Healthcare Incident Reporting MCQ Quiz!

1. A written analysis of all incidents is conducted by the THC for quality improvement, which of the following statements best describes the prevention of recurrence of falls among patients?

Training among staff regarding first aid procedure for fracture and suspected fracture management

Orientation and training about incident reporting guidelines and coordination-referral to hospitals

Monthly planned preventive maintenance on all of the patient’s equipment including wheelchair, bed, mobility items etc.

Family involvement in the patient’s care plan for assessing risk of falls

The best way to prevent recurrence of falls among patients is to conduct monthly planned preventive maintenance on all of the patient's equipment, including wheelchair, bed, and mobility items. This ensures that the equipment is in good working condition and reduces the risk of accidents or malfunctions that could lead to falls.

Explanation

The best way to prevent recurrence of falls among patients is to conduct monthly planned preventive maintenance on all of the patient's equipment, including wheelchair, bed, and mobility items. This ensures that the equipment is in good working condition and reduces the risk of accidents or malfunctions that could lead to falls.

2. Which of the following statements best describes the THC nurses' duty in reporting an incident?

Ensuring that all incidents are reported and are acted upon, investigated and analyzed for quality improvement

Report the incident even if little or no patient harm done resulted from the incident

Identify trends in incident occurrence and develop policies and procedures

Upon completion of the incident report, the incident and the surrounding circumstances should be discussed with the family member

The THC nurses' duty in reporting an incident is to ensure that all incidents are reported and are acted upon, investigated, and analyzed for quality improvement. This means that they are responsible for reporting any incident, regardless of the level of harm caused to the patient. They also have the responsibility to identify trends in incident occurrence and develop policies and procedures to prevent similar incidents in the future. The answer emphasizes the importance of thorough reporting and analysis to improve the quality of care provided.

Explanation

The THC nurses' duty in reporting an incident is to ensure that all incidents are reported and are acted upon, investigated, and analyzed for quality improvement. This means that they are responsible for reporting any incident, regardless of the level of harm caused to the patient. They also have the responsibility to identify trends in incident occurrence and develop policies and procedures to prevent similar incidents in the future. The answer emphasizes the importance of thorough reporting and analysis to improve the quality of care provided.

3. The key reason that ER visits and hospitalization are required and part of Key Performance Indicator is:

ER visits and hospitalizations are unavoidable incidents in medically ill patients in the home care sector

ER visits and hospitalizations are components that determine the quality of care of home care facilities

ER visits and hospitalizations are determinants of cost to the insurance company

ER visits and hospitalizations are directly related to manpower and staffing of a home care facility

ER visits and hospitalizations are components that determine the quality of care of home care facilities. This means that the frequency and severity of ER visits and hospitalizations can be used as indicators of the effectiveness and adequacy of the care provided by home care facilities. Higher rates of ER visits and hospitalizations may suggest that the facility is not able to adequately manage and prevent medical emergencies, leading to a lower quality of care. On the other hand, lower rates may indicate that the facility is providing appropriate care and effectively managing the health of their patients.

Explanation

ER visits and hospitalizations are components that determine the quality of care of home care facilities. This means that the frequency and severity of ER visits and hospitalizations can be used as indicators of the effectiveness and adequacy of the care provided by home care facilities. Higher rates of ER visits and hospitalizations may suggest that the facility is not able to adequately manage and prevent medical emergencies, leading to a lower quality of care. On the other hand, lower rates may indicate that the facility is providing appropriate care and effectively managing the health of their patients.

4. Communicable diseases are reportable incidents and mostly reported to HAAD for proper contact tracing, containment, and management as necessary. Most are only definitively diagnosed through a laboratory tests. Which of the following signs and symptoms presumably indicates Rubella (German measles) infection that warrants immediate attention and referral:

Fever, malaise, nausea, diarrhea, abdominal discomfort

High fever, runny nose, cough, small white spots inside the cheeks

High fever, dry cough, shortness of breath (dyspnea) or breathing difficulties, and atypical pneumonia

Fever, chills, night sweats, loss of appetite, weight loss, fatigue

The signs and symptoms of high fever, runny nose, cough, and small white spots inside the cheeks are indicative of Rubella (German measles) infection. This combination of symptoms is characteristic of Rubella and requires immediate attention and referral for proper management and containment.

Explanation

The signs and symptoms of high fever, runny nose, cough, and small white spots inside the cheeks are indicative of Rubella (German measles) infection. This combination of symptoms is characteristic of Rubella and requires immediate attention and referral for proper management and containment.

5. Which of the following statements best describes the root cause of the incident?

A defective side rails of the patient caused the patient’s fall

A letdown in determining that a defective side rail caused the patient’s fall

The patient’s age and medical condition aggravated the effect of fall

The patient’s age and medical condition will affect the patient’s prognosis

The correct answer suggests that the root cause of the incident was a failure or mistake in determining that a defective side rail caused the patient's fall. This implies that there was a missed opportunity to identify and address the issue with the side rail, which ultimately led to the patient's fall.

