Podcast
Questions and Answers
If a healthcare organization prioritizes adherence to set routines over critical evaluation in complex situations, which type of safety culture does it most likely exhibit?
If a healthcare organization prioritizes adherence to set routines over critical evaluation in complex situations, which type of safety culture does it most likely exhibit?
- Reactive
- Calculative (correct)
- Proactive
- Pathological
A healthcare institution implemented a new electronic health record system, but patient wait times in the emergency department increased. Which action exemplifies a 'system thinking' approach to resolve this unintended consequence?
A healthcare institution implemented a new electronic health record system, but patient wait times in the emergency department increased. Which action exemplifies a 'system thinking' approach to resolve this unintended consequence?
- Limiting the types of patients that the emergency department can admit
- Retraining all emergency department staff on basic computer skills
- Implementing stricter performance metrics for emergency department staff
- Analyzing how the new system impacts workflow and communication across all departments (correct)
Which strategy would be most effective to shift an organization from a reactive safety approach to a proactive one?
Which strategy would be most effective to shift an organization from a reactive safety approach to a proactive one?
- Establish a reporting system where potential hazards, rather than only actual incidents, are actively reported and analyzed (correct)
- Increase disciplinary measures for employees involved in safety breaches.
- Regularly update safety protocols based on external regulatory changes only
- Focus on conducting thorough investigations after incidents occur, without looking for potential hazards
Which action aligns with valuing a 'just culture' after a medication error occurred?
Which action aligns with valuing a 'just culture' after a medication error occurred?
Which strategy would be MOST effective in improving a healthcare organization's response to medical errors, fostering a culture of safety and enabling improved patient outcomes?
Which strategy would be MOST effective in improving a healthcare organization's response to medical errors, fostering a culture of safety and enabling improved patient outcomes?
Within an organization with a fully developed safety culture, what behavior would employees consistently demonstrate?
Within an organization with a fully developed safety culture, what behavior would employees consistently demonstrate?
The team uncovers an incident where a surgeon ignored a safety checklist, resulting in an infection. What action reflects the principles of a Just Culture?
The team uncovers an incident where a surgeon ignored a safety checklist, resulting in an infection. What action reflects the principles of a Just Culture?
Which methodology would be most effective for a hospital aiming to reduce medication errors across all departments?
Which methodology would be most effective for a hospital aiming to reduce medication errors across all departments?
In a healthcare setting, the use of SBAR (Situation, Background, Assessment, Recommendation) during patient handoffs aims primarily to improve what?
In a healthcare setting, the use of SBAR (Situation, Background, Assessment, Recommendation) during patient handoffs aims primarily to improve what?
In what ways did "To Err is Human" influence the design of healthcare systems and processes?
In what ways did "To Err is Human" influence the design of healthcare systems and processes?
How does 'high-reliability' organization structure enhance healthcare in complex situations?
How does 'high-reliability' organization structure enhance healthcare in complex situations?
What action demonstrates an 'organization's commitment to transparency' after a serious adverse event?
What action demonstrates an 'organization's commitment to transparency' after a serious adverse event?
How would a healthcare organization prioritize their patient safety in a facility that has a limited number of resources?
How would a healthcare organization prioritize their patient safety in a facility that has a limited number of resources?
How might an organization promote 'patient safety' to prevent problems from potentially arising?
How might an organization promote 'patient safety' to prevent problems from potentially arising?
Healthcare organizations must have interprofessional communication. Which choice is the tool for clear communication?
Healthcare organizations must have interprofessional communication. Which choice is the tool for clear communication?
Which is the best methodology for a department to determine every "at promise" (unsafe) condition within its process?
Which is the best methodology for a department to determine every "at promise" (unsafe) condition within its process?
To what does the phrase, "Stop the Line" directly refer?
To what does the phrase, "Stop the Line" directly refer?
What is the role of a 'taxonomy' for a risk consultant?
What is the role of a 'taxonomy' for a risk consultant?
What response BEST correlates with having a "Just" culture?
What response BEST correlates with having a "Just" culture?
An organization receives a complaint of an egregious mistake in the oncology medication dispensing process. How does an organization immediately improve and create a new 'safety' process?
An organization receives a complaint of an egregious mistake in the oncology medication dispensing process. How does an organization immediately improve and create a new 'safety' process?
Which statement displays the "Active Error" in a series of events?
Which statement displays the "Active Error" in a series of events?
What step MOST improves human factor errors?
What step MOST improves human factor errors?
What must a consultant "first" achieve, before they recommend an action to" improve" safety?
What must a consultant "first" achieve, before they recommend an action to" improve" safety?
The actions "'listen," 'have empathy'" are BEST used during with which step to the patient, after an event?
The actions "'listen," 'have empathy'" are BEST used during with which step to the patient, after an event?
What is "Required", to achieve "Success" with a patients "Disclosure"?
What is "Required", to achieve "Success" with a patients "Disclosure"?
CMS is primarily related to "cost" for "Never Events", but for "Safety Practice". Which area are they MOST interested in?
CMS is primarily related to "cost" for "Never Events", but for "Safety Practice". Which area are they MOST interested in?
