of action is likely to eliminate or greatly reduce the likelihood of an event