NMC CBT Patient Safety and Risk Assessment 2

Question 1

What is the primary purpose of the NHS incident reporting system?

Accepted Answer

To collect data on patient safety incidents to identify trends and develop solutions

Answer

The system collects data to identify patterns and trends, enabling system-wide safety improvements in a learning culture.

Question 2

Which validated tool is commonly used for falls risk assessment in UK hospitals?

Accepted Answer

STRATIFY (St Thomas's Risk Assessment Tool in Falling Elderly Inpatients)

Answer

STRATIFY assesses transfer ability, mobility, visual impairment, toileting frequency, and previous falls history.

Question 3

Which four harms does the NHS Safety Thermometer measure?

Accepted Answer

Pressure ulcers, falls, catheter-associated UTIs, and VTE

Answer

The four key harms: pressure ulcers, falls, CAUTIs, and VTE. Harm-free care means none of these occurred.

Question 4

How should a nurse manage a hazard identified in the clinical environment using risk assessment?

Accepted Answer

Identify the hazard, assess who might be harmed, evaluate risk, implement controls, and record findings

Answer

Risk assessment follows the HSE five-step approach: identify, assess, evaluate and control, record, and review regularly.

Question 5

What does the 'Swiss Cheese Model' (James Reason) illustrate about patient safety?

Accepted Answer

Accidents occur when multiple defence layers have aligned failures, allowing a hazard through all barriers

Answer

Multiple defence layers (like Swiss cheese slices) each have weaknesses (holes). Accidents happen when holes momentarily align.

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test