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Michelle Sanchez QUESTIONS: 1. What is the common root cause of sentinel events such as wrong site injury? a.

Poor communication b. Communication breakdown c. Good communication d. Teamwork 2. This is the percentage reported due to poor communication in sentinel cases? a. 30% b. 70% c. 75% d. 90% 3. Which is an essential component of teamwork? a. Poor communication b. Communication Breakdown c. Good communication d. teamwork 4. Which is the most complex work environment in healthcare wherein communication is very important? a. Emergency room b. Field emergency c. Operating Room d. Medical ward 5. The reason why there is poor communication? a. Health professionals lack skills b. There are enormous amounts of information being exchanged on a daily basis c. Health professionals dont talk with each other d. There are more things to do better than communicating 6. What is the least root cause of sentinel events a. Organization culture b. Patient assessment c. Continuum of care d. Competency/credential 7. To avoid medical errors and serious harm to patients, one should: a. Learn to prioritize tasks b. Communicate well with each other c. Have teamwork d. None of the above 8. Good communication is hard to achieve because of all except one: a. Intimidation of nurses to doctors

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b. Secondary messengers from OR to ward c. Surgical count is done on surgical moments d. None of the above How can you measure teamwork? a. SAQ b. Calculator c. Tape measure d. By checking the hecklist All are functions of SAQ except: a. To measure teamwork b. Identify disconnects between or within disciplines c. Evaluate interventions that aim to improve patient safety d. Make interventions that aim to improve patient safety One aim of SAQ is: a. Improve teamwork among operating teams b. Measuring teamwork c. Improve scores of each evaluator d. None of the above All are communication tools except: a. Checklist b. OR briefings c. OR debriefings d. Sign in All are true of communication tools, except: a. help engineer out human error b. provide quality assurance c. improve information flow d. none of the above Nurses are hesitant to voice out their opinions because of atmosphere of intimidation. True or false? a. False b. It depends c. Maybe d. True Handoffs from OR to ward is one cause of losing documents. True or false? a. False b. It depends c. Maybe d. True

Nicole Tansingco 1. The following are true about communication tools, except; a. identify and mitigate hazards and allow an organization to complete tasks more efficiently b. foster a culture of open communication and speaking up if a team member senses a safety concern c. prevent errors related to omissions, which are more likely to occur when there is information overload d. none of the above 2. Which is not associated with preoperative briefing, except; a. increased awareness of wrong-site/wrong-procedure errors b. early reporting of equipment problems c. reduced operational costs d. none of the above 3. Which is not a benefit of preoperative briefing? a. create an open atmosphere that empowers all team members b. personnel to discuss potential problems, before they become a "near miss" or cause actual harm c. presents many opportunities for the loss or degradation of critical information d. none of the above 4. All of the following except one are true of post operative debriefing; a. improve patient safety by allowing for discussion and reflection on causes for errors and critical incidents that occurred during the case b. promotes a culture of learning from experience c. any errors or critical incidents are regarded as learning opportunities rather than cause for punishment d. none of the above 5. Most operating room debriefing include all of the ff, except one; a. verification of the sponge, needle b. instrument counts c. confirm correct labeling of the surgical specimen d. securing proper donning of gloves and gown 6. Errors involving specimen identification can result in all of the ff, except one; a. delays in care b. the need for an additional biopsy or therapy c. failure to use appropriate therapy d. none of the above

7. What is the key lethal defect in communications among government agencies? a. verbal or written communication of patient information b. when patient is being transferred from one physician to another c. lack of prioritization d. all of the above 8. The term sign out refers to; a. any proposed actions that result from the discussion about the patients b. verbal or written communication of patient information being provided to familiarize oncoming or covering physicians about the patients c. critical incidents that occurred during the case d. a consequence of poor teamwork and communication 9. These tools can help improve the communication between health care providers, except; a. Checklist b. Sign outs c. Debriefings d. None of the above 10. All of the ff, except one are annoying but accepted features of communication; a. information loss b. hand off c. multiple competing tasks d. none of the above 11. The movement to eliminate wrong-site surgery began among professional of; a. Neurosurgeons b. Orthopedics c. Heart surgeons d. General surgeons 12. The joint commission adopted a universal protocol which include the ff, except; a. preventing wrong-site, b. preventing wrong-procedure c. preventing wrong-person d. preventing wrong-instruments 13. A preoperative measure to confirm the patient, procedure, and site to be operated on before incision; a. "time-out" or "pause for the cause" b. Monitoring c. Directing of personnel d. None of the above

14. Elements of the protocol time out includes all except one; a. Verifying the patients identity b. Marking the surgical site c. Using a preoperative site verification process such as a checklist d. None of the above 15. The site verification begins within the; a. In preoperative verification process b. initial patient encounter by the surgeon c. intra operative monitoring d. post operative treatment

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