During process discovery, you uncover several near-miss events that were addressed, but ignored by administration. To the administration, they felt mistakes do not have that much effect. What barrier seems to be the problem, for 'disclosure'?
During process discovery, you uncover several near-miss events that were addressed, but ignored by administration. To the administration, they felt mistakes do not have that much effect. What barrier seems to be the problem, for 'disclosure'?
How can hospitals meet the "new" challenge of our customer now understanding "more", of our practices?
How can hospitals meet the "new" challenge of our customer now understanding "more", of our practices?
To help your clients in "all care events" What might you help "improve", that will "assist" in the proper safety?
To help your clients in "all care events" What might you help "improve", that will "assist" in the proper safety?
You wish you "improve bedside-report" by making it clear. Which of there improves it?
You wish you "improve bedside-report" by making it clear. Which of there improves it?
What is "MOST important " when "building" a new safety culture program?
What is "MOST important " when "building" a new safety culture program?
What must an organization implement first?
What must an organization implement first?
Which area does the Joint Commission require attention, in a organization's safety processes?
Which area does the Joint Commission require attention, in a organization's safety processes?
What, do staff " most fear", which lowers honesty to tell what occurred?
What, do staff " most fear", which lowers honesty to tell what occurred?
For Certified Professionals of Healthcare Risk Management, what is one way to renew the certification?
For Certified Professionals of Healthcare Risk Management, what is one way to renew the certification?
According to the information provided, how many scored multiple-choice questions make up the CPHRM examination?
According to the information provided, how many scored multiple-choice questions make up the CPHRM examination?
If a candidate fails the CPHRM examination, what is the primary implication regarding their professional standing?
If a candidate fails the CPHRM examination, what is the primary implication regarding their professional standing?
When patients for whom English is not their first language require assistance, what is the most appropriate approach?
When patients for whom English is not their first language require assistance, what is the most appropriate approach?
In the patient’s perspective, which is most important in bedside clear reporting?
In the patient’s perspective, which is most important in bedside clear reporting?
What would be a barrier for an organization to improve?
What would be a barrier for an organization to improve?
According to Reason’s Swiss Cheese Model of accident causation, what do the 'holes' in the slices of cheese represent?
According to Reason’s Swiss Cheese Model of accident causation, what do the 'holes' in the slices of cheese represent?
Using Reason’s Swiss Cheese Model, which action would be most effective in preventing an error from reaching a patient?
Using Reason’s Swiss Cheese Model, which action would be most effective in preventing an error from reaching a patient?
Which of the following is the definition of high-reliability organizations?
Which of the following is the definition of high-reliability organizations?
Within a Just Culture framework, which action would be considered appropriate after a healthcare worker makes an unintentional error?
Within a Just Culture framework, which action would be considered appropriate after a healthcare worker makes an unintentional error?
What is a 'Sentinel Event' primarily related to?
What is a 'Sentinel Event' primarily related to?
Which is the best way to respond, that displays a "Just" safety culture?
Which is the best way to respond, that displays a "Just" safety culture?
In applying the principles of a 'Just Culture', when is disciplinary action MOST appropriate?
In applying the principles of a 'Just Culture', when is disciplinary action MOST appropriate?
Select which answer is best.
Select which answer is best.
Which best correlates the definition of Taxonomy?
Which best correlates the definition of Taxonomy?
If a medical error occurs, what is the first priority in most healthcare organizations?
If a medical error occurs, what is the first priority in most healthcare organizations?
What is the purpose of a tool designed to evaluate process?
What is the purpose of a tool designed to evaluate process?
If a clinical area performs a failure and effect of an analysis (FMEA), what is the purpose of the task?
If a clinical area performs a failure and effect of an analysis (FMEA), what is the purpose of the task?
Select the correct statement.
Select the correct statement.
You're tasked with implementing a new safety protocol across several departments. What should you do first?
You're tasked with implementing a new safety protocol across several departments. What should you do first?
After discovering a series of near-miss events, what should the first step be in addressing them?
After discovering a series of near-miss events, what should the first step be in addressing them?
If your hospital faces challenges to communicate to other professionals, select what helps facilitate this.
If your hospital faces challenges to communicate to other professionals, select what helps facilitate this.
In a high-reliability organization, which statement best illustrates the approach to failure?
In a high-reliability organization, which statement best illustrates the approach to failure?
If most mistakes within an organization are blamed on employees, which factor is improved?
If most mistakes within an organization are blamed on employees, which factor is improved?
Prior to recommending a new safety initiative, a consultant must:
Prior to recommending a new safety initiative, a consultant must:
According to the CPHRM certification guide, high-risk clinical specialties has led to which area?
According to the CPHRM certification guide, high-risk clinical specialties has led to which area?
What is a "high" attribute related to the team?
What is a "high" attribute related to the team?
How can hospitals meet the challenge to improve practices for its customers who now understand more?
How can hospitals meet the challenge to improve practices for its customers who now understand more?
When building the program, what is important?
When building the program, what is important?
Active failures are different from latent failures, in which?
Active failures are different from latent failures, in which?
If a client is having a team create "Solutions for Safety", what is something the group must avoid?
