A12 (18): QUESTIONNAIRE | Focus on Health

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Question 1: Which of the following is NOT one of the three fundamental components of Root Cause Analysis (RCA)?*

A: Identification and consideration of factors directly associated with the event
B: Analysis and prioritization of resources to prevent unnecessary expenditure
C: Introduction, management and dissemination of effective countermeasures

Question 2: What should the FIRST step in management be when a patient is injured?*

A: Recognizing, reporting, analyzing, and learning from the experience
B: Identifying potential safety hazards
C: Limiting the extent of the injury and managing the patient’s condition
D: Debriefing staff members with the aim of identifying the root cause of the injury

Question 3: Which one of the following is NOT an important aspect all physicians working in an imaging environment should know?*

A: How to manage a severe contrast agent reaction
B: How to minimize dose exposure
C: They must be certified in Advanced Trauma Life Support (ATLS)
D: When and how to activate and initiate a code response

Question 4: Is it TRUE or FALSE that the multidisciplinary team should consist of not only staff involved in the event, but also personnel who may be upstream or downstream from the event?*

A: TRUE
B: FALSE

Question 5: Which one of the following is TRUE regarding the relevant safety-related definitions?*

A: An adverse event is one that results in death, loss of a body part or loss of bodily function for 7 days
B: A sentinel event is one that occurs at the level of the frontline operator, the effect of which is felt immediately
C: A near miss is an event that did not produce patient harm, but only because of intervening factors
D: An active error is an unexpected occurrence that involves death or serious physical injury

Question 6: Is it TRUE or FALSE that the debriefing process consists of systematic interrogation of the patient involved in the event so that sequential information about the event is available?*

A: TRUE
B: FALSE

Question 7: Which one of the following is FALSE regarding active errors?*

A: The effect is felt immediately or almost immediately
B: It is not easy to attribute to a specific operator
C: It includes missed imaging findings
D: It occurs at the level of the frontline operator

Question 8: Which one of the following is part of managing the intermediate event in the Sequential Steps in Managing an Adverse Event?*

A: Reporting and disclosing the event
B: Provision of support to involved staff
C: Identification of root cause solutions
D: Sharing of lessons learned
E: Detecting the problem

Question 9: Which one of the following is FALSE regarding hindsight bias*

A: It helps members to objectively evaluate their past performance
B: It narrows the review of the available data and may cause members to miss alternative explanations
C: It causes members to focus on specific people involved in the incident, rather than the underlying processes that led to the event

Question 10: Which one of the following is FALSE regarding creating an objective narrative?*

A: The narrative should be succinct and relevant
B: The narrative should identify the authors of and all individuals involved in the event
C: The narrative should not contain emotion or judgement
D: The narrative should be in complete sentences and professional language should be used

Question 11: What is the role of the affinity diagram?*

A: It helps to assess the potential causes of the event with a standardized approach
B: It helps to clearly define possible trends in the occurrence and nature of the event
C: It helps with classification of contributors to an adverse event

Question 12: What are active errors, according to the Eindhoven classification?*

A: They are errors attributed to behavior related to skills, rules, or knowledge
B: They are process and system errors that enable human errors to occur
C: They include technical and organizational errors
D: They are errors attributed to behaviour governed or dominated by emotion

Question 13: What is the MOST relevant regarding the use of a causal tree map in the RCA tools?*

A: To create a visual representation of the event
B: To encourage participants to consider contributors from several domains
C: To identify root cause contributors along with the antecedent events
D: To define a hierarchy that starts with discovery of the event

Question 14: Is it TRUE or FALSE that it is important to share experiences with other health care practitioners, even if they do not experience the same adverse events?*

A: TRUE
B: FALSE

Question 15: By using which one of the following approaches can root cause contributors be identified along with the antecedent events, and potential mitigation or prevention strategies suggested based on the answers?*

A: The mozzarella mini questionnaire
B: The “Five Whys” approach
C: The Ishikawa diagram
D: The Pareto chart
E: The causal tree map

Please tell us how you experienced this activity*

A12(18): Presentation

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