U S N T O Chapter 02: Patient Safety and Risk Management Rothrock: Alexander’s Care of the Patient in Surgery, 16th Edition MULTIPLE CHOICE 1. Governmental and professional agencies and organizations, whether voluntary or involuntary, have a significant influence on patient safety policies in the healthcare setting. Select the agency or organization statement that presents a true reflection of its focus or purpose. a. The Joint Commission (TJC): Nonvoluntary bureau that tests healthcare institutions against evidence-based elements of performance b. Surgical Care Improvement Project (SCIP): Trends surgical site infection statistics c. American Society of Anesthesiologists (ASA): Professional organization of anesthesia providers and technologists d. World Health Organization (WHO): United Nations (UN)–based and supported authority on health throughout most of the world ANS: D The UN created WHO to function as its health oversight and coordination authority for all UN member nations who in turn have joined WHO. In 2004, WHO launched the World Alliance on Patient Safety, by which it began to examine patient safety in acute as well as in primary care settings relevant to all WHO member nations. WHO was created by and functions within the UN as the directing and coordinating authority for health throughout UN member nations. 2. Since its organization and establishment as a professional nursing association in the early 1950s, the Association of periOperative Registered Nurses (AORN) continues its endeavor to: a. promote guidelines influeNnciRng pIatieGnt sBaf.etCy. M b. create professional operating room (OR) nursing care delivery models. c. interpret healthcare statistics critical to perioperative nursing care. d. ensure risk reduction strategies are the foundation of perioperative education. ANS: A AORN provides an array of standards, recommended practices (RPs), guidelines, publications, videos, and tool kits that specifically address patient safety from the perioperative team’s point of view. 3. A healthy 32-year-old nursing student is scheduled for excision of a left-sided subglottal cyst with frozen section and possible radical neck dissection. The preoperative verification process provides the opportunity to collect and verify information about the patient to ensure patient safety. Among the patient data that must be verified are: a. emergency contact name. b. laboratory and imaging results. c. advance directive on file. d. immunization records. ANS: B Preprocedure verification process ensures that all relevant documents (e.g., the history and physical examination, surgical consent, required laboratory studies) and imaging studies (properly labeled and displayed) are available before the start of the procedure. Preprocedure verification is best conducted when the patient can be involved and should be completed before the patient leaves the preprocedure area.read more
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