If a client is having a team create "Solutions for Safety", what is something the group must avoid?
Select the correct selection for Human Factors.
Select the correct selection for Human Factors.
To improve bedside report with shift changes, which assist?
To improve bedside report with shift changes, which assist?
What is "most feared by" safety program candidates?
What is "most feared by" safety program candidates?
Once a process receives discovery, what improves it in an organization?
Once a process receives discovery, what improves it in an organization?
For a Patient Safety Organization (PSO), can?
For a Patient Safety Organization (PSO), can?
What causes Medical errors?
What causes Medical errors?
During which stage is most important for communication within a process of a sentinel event?
During which stage is most important for communication within a process of a sentinel event?
The CPHRM examination includes both scored and pre-test questions.
The CPHRM examination includes both scored and pre-test questions.
A passing score on the CPHRM exam results in the award of a certificate.
A passing score on the CPHRM exam results in the award of a certificate.
The CPHRM exam consists of seven content domains.
The CPHRM exam consists of seven content domains.
The CPHRM exam is administered in 3 hours.
The CPHRM exam is administered in 3 hours.
AMP/PSI administers the CPHRM examination.
AMP/PSI administers the CPHRM examination.
Risk managers primarily focus on financial risks within healthcare organizations.
Risk managers primarily focus on financial risks within healthcare organizations.
To be eligible for the CPHRM, candidates must have at least a master's degree.
To be eligible for the CPHRM, candidates must have at least a master's degree.
The "Application" domain in the CPHRM exam assesses the ability to recall specific information.
The "Application" domain in the CPHRM exam assesses the ability to recall specific information.
For CPHRM renewal, successful re-examination requires payment of a renewal fee.
For CPHRM renewal, successful re-examination requires payment of a renewal fee.
An 'extreme phrase' in an exam question always signals a true statement.
An 'extreme phrase' in an exam question always signals a true statement.
In exam answering strategies, it's recommended to initially focus on the answers that seem plausible at first glance.
In exam answering strategies, it's recommended to initially focus on the answers that seem plausible at first glance.
The Patient Safety domain accounts for 50% of the CPHRM exam's content.
The Patient Safety domain accounts for 50% of the CPHRM exam's content.
In healthcare, the term 'high-risk clinical areas' exclusively refers to surgical units.
In healthcare, the term 'high-risk clinical areas' exclusively refers to surgical units.
When treating a patient who speaks a different language, direct use of family members is the best way to assure correct interpreting.
When treating a patient who speaks a different language, direct use of family members is the best way to assure correct interpreting.
In a healthcare setting, SBAR primarily functions as an analytical tool.
In a healthcare setting, SBAR primarily functions as an analytical tool.
In 'Just Culture,' the primary aim is to punish individuals for human error to promote accountability.
In 'Just Culture,' the primary aim is to punish individuals for human error to promote accountability.
In a 'Just Culture,' only reckless behavior and not systemic failings are addressed.
In a 'Just Culture,' only reckless behavior and not systemic failings are addressed.
One key attribute of High Reliability Organizations (HROs) is their ability to eliminate all sources of risk.
One key attribute of High Reliability Organizations (HROs) is their ability to eliminate all sources of risk.
One of the principles of HROs is to always simplify complex problems.
One of the principles of HROs is to always simplify complex problems.
A key component of a High-Reliability Organization is a flattened hierarchy to promote open communication.
A key component of a High-Reliability Organization is a flattened hierarchy to promote open communication.
A Just Culture emphasizes reliance on short-term memory to promote quick decision-making.
A Just Culture emphasizes reliance on short-term memory to promote quick decision-making.
Applying the correct rule consistently, even if the outcome is adverse, indicates a process is at the 'risk behavior' level.
Applying the correct rule consistently, even if the outcome is adverse, indicates a process is at the 'risk behavior' level.
Redesigning a system is a solution for eliminating 'human error'.
Redesigning a system is a solution for eliminating 'human error'.
In the context of managing reliability, identifying and addressing active failures is sufficient for preventing incidents.
In the context of managing reliability, identifying and addressing active failures is sufficient for preventing incidents.
In the Swiss Cheese Model, the active failures are the holes in the model.
In the Swiss Cheese Model, the active failures are the holes in the model.
Family members can serve as effective and reliable interpreters.
Family members can serve as effective and reliable interpreters.
Adverse events always indicate a need for disciplinary action.
Adverse events always indicate a need for disciplinary action.
One of the critical steps in the RCA process is ensuring there was a strong leader involved with the mistake.
One of the critical steps in the RCA process is ensuring there was a strong leader involved with the mistake.
When a sentinel event happens, it does not require a report.
When a sentinel event happens, it does not require a report.
The Joint Commission's Sentinel Event Policy primarily focuses on punishing negligent staff.
The Joint Commission's Sentinel Event Policy primarily focuses on punishing negligent staff.
A patient who had surgery on the wrong body part would be a sentinel event.
A patient who had surgery on the wrong body part would be a sentinel event.
Conducting a root cause analysis is primarily valuable for identifying who is responsible for an error.
Conducting a root cause analysis is primarily valuable for identifying who is responsible for an error.
