Incident Investigation and Analysis Flashcards
6 cards from real CHSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Incident Investigation and Analysis flashcards as text
What is the primary goal of incident investigation in healthcare?
Answer: To identify system factors that contributed to the event and develop actions to prevent recurrence
The primary goal is to identify underlying system factors so corrective actions can prevent similar events.
What is the 5 Whys technique used for in incident analysis?
Answer: To iteratively ask why to drill down from surface cause to root cause
The 5 Whys involves repeatedly asking why to peel back layers of causation until the root cause is identified.
What is the purpose of a fishbone (Ishikawa) diagram in incident analysis?
Answer: To visually organize potential causes into categories to identify contributing factors systematically
A fishbone diagram visually organizes potential causes into categories like people, process, equipment, and environment.
What distinguishes a near miss from an adverse event in healthcare incident reporting?
Answer: A near miss could have caused harm but was caught, while an adverse event actually resulted in harm
A near miss had potential to cause harm but was intercepted, while an adverse event actually resulted in patient harm.
What is a common timeline requirement for completing a root cause analysis after a sentinel event?
Answer: Within 45 days of the event or becoming aware of it
The Joint Commission expects a thorough RCA and action plan within 45 calendar days.
Why is it important to interview witnesses as soon as possible after an incident?
Answer: Because memory accuracy degrades over time and details are best recalled soon after
Witness interviews should be conducted soon after the event because memory accuracy decreases rapidly and details may become confused.
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