Explanation

The correct answer suggests that the root cause of the incident was a failure or mistake in determining that a defective side rail caused the patient's fall. This implies that there was a missed opportunity to identify and address the issue with the side rail, which ultimately led to the patient's fall.

6. The above-presented situation is a Reportable Incident under the THC policy, what is the type of this incident report?

Critical Incident

Sentinel Event

Near Missed Event

Incident Report

Based on the information provided, the situation is classified as a Reportable Incident under the THC policy. Out of the given options, the type of incident report that best fits this situation is a Critical Incident.

Explanation

Based on the information provided, the situation is classified as a Reportable Incident under the THC policy. Out of the given options, the type of incident report that best fits this situation is a Critical Incident.

7. While the patient is in the Emergency Department it has been found that the patient has a hip fracture patient was subsequently admitted and a surgical operation was proposed to the patient. Discussing all the risk and benefits to the patient and family before signing the consent is an example of:

Beneficence

Non-maleficence

Veracity

Patient Advocate

Veracity refers to the principle of truth-telling and honesty in healthcare. In this scenario, discussing all the risks and benefits of a surgical operation with the patient and their family before obtaining consent demonstrates the healthcare provider's commitment to being truthful and transparent. By providing accurate and complete information, the patient and their family can make an informed decision about the proposed treatment. This aligns with the principle of veracity, ensuring that the patient's autonomy and right to know are respected.

Explanation

Veracity refers to the principle of truth-telling and honesty in healthcare. In this scenario, discussing all the risks and benefits of a surgical operation with the patient and their family before obtaining consent demonstrates the healthcare provider's commitment to being truthful and transparent. By providing accurate and complete information, the patient and their family can make an informed decision about the proposed treatment. This aligns with the principle of veracity, ensuring that the patient's autonomy and right to know are respected.

8. In the monthly submission of Key Performance Indicator for HAAD, and annual analysis for CARF the patient's fall and its consequent effects will be categorized under:

Fall & Medical treatment

Fall & Emergency room visit

Fall & Hospitalization

Fall & Negligence

In the monthly submission of Key Performance Indicator for HAAD, and annual analysis for CARF, the patient's fall and its consequent effects will be categorized under "Fall & Hospitalization". This means that if a patient falls and as a result needs to be hospitalized, it will be recorded and analyzed under this category. This category specifically focuses on falls that require hospitalization, indicating the severity of the fall and the need for further medical intervention.

Explanation

In the monthly submission of Key Performance Indicator for HAAD, and annual analysis for CARF, the patient's fall and its consequent effects will be categorized under "Fall & Hospitalization". This means that if a patient falls and as a result needs to be hospitalized, it will be recorded and analyzed under this category. This category specifically focuses on falls that require hospitalization, indicating the severity of the fall and the need for further medical intervention.

9. This incident should be notified immediately to the nursing office and an Incident report should be submitted within 48 hours, the objective for the submission time frame is:

Incidents submitted within the time frame results to rapid resolution of an incident

Incidents submitted on the required time frame liberates persons involved for any legal liabilities

Incidents submitted on the time frame details the sequence of events precisely

Incidents submitted over the time frame is considered void and invalid

The objective for submitting an incident report within the time frame is that it allows for the details of the sequence of events to be documented accurately. By submitting the report promptly, there is a higher likelihood that the information provided will be fresh in the minds of those involved, leading to a more precise and accurate account of the incident. This can be crucial for any subsequent investigations or actions taken based on the incident report.

Explanation

The objective for submitting an incident report within the time frame is that it allows for the details of the sequence of events to be documented accurately. By submitting the report promptly, there is a higher likelihood that the information provided will be fresh in the minds of those involved, leading to a more precise and accurate account of the incident. This can be crucial for any subsequent investigations or actions taken based on the incident report.

10. Which of the following demonstrates beneficence when providing care to the patient?

Assuring the patient that she will be fine and everything will be done for her

Explaining to the patient what had just happened and continuing assessing her condition

Placing the patient back in bed and elevating her lower limbs

Maintaining the patient’s leg immobile and administration of analgesic while preparing the patient for transport

Maintaining the patient's leg immobile and administering analgesic while preparing the patient for transport demonstrates beneficence by prioritizing the patient's comfort and safety. By immobilizing the leg and providing pain relief, the healthcare provider is taking actions to alleviate the patient's discomfort and prevent further injury or complications during transport. This demonstrates a commitment to promoting the patient's well-being and ensuring their needs are met.

Explanation

Maintaining the patient's leg immobile and administering analgesic while preparing the patient for transport demonstrates beneficence by prioritizing the patient's comfort and safety. By immobilizing the leg and providing pain relief, the healthcare provider is taking actions to alleviate the patient's discomfort and prevent further injury or complications during transport. This demonstrates a commitment to promoting the patient's well-being and ensuring their needs are met.