The 'To Err is Human' report highlighted that the biggest challenge is writing good rules.
The 'To Err is Human' report highlighted that the biggest challenge is writing good rules.
Use of data should be limited when first developing a program because they are not important at that time.
Use of data should be limited when first developing a program because they are not important at that time.
An enforceable standard of care is what determines negligence.
An enforceable standard of care is what determines negligence.
There are never incentives for a nurse to not report something because nurses want to do a good job always.
There are never incentives for a nurse to not report something because nurses want to do a good job always.
When performing a sentinel event review, it is okay to have only people directly involved included on the team as that is all that is needed.
When performing a sentinel event review, it is okay to have only people directly involved included on the team as that is all that is needed.
In a FMEA, after identifying the failure of a potential treatment you can assume the effect on the patient and that it will result in minimal impact.
In a FMEA, after identifying the failure of a potential treatment you can assume the effect on the patient and that it will result in minimal impact.
While healthcare providers have a duty to refrain from professional negligence, patients/consumers equally have a duty to refrain from negligently exposing themselves to harm.
While healthcare providers have a duty to refrain from professional negligence, patients/consumers equally have a duty to refrain from negligently exposing themselves to harm.
Match the following terms with their definitions related to patient safety:
Match the following terms with their definitions related to patient safety:
Match the following elements with the steps of a Root Cause Analysis (RCA):
Match the following elements with the steps of a Root Cause Analysis (RCA):
Match the human factors to how they contribute to medical errors:
Match the human factors to how they contribute to medical errors:
Match the following concepts with the goals of a Just Culture:
Match the following concepts with the goals of a Just Culture:
Match the clinical area to the type of error related to the surgical department:
Match the clinical area to the type of error related to the surgical department:
Match the following study tools with their intended use in CPHRM Examination Prep:
Match the following study tools with their intended use in CPHRM Examination Prep:
Associate the step with Applying to take the CPHRM examination.
Associate the step with Applying to take the CPHRM examination.
Match the description with Healthcare Organizations in high reliability.
Match the description with Healthcare Organizations in high reliability.
Match the domains of the CPHRM Examination content to its purpose:
Match the domains of the CPHRM Examination content to its purpose:
Match the term to where errors are made.
Match the term to where errors are made.
Match the term to its meaning:
Match the term to its meaning:
Match the item found in patient safety to its definition:
Match the item found in patient safety to its definition:
Match the term used for patient relations:
Match the term used for patient relations:
Match the item to the reasons of patient safety:
Match the item to the reasons of patient safety:
Match the phases with human reactions to medical errors:
Match the phases with human reactions to medical errors:
Match the definition to type of barriers:
Match the definition to type of barriers:
Match safety culture to its correct definition:
Match safety culture to its correct definition:
Match the following phrases to examples of what can cause them:
Match the following phrases to examples of what can cause them:
Match the following with their definitions:
Match the following with their definitions:
Match the types of steps with managing medical errors:
Match the types of steps with managing medical errors:
Match the type of maturity and safety:
Match the type of maturity and safety:
Match the statement made to describe what kind of event it is:
Match the statement made to describe what kind of event it is:
Match the statement with what is the key goal:
Match the statement with what is the key goal:
Match the step with the importance of the steps to take:
Match the step with the importance of the steps to take:
Match the item from the question to reason for decline in those standards:
Match the item from the question to reason for decline in those standards:
Match the question for what we do NOT want:
Match the question for what we do NOT want:
Match the following terms with their healthcare organization:
Match the following terms with their healthcare organization:
Match the following terms related to patient family relations:
Match the following terms related to patient family relations:
Match the description with where it most applies:
Match the description with where it most applies:
Match the item from column A with its definition in column B:
Match the item from column A with its definition in column B:
Match the term to reasons patients may need some support:
Match the term to reasons patients may need some support:
Match how to prepare your patient for disclosure with its best practice:
Match how to prepare your patient for disclosure with its best practice:
Match the type of steps with how to manage:
Match the type of steps with how to manage:
Match the follow to its description to a good leadership
Match the follow to its description to a good leadership
Flashcards
CPHRM Examination
CPHRM Examination
A credential, not a certificate, with 110 MCQs including scored and pre-test questions.
Risk manager duties
Risk manager duties
Prevention, reduction, and control of loss to healthcare orgs, patients, visitors, etc.
(1) Recall
(1) Recall
The ability to recall or recognize specific information.
