Question 1

0.5 / 0.5 pts

Which of the following patient outcomes were measured in the reviewed studies on the correlation between patient culture and patient outcomes? (Reading Assignment #1)  

• Patient falls and hospital-acquired pressure ulcers
• Hours on ventilators  
• Self-reports of wrong-site surgeries  
• Lengths of stay in intensive care units

Question 2

0.5 / 0.5 pts

Based on this literature review (DiCuccio, 2015) on the correlation between patient safety culture and patient outcomes, one may conclude that 

• One method for measuring patient safety culture was found to be superior to the rest.
• The studies have established that patient safety culture is consistently correlated with patient outcomes
• Patient safety culture was found correlated with lower patient mortality in some of the studies
• Only nurse-sensitive patient outcomes should be used in studying the effect of patient safety culture on outcomes

Question 3

0.5 / 0.5 pts

Memorial Hospital is a community hospital with 120 beds and wants to improve patient safety through more effective use of the voluntary event report system. Based on the Primer, the hospital leaders developed processes to reward those who report and provide feedback about the events reported.

According to the primer (Reading Assignment), which of the following is an additional key component of an effective event reporting system that the hospital leaders should be thinking of:

• Smart phone apps to make it easy to report 
• In person presentations in hospital board meetings by those who report 
• A process for reviewing reports and developing action plan  
• A telephone hotline in addition to the existing computer system

Question 4

0.5 / 0.5 pts

Physicians in Memory Hospital very rarely report. What are the main barriers for physicians to report, according to the Primer (Reading Assignment)?  

• No feedback on incident follow-up
• Perceived punitive purpose of incident reporting
• Fear of legal actions
• Unaware of the incident reporting system

Question 5

0.5 / 0.5 pts

Work system improvement activities reported by Probst et al (2017; Reading Assignment) include 

• Developing new policies to reduce documentation burden
• Optimizing medication retrieval and addressing missing medications 
• Hiring additional patient care technicians and housekeeping personnel
• Purchasing new scanners to improve usability

Question 6

0.5 / 0.5 pts

Improvement strategies used by Probst et al (2017) include 

• New mobile workstations with storage space
• New guidelines to shorten shift lengths to reduce fatigue
• New onboard processes to learn about human factors
• Refresher courses for using the electronic health record (EHR) system

Question 7

0.5 / 0.5 pts

Interventions to reduce Interruptions reported by Probst et al (2017) include

• Having nurses wearing a “do not interrupt” sash
• Hanging “do not interrupt” cards on mobile work station carts
• Increasing awareness of ancillary departments on the negative impact of interruptions
• Putting phones on mute during shift change reports