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1. Which of the following methods uses trained observers to watch the real-time administration of medications to detect errors?

A. Direct observation B. Voluntary reporting C. Chart review D. ADE Trigger Tool

2. Which of the following would be an example of a trigger used in the ADE Trigger Tool?

A. Over sedation B. Use of flumazenil C. Elevated INR value D. All the above

3. What are the standard event reporting forms called which define standardized data elements associated with errors and events that are to be collected and reported to the Patient Safety Organization?

A. Common Formats B. Error and Safety Forms C. Common Reports D. Medication Safety Forms

4. Which of the following correctly defines Category H in the NCCMERP medication error index that serves to categorize errors based on the severity or outcome of the error?

A. An error occurred but the error did not reach the patient B. An error occurred that resulted in a near-death event C. An error occurred that resulted in the need for intervention and caused temporary harm D. An error occurred that reached the patient but did not cause harm

5. Which of the following would be correct when implementing an event reporting system?

A. Only the pharmacy should be involved in implementation B. Definitions and classifications for errors and events should be created by each institution C. All data should be aggregated by error type D. Feedback should be provided on a regular basis

6. Which of the following is true about the voluntary reporting component in a well-designed reporting system?

A. Reporting of errors takes place through direct contact with the supervisor B. It is not necessary for additional team members to review the reported errors C. No punishment will take place for reported errors D. There is only a need to report errors which resulted in patient harm

7. Which of the following is true about the Five Rules of Causation?

A. Human errors do not always have a preceding cause B. Violations of procedures are root causes C. Vague words are permissible if the circumstances are unclear D. Failure to act is only causal when there is a duty to act

8. Which of the following is true about a Failure Mode and Effects Analysis (FEMA)?

A. FMEA is a retrospective process B. Provides a rank order of process steps for improvement based on their risk of causing harm via failure C. A 5-point scale is used to assign the criticality index D. Accreditation processes do not value using the FEMA

9. When implementing new technology, it is important to consider which of the following?

A. The more costly the system the better it is likely to function B. Perform an RCA before implementing new technology C. Higher complex functioning technology systems should be considered first D. Ask the clinician to be involved in the selection process

10. Which of the following would define an independent double check system?

A. Nurse A performs the insulin dose calculation, Nurse B looks at the answer and determines it to be correct. B. Nurse A performs the dose calculation and draws up the insulin syringe, Nurse B looks at the syringe and determines it to be correct C. Nurse A performs the dose calculation, Nurse B performs the dose calculation also and they compare answers D. Nurse A performs the dose calculation and draws up the insulin syringe, Nurse B watches Nurse A administer the syringe