(2) Application
(2) Application
Signup and view all the flashcards
(3) Analysis
(3) Analysis
Signup and view all the flashcards
Make Predictions
Make Predictions
Signup and view all the flashcards
Eliminate Answers
Eliminate Answers
Signup and view all the flashcards
Hedge & extreme phrases
Hedge & extreme phrases
Signup and view all the flashcards
The Answer is
The Answer is
Signup and view all the flashcards
The Distractors are
The Distractors are
Signup and view all the flashcards
Generative
Generative
Signup and view all the flashcards
Calculative
Calculative
Signup and view all the flashcards
Just Culture
Just Culture
Signup and view all the flashcards
Just Culture: Mental Processing Errors
Just Culture: Mental Processing Errors
Signup and view all the flashcards
accountability Model:
accountability Model:
Signup and view all the flashcards
Adverse event
Adverse event
Signup and view all the flashcards
Sentinel event
Sentinel event
Signup and view all the flashcards
Close call
Close call
Signup and view all the flashcards
Taxonomy
Taxonomy
Signup and view all the flashcards
Error of Execution
Error of Execution
Signup and view all the flashcards
Error of Planning
Error of Planning
Signup and view all the flashcards
Mental Short Cuts
Mental Short Cuts
Signup and view all the flashcards
Slips
Slips
Signup and view all the flashcards
solution
solution
Signup and view all the flashcards
Active Failures
Active Failures
Signup and view all the flashcards
Latent Failures
Latent Failures
Signup and view all the flashcards
simplify
simplify
Signup and view all the flashcards
SBAR
SBAR
Signup and view all the flashcards
Sensitivity to operations
Sensitivity to operations
Signup and view all the flashcards
Reluctance to simplify
Reluctance to simplify
Signup and view all the flashcards
Preoccupation with failure
Preoccupation with failure
Signup and view all the flashcards
Deference to expertise
Deference to expertise
Signup and view all the flashcards
Resilience
Resilience
Signup and view all the flashcards
standardize
standardize
Signup and view all the flashcards
A tool designed to proactively
A tool designed to proactively
Signup and view all the flashcards
Successful re-examination
Successful re-examination
Signup and view all the flashcards
CPHRM Renewal
CPHRM Renewal
Signup and view all the flashcards
(1)Recall abilities
(1)Recall abilities
Signup and view all the flashcards
Patient safety
Patient safety
Signup and view all the flashcards
"A new patient"
"A new patient"
Signup and view all the flashcards
Human and Fatigue
Human and Fatigue
Signup and view all the flashcards
Human Factors
Human Factors
Signup and view all the flashcards
Used for better application for good.
Used for better application for good.
Signup and view all the flashcards
(Related to Taxonomy).
(Related to Taxonomy).
Signup and view all the flashcards
Anatomy of Errors in Health Care
Anatomy of Errors in Health Care
Signup and view all the flashcards
What did we learn.
What did we learn.
Signup and view all the flashcards
Remedy
Remedy
Signup and view all the flashcards
Patients as Partners in Patient
Patients as Partners in Patient
Signup and view all the flashcards
What is now
What is now
Signup and view all the flashcards
For better reasons why
For better reasons why
Signup and view all the flashcards
What is the Joint to do with.
What is the Joint to do with.
Signup and view all the flashcards
Reasoning to the system.
Reasoning to the system.
Signup and view all the flashcards
Just what we need.
Just what we need.
Signup and view all the flashcards
How can we see the differences.
How can we see the differences.
Signup and view all the flashcards
A High Reliably Operation
A High Reliably Operation
Signup and view all the flashcards
Responsibility the test.
Responsibility the test.
Signup and view all the flashcards
The Anatomy of Errors what did we say?
The Anatomy of Errors what did we say?
Signup and view all the flashcards
The 4 R's of Apology Remedy
The 4 R's of Apology Remedy
Signup and view all the flashcards
The most you can
The most you can
Signup and view all the flashcards
We can show
We can show
Signup and view all the flashcards
Communication
Communication
Signup and view all the flashcards
Having a good head on your shoulders
Having a good head on your shoulders
Signup and view all the flashcards
What and how.
What and how.
Signup and view all the flashcards
'RCA'
'RCA'
Signup and view all the flashcards
For Safety that comes first.
For Safety that comes first.
Signup and view all the flashcards
'SRE'
'SRE'
Signup and view all the flashcards
"FMEA"
"FMEA"
Signup and view all the flashcards
Patient Safety Challenges
Patient Safety Challenges
Signup and view all the flashcards
Patient Safety Infrastructure
Patient Safety Infrastructure
Signup and view all the flashcards
Risk Manager
Risk Manager
Signup and view all the flashcards
Learning Culture
Learning Culture
Signup and view all the flashcards
organizational resilience
organizational resilience
Signup and view all the flashcards
Root Cause Analysis
Root Cause Analysis
Signup and view all the flashcards
The important of Patient terminology
The important of Patient terminology
Signup and view all the flashcards
Intensive care units
Intensive care units
Signup and view all the flashcards
Mandatory reporting
Mandatory reporting
Signup and view all the flashcards
Need interpreter
Need interpreter
Signup and view all the flashcards
Assessment for competence
Assessment for competence
Signup and view all the flashcards
Duty to worn
Duty to worn
Signup and view all the flashcards
Restrain meed reassessment after 1 hour
Restrain meed reassessment after 1 hour
Signup and view all the flashcards
Separate authorization
Separate authorization
Signup and view all the flashcards
Risk behavior
Risk behavior
Signup and view all the flashcards
Professional commitment
Professional commitment
Signup and view all the flashcards
High risk clinical areas
High risk clinical areas
Signup and view all the flashcards
Obstetrics status
Obstetrics status
Signup and view all the flashcards
Surgical Department
Surgical Department
Signup and view all the flashcards
Anesthesia
Anesthesia
Signup and view all the flashcards
Radiology Services
Radiology Services
Signup and view all the flashcards
Physician office
Physician office
Signup and view all the flashcards
Pediatrics
Pediatrics
Signup and view all the flashcards
The New Patient
The New Patient
Signup and view all the flashcards
Vulnerable patient
Vulnerable patient
Signup and view all the flashcards
Hourly schedule.
