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Identifying Latent Unsafe Conditions and Preventing Errors in Healthcare, Exams of Pharmacology

University of Minnesota (UMN) - Twin CitiesPharmacology

The concept of latent unsafe conditions and active errors in healthcare systems, highlighting the importance of shifting to a systems view of safety. It covers topics such as the definition of 'latent errors', the advantages of a systems-based approach, and interventions like checklists that have proven effective in reducing harm. The document also explores the broader definition of harm and the swiss cheese model, which illustrates the concept of multiple layers of defense against errors. Overall, this document provides valuable insights into patient safety and the strategies healthcare organizations can employ to prevent errors and minimize harm to patients.

Typology: Exams

2024/2025

Available from 10/15/2024

Holygrams
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Which of the following is a latent unsafe condition in the system that contributes to the resident's
error? ✔✔Long work schedule
To prevent this problem from happening again, which of the following would be the best course
of action? ✔✔Develop a system that prevents messy handwriting from causing
miscommunication that leads to error.
"Latent errors" are best defined as: ✔✔Defects in the design and organization of processes and
systems
What is the active error in this scenario? ✔✔The nurse administers an antibiotic to Ms. Tyler and
a sedative to Ms. Taylor.
What is one of the latent errors in this scenario? ✔✔The forms are completed by hand at the
same time for different patients
PS 102: From Error to Harm/with Actual
Questions & Answers(latest update
2025: (graded A+)
pf3

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Which of the following is a latent unsafe condition in the system that contributes to the resident's error? ✔✔Long work schedule To prevent this problem from happening again, which of the following would be the best course of action? ✔✔Develop a system that prevents messy handwriting from causing miscommunication that leads to error. "Latent errors" are best defined as: ✔✔Defects in the design and organization of processes and systems What is the active error in this scenario? ✔✔The nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor. What is one of the latent errors in this scenario? ✔✔The forms are completed by hand at the same time for different patients

PS 102: From Error to Harm/with Actual

Questions & Answers(latest update

2025: (graded A+)

According to James Reason, by definition an "unsafe act" always includes: ✔✔A potential hazard This is an example of what type of error? ✔✔Lapse This is an example of what type of unsafe act? ✔✔Violation Which of the following is the most significant advantage of shifting to a systems view of safety within health care? ✔✔It allows us to change the conditions under which humans work What type of error is this intervention best designed to address? ✔✔Lapse What intervention helped prove that catheter-associated bloodstream infections (CLABSIs) were preventable consequences of care? ✔✔A checklist of evidence-based practices applied consistently and collectively every time a catheter is used What is one reason that patient safety has shifted to work on reducing harm in addition to preventing errors? ✔✔Harm is more preventable than providers once thought.