Five Steps To Prevent Operative Errors

2.

Patient identification using two patient identifiers is a critical component in ensuring correct patient

True
False

Correct Answer

A. True

Explanation

Patient identification using two patient identifiers is a critical component in ensuring correct patient identification and preventing medical errors. By requiring two separate identifiers, such as the patient's name and date of birth, healthcare providers can verify the patient's identity and reduce the risk of misidentifying patients. This practice helps to ensure that the right treatment is provided to the right patient, improving patient safety and preventing potentially harmful mistakes. Therefore, the statement is true.

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3.

Time out is the finale verification done to ensure correct surgery is done on the correct patient

True
False

Correct Answer

A. True

Explanation

The statement is true because a time out is a crucial step in the surgical process where the surgical team pauses before starting the procedure to verify important details such as the correct patient, correct surgery, correct site, and correct equipment. This final verification is done to prevent errors and ensure patient safety. By taking a moment to double-check these essential factors, the surgical team can minimize the risk of performing surgery on the wrong patient or performing the wrong procedure.

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4.

The five steps of preventing operative errors does not include

Time out
Pre-op verification
Financial counseling
Site marking
Sign out

Correct Answer

A. Financial counseling

Explanation

The question asks for the step that is not included in the five steps of preventing operative errors. The four other options, namely Time out, Pre-op verification, Site marking, and Sign out, are all well-known steps in preventing operative errors. However, financial counseling is not typically considered a step in preventing operative errors. It is more related to the financial aspects of the procedure rather than the actual prevention of errors during the operation. Therefore, financial counseling is the correct answer.

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5.

Who is responsible to ensure that all the pre- op verifications are done?

Surgeon
OT nurse
Anaesthetist
Ward nurse
All the above mentioned

Correct Answer

A. All the above mentioned

Explanation

All the above mentioned healthcare professionals are responsible for ensuring that all the pre-operative verifications are done. The surgeon should verify the patient's consent, medical history, and surgical site. The OT nurse should check the availability and sterility of surgical instruments and supplies. The anaesthetist should review the patient's medical condition and administer anesthesia. The ward nurse should ensure that the patient is prepared for surgery and all necessary documentation is complete. Therefore, all of these individuals play a role in ensuring that pre-operative verifications are completed.

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6.

Which of the following is not a best practice for avoiding wrong site surgeries?

The site should be marked with an arrow pointing the operative site
Members of the surgical team verify the correct site
The patient confirms the correct site
A patient’s family member confirms the site

Correct Answer

A. A patient’s family member confirms the site

Explanation

Having a patient's family member confirm the site is not a best practice for avoiding wrong site surgeries. The responsibility for verifying the correct site should lie with the surgical team, including the surgeon, nurses, and anesthesiologist. While involving the patient and their family in the surgical process is important, it is not their role to confirm the site. Relying on a family member's confirmation alone may not be reliable or consistent, and it is essential to have a standardized process involving the entire surgical team to ensure accuracy and patient safety.

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7.

What should not be done during time out?

Everyone should stop activities
All the questions have to be answered
Circulating nurse should initiate time out
Others can attend to their work while nurse reads out the questions
All the members have to be at the operating room

Correct Answer

A. Others can attend to their work while nurse reads out the questions

Explanation

During a time out, it is important that everyone stops their activities and focuses on the task at hand. This ensures that all members are present and attentive during the time out process. The nurse should initiate the time out and read out the questions to ensure that everyone is aware of the plan and any potential risks. All questions should be answered by the team to ensure clear communication and understanding. All members should be present in the operating room during the time out to ensure that everyone is on the same page and ready to proceed with the procedure. Therefore, others should not attend to their work while the nurse reads out the questions.

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8.

Which of the following will not be checked during time out

Two patient identifiers (Name & NRIC)
Procedure
Availability of equipment
Fasting
Blood availability

Correct Answer

A. Fasting

Explanation

During a timeout, healthcare professionals typically check various factors to ensure patient safety. These include verifying the patient's identity using two identifiers (Name & NRIC), confirming the correct procedure, checking the availability of equipment, and ensuring blood availability if necessary. However, fasting is not typically checked during a timeout as it is usually assessed and managed separately, often before the procedure. Therefore, fasting is the correct answer as it is not checked during a timeout.

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9.

Which is false regarding the proper site mark

Done by the surgeon or assisting doctor
Site mark should be closer to the surgical site as much as possible
A black pen is used to mark on the skin
Done before patient enters the operating room.
Standard site mark is an arrow pointing the site

Correct Answer

A. A black pen is used to mark on the skin

Explanation

The statement that a black pen is used to mark on the skin is false. In surgical procedures, a surgical skin marker, which is typically a sterile, non-toxic ink pen specifically designed for marking on the skin, is used to mark the surgical site. The use of a black pen or any regular pen is not recommended as it may not be sterile or easily visible during the procedure.

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10.

Site mark is not done for

Surgeries involving both left & right sides
Single organ surgeries
Spinal surgeries
Unilateral laparoscopic surgeries
Eye surgeries

Correct Answer

A. Single organ surgeries

Explanation

Single organ surgeries do not require site marking because they involve operating on only one specific organ or area of the body. In these surgeries, the surgeon does not need to differentiate between left and right sides or multiple areas. Therefore, site marking is not necessary as there is no risk of confusion or error in identifying the correct surgical site.

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Five Steps To Prevent Operative Errors

Use of abbreviations to name the surgery will lead to confusions

Quiz Preview

Patient identification using two patient identifiers is a critical component in ensuring correct patient

Time out is the finale verification done to ensure correct surgery is done on the correct patient

The five steps of preventing operative errors does not include

Who is responsible to ensure that all the pre- op verifications are done?

Which of the following is not a best practice for avoiding wrong site surgeries?

What should not be done during time out?

Which of the following will not be checked during time out

Which is false regarding the proper site mark

Site mark is not done for