Hourly schedule.
Signup and view all the flashcards
Community
Community
Signup and view all the flashcards
Family
Family
Signup and view all the flashcards
Respect
Respect
Signup and view all the flashcards
CPHRM
CPHRM
Signup and view all the flashcards
Availabilty Hueristics
Availabilty Hueristics
Signup and view all the flashcards
What did we change?
What did we change?
Signup and view all the flashcards
The most help to.
The most help to.
Signup and view all the flashcards
Having power.
Having power.
Signup and view all the flashcards
To try to get to.
To try to get to.
Signup and view all the flashcards
We can all show our skill.
We can all show our skill.
Signup and view all the flashcards
For Security in All.
For Security in All.
Signup and view all the flashcards
Family in deed great .
Family in deed great .
Signup and view all the flashcards
Respect is key.
Respect is key.
Signup and view all the flashcards
All and Always there .
All and Always there .
Signup and view all the flashcards
What we needed.
What we needed.
Signup and view all the flashcards
Help us may what .
Help us may what .
Signup and view all the flashcards
The Anatomy of Errors
The Anatomy of Errors
Signup and view all the flashcards
Greatness shows from . .
Greatness shows from . .
Signup and view all the flashcards
Be smart just wait
Be smart just wait
Signup and view all the flashcards
Have the strength to .
Have the strength to .
Signup and view all the flashcards
Responsibility is all.
Responsibility is all.
Signup and view all the flashcards
High risk .
High risk .
Signup and view all the flashcards
Our hope today .
Our hope today .
Signup and view all the flashcards
Is here you are what
Is here you are what
Signup and view all the flashcards
Study Notes
Okay, here are the updated study notes incorporating the new information you provided:
Dr. Sahar Khalil Alhajrassi
- Consultant prosthodontist, a SB-Prosth, CPHQ, CPHRM, EFQM, HMP mini-MBA.
- Practitioner of strategic planning and KPI.
- The Certified Professional in Healthcare Risk Management (CPHRM) review course will be in Feb 2025.
CPHRM Exam General Information
- The CPHRM Examination is a credential, not a certificate.
- The examination consists of 110 multiple-choice questions (MCQs), with 100 scored and 10 pre-test questions.
- The exam is divided into five content domains.
- The exam is two hours long.
- AMP/PSI administers the exam online at www.GoAMP.com.
Exam Eligibility Requirements
- To be eligible for the CPHRM examination, the candidate must meet education/healthcare experience as well as risk management experience requirements: Requirements are:
- A bachelor's degree or higher from an accredited college/university plus five years of healthcare experience.
- OR:
- An associate degree from an accredited college and seven years of healthcare experience.
- OR:
- A high school diploma and nine years of experience in the healthcare industry.
- 3000 hours or 50% of full-time job duties within the last 3 years dedicated to healthcare risk management in a healthcare setting, or with a provider of the healthcare industry.
Exam Content Recall, Application and analysis
- Recall entails the ability to recall or recognize specific information.
- Application is the ability to apply knowledge to new or changing situations.
- Analysis is the ability to analyze and synthesize information, determine solutions, and/or evaluate the usefulness of a solution.
Exam Application Process
- AMP/PSI administers the exam.
- Submit an online application and pay the fee.
- ASHRM members pay $275 (1,000 SAR).
- Non-members pay $425 (1,600 SAR).
- The candidate must make an appointment to take the CPHRM examination within 90 days from the confirmation of eligibility from PSI.
- Contact [email protected]
Renewal Requirement
- To renew the certification, successfully pass the CPHRM Certification Examination no more than one year prior to the current certification's expiration; if successful, there is no renewal fee.
- As an alternative to re-examination, completion of 45 contact hours of eligible continuing professional education over the three years prior to the current certification's expiration and payment of the renewal fee are required.
- The ASHRM member renewal fee is $135 (500 SAR).
- The non-member renewal fee is $225 (850 SAR).
Risk manager duties include:
- Prevention
- Reduction
- Control of loss to healthcare organizations, patients, visitors, volunteers, physicians, and other colleagues.
- Interfacing with healthcare professionals, incident investigations and analysis, tracking, trending & evaluation, risk financing & claims management.
Examination-Taking Strategies:
- First, make predictions by guessing the answer as reading the questions.
- Second, eliminate answers to bring down to only two possible choices.(50/50 chance)
- Hedge & extreme phrases, “likely, may, can, will often, sometimes, often, almost, mostly, usually, generally, rarely, sometimes”- “exactly, only, never and always” (definite answer).
- Manage time at a rate of minute per question.
- Trust common sense and relatable work experience
The answer is:
- Only the correct answer
- Not subject to opinion.
- Represents what is correct in actual practice.
The Distractors are:
- Defensibly incorrect.
- Not partially correct.
- Not incredibly obvious.
