Patient Safety and Human Factors in Simulation Flashcards
7 cards from real CHSE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Safety and Human Factors in Simulation flashcards as text
Which principle of high reliability organizations is shown when the most knowledgeable team member leads a decision, whatever their rank?
Answer: Deference to expertise
Deference to expertise moves decision-making to the person with the most relevant knowledge, not the most senior person.
An educator uses a live defibrillator on a manikin during training. Which safety measure is most important?
Answer: Using only manikins rated for live energy delivery and following equipment safety protocols
Live defibrillation needs a manikin rated for energy delivery plus standard safety practices, which protects participants and equipment.
Under a Just Culture framework, how should a clinician who knowingly skips a required safety step to save time be handled?
Answer: Coached about at-risk behavior and the system incentives that encourage it
Just Culture separates human error (console), at-risk behavior (coach), and reckless behavior (sanction), and a drifting shortcut is usually at-risk behavior.
What does a Failure Mode and Effects Analysis (FMEA) primarily do?
Answer: Proactively identify where a process could fail and prioritize risks
FMEA is a prospective tool that finds potential failure modes and ranks them by severity, likelihood, and detectability.
In the CUS escalation tool, what do the letters stand for?
Answer: Concerned, Uncomfortable, Safety issue
CUS stands for 'I am Concerned, I am Uncomfortable, this is a Safety issue,' which escalates assertive speaking up.
In Endsley's model of situation awareness, what is Level 3?
Answer: Projecting future status
Endsley's model goes from perception (Level 1) to comprehension (Level 2) to projection of future states (Level 3).
Why can simulation help reduce alarm fatigue on clinical units?
Answer: It lets staff practice telling actionable alarms from nuisance alarms and test alarm settings safely
Simulation gives a safe place to practice alarm prioritization and to test default settings that add to desensitization.
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