- Plausible to those who don’t know the correct answer.
- Often reflect misconceptions and errors.
Exam Content by Domain
- There are 5 domains in the CPHRM Exam
- Clinical-Patient safety – 25 questions
- Risk financing – 15 questions
- Legal and regulatory – 20 questions
- Healthcare operations – 20 questions
- Claims & litigation – 20 questions
Clinical/Patient Safety: High Risk Clinical Areas
-
Obstetrics a) Failure to identify fetal status b) Failure to do timely SC c) Administration of oxytocin d) VBAC
-
Emergency Department a) Medical evaluation and transfer’s b) Errors in diagnosis c) Communication d) Ostensible agency
-
Surgical Department a) staff b) Infection control c) res ipsa loquitur d) preoperative evaluation d) outpatient surgery
-
Anesthesia a) Failure to properly intubate the patient b) Moderate sedation d) Responsibility
-
Intensive Care Units a) Medication administration b) Use of monitoring alarms c) Injuries associated with airways Infections -SBAR, CRM (Need interpreter) -Sequester equipment (Res Ipsa loquitor)
-
Privilege for intubation and sedation
-
Care bundle (Limited Interruption during handoffs)
-
Pediatrics a) Appropriate services and equipment b) Child abuse c) Abduction
-
1st action sitter Mandatory reporting Vulnerable patient
-
Behavioral Health and Psychiatry a) Competence and informed consent, b) Patient Bill of Rights c) Restraint/seclusion, CMS d) Environmental risks e) Abuse risks f) Professional competency Duty to worn Restrain need reassessment after 1 hour Separate authorization If pt died mandatory reporting to CMS Assessment for competence,
-
Radiology Services a) contrast media b) Anesthesia c) Telemedicine d) Credentialing e) Medical record documentation - Renal patient contraindicated for contrast material FDA,SMDA OSHA radiation
-
Physician office a) Privilege &Credential b) Confidentiality c) Machine Safety 1st place patient visit No duty to emergency treatment EMETAL
Clinical/Patient Safety: Objectives
- Identify clinical areas with greatest risk exposure
- Discuss a patient safety infrastructure's importance.
- Review the new rule for Patient Safety Organizations and/or Hospital Engagement Network affiliation
- Explain Just Culture, and its impact on reporting patient safety events
- Describe components of a high reliability organization
- Summarize human factor concepts
- State NPSF patient safety goals
- Identify organizations influencing patient safety initiatives
- Discuss value of patient and family participation
- Summarize successful disclosure components.
Questions to consider:
For more than 20 years, which of the following high-risk clinical specialties has led, or been close to the top of, severity statistics for liability claims? A. General surgery B. Obstetrics C. Neurological surgery D. Emergency medicine
Answer: b. Obstetrics
- **
When dealing with patients for whom English is not the primary language, clinical staff should be encouraged to: A. Ask the patient's family members to interpret medical information. B. Use professional interpreters when communicating with the patient. C. Seek an interpreter's opinion regarding the patient's decision. D. Speak freely, allowing an interpreter to decide what information should be conveyed to the patient.
Answer: b. Use professional interpreters when communicating with the patient
- **
The Emergency Department is a high risk area for which of the following reasons?
- Brief patient contact
- Lack of familiarity with the patient's medical history
- Use of nurse practitioners and physician's assistants
- Language and cultural barriers A. 1 and 2 only B. 2 and 3 only C. 1, 2 and 4 only D. All of the above
Answer: C. 1, 2 and 4 only
- **
Situation-Background-Assessment-Recommendation (SBAR) can be defined as which of the following? A. a communication tool B. a process improvement tool C. an incident command process D. a purchasing and
Answer: A. A communication tool
- **
High-reliability organizations: A. Provide the greatest diversity of services. B. Have fewer adverse outcomes. C . operate complex systems without mistakes over long periods of time. D. Offer the most cost-effective healthcare.
Answer: C . operate complex systems without mistakes over long periods of time.
- **
Taxonomy is a necessary and important aspect of patient safety because: A. It defines a common language to classify events. B. It allows organizations to compare themselves to others. C. It creates a common understanding from which to create action plans and drive patient safety efforts. D. All of the above
Answer: D. All of the above
- **
Which of the following is most likely to occur if a health system punishes an individual for an unintended error that was the result of a system design issue? A. Staff will be more careful and errors will decrease. B. Staff will be less likely to voluntarily report errors. C. The system’s response will focus less on process redesign. D. Staff will report more often and will lessen patient harm
Answer: B. Staff will be less likely to voluntarily report errors.
- **
What is near-miss reporting?
a. The anonymous reporting of actual events c. An opportunity for an organization to understand the vulnerabilities in the culture d. An opportunity for an organization to identify incompetent providers
Answer: a. The anonymous reporting of actual events & c An opportunity for an organization to understand the vulnerabilities in the culture
- **
Question : Select the choice which LEAST applies to an adverse event: Choices: 1. Negative consequence from a treatment, medication, or the application of a device. 2. Side effect resulting from a treatment, medication, or the application of a device 3. Unanticipated change in condition from a treatment, medication, or the application of a device 4. Anticipated d desired outcome from a treatment, medication, or the application of a device Answer: There choice #4
- **
- Human Factors: The Institute of Medicine in 1999 reported that approximately 50,000 to 100,000 inpatients die each year because of medical errors. The biggest challenge is to establish a "just culture” in the reporting of events.
Core elements for Clinical Patient Safety:
- Looking for risks in all the right places– High Risk Areas.
- Patient Safety.
- Sentinel Events.
- RCA.
- FMEA.
- Patient Safety Challenges.
- Critical Incident Debriefing.
- Patient Safety Disclosure.
- Measuring A culture of Safety.
The stages of growth within Patient Safety:
- Pathological: No system in place to prevent errors.
- Reactive: There are systems in place, but are deemed: "A piecemeal approach".
- Calculative: A systematic approach exists when analysing per event.
- Proactive: Reviewing past processes, evidence intervention is made.
- Generative: The highest level in ensuring Patient Centricity, with learning from past mistakes for the future.
In the process of having "Just Culture: What are some of the concepts:
•No punishment for human error." with Leadership seeks to learn from mistakes:
- Punishment for : Willful misconduct, Reckless Behavior & Unjustified deliberate violation of rules.
- Tools that the organisation can uses in process: Console, coach, & Punish
Culture: What elements does the culture have to ensure quality,
- Relation factors: Human, Physical, Environment
- Values to create to environment
- Rules and procedures that a safe from incidents
- Leadership to show the tone by leading the way
- Communication to ensure to keep all personnel well informed.
- To feel ownership and accountability with incidents
- Finally the right type of recognition when someone does something well.
- Self velfication
International level review:
- HRO-High Reliable Organization Organizations that operate in the complex system without past errors with a vision. ""what defines with"" +Leadership+reporting+ trust and +acknowledement of all risks"" +Flexible engagement With proper acknowledgement the organization with the system, process, the correct people in line in to
. High Reliable Organization (HRO)
- Sensitivity to operations (Constant Awareness )
- Reluctance to simplify. :
- Preoccupation with failure
Key Factors to evaluate to ensure human actions with high degree of accuracy:
Use of Data (analysis): +Proper inventory: : for radiation exposure, tracking+ Use of Taxonomy * To ensure what is being tested Is a trigger the report of events with data to review and process
Errors and Human Factors
Relation among human factor related: What happens with all that is been said." A culture change to show that not all errors come from not. A: Human+ " what type of skills are you dealing with, are they correct in skill test process b: what skills are out there c*What will make them better in the culture + To be the best the team we all in all time to show the best approach to prevent
Errors and Process
- To ensure to look the processes we must follow
- To have system flow, must test for all errors to prevent "" 4 Steps to ensure*
- *We must test our plans in processes to ensure all are well" *Use steps "18"8 what to retest what you see
- ""Proper process and all with skill and in ""What is out there*
- *We must test our plans in processes to ensure what is be
- ""All is not the right""*"" *Proper process and all well with skill""
Human Error Categories
Human Error, Also know as Slips which tend to occur in situations that are so routine that they have become rote
Lapses: generally not visible because reflective of a memory failure,
The following steps if we see slips, or mistakes or based on human err
"" .1"" what is the system to redesign to retest what are the process and people "" The system the tool to use if see issue"". "" what the investigation report to review.""
""what to report To whom to report“” ""Has a plan to fix and correct to assure it never Happens"" ""What all to say when all happens"", to ensure to provide comfort."" “”What all events it requires all in all levels."" What must be change • A = action should include "1", "3" & “4"" for remediation ""what for action "1", "3" & '4" ##What should happen"
Key Parts of Root Cause Analysis
What is making your company better •To the processes""
- •""All events should be recorded and noted on how to avoid it Again""
- What is the next best steps, and review it weekly
- to ensure with""*
- *** .Ensure we look lessons learned to find out how’s happening and why what is need is not, a look at all ""what is needed"" Is not the past is not a way to improve. To check the process and plans to move better
That the process takes full integrity and is honest disclosure in events"
- Root Cause Analysis (RCA) entails Inter disciplinary review to ensure all levels are included."" dig till that factors to find the problem" 1, identify 2 plan implement. 3 what to track or retest or validate.
""What for what reason is is necessary report. what ""is there the system to redesign for the report. ""All will not just ""all. what. Are the correct people to ask"" 4) all actions required are to what standard to review what to put to improve what action
- *"" Proper way all in the best is necessary report what the report of events ""to redesign all what. a ""Are the report""what the review if can is better" • ###The process what and how is that ""for the system to redesign to report What"" The following: 1- For human ereror: to ensure that the work is correct, not to apply just only""one="" 2 ensure proper safety on the front line side To evaluate 3 elements when the case of issues is high:"";""
""A"" a root cause. * what type of root you deal with and What is need with in this system of "1"" to """4:""":
1 to what to do and what to change""to design process is"4""To ensure better is " •3"the process 4"" all is to recheck and validate
Clinical /Patient Safety: Objectives
-Outlines: To include, High risk areas, PS, Sentinel events,RCA, FMEA, PS Challanges, incident debriefing, PS disclosure and measuring the safety</
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
