This Pareto chart applies this principle in identifying factors for improvement.

Approximately 80% of issues result from 20% of causes

The failure of licensing systems to focus on errors

Inappropriate as causation does not exist

Which of the following best characterizes the overall potential claim of negligence on the radiologist?

Inappropriate as causation does not exist

A patient experiences profound hypotension after receiving IV contrast. What is an appropriate dose of epinephrine?

Epinephrine IV (1 mg/ 10 mL) (1:10,000), 0.1 mg

According to the Institute of Medicine’s report, To Err is Human,

The failure of licensing systems to focus on errors

What is the most widely accepted strategy for minimizing the risk of postcontrast acute kidney injury?

IV volume expansion with isotonic fluids

Pre-sedation assessment identified your patient as ASA Class V. Which is most accurate regarding procedural sedation?

The patient should not be sedated by a non-anesthesiologist

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QI/NIS Quiz Bowl

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Questions 17

Answers

1
This Pareto chart applies this principle in identifying factors for improvement.
Separating gathered data is vital to identify patterns
Processes may be consistent or may be unpredictable
All identified events should be targeted for improvements simultaneously
Approximately 80% of issues result from 20% of causes
2
Bonus Points!
Third- party providers focusing on financial incentive to improve safety
The ease of the liability system to identify errors
The failure of licensing systems to focus on errors
The centralized nature of the healthcare delivery system
3
A High Reliability Organization (HRO) can perform with the fewest errors through…
Focusing on what operations are supposed to look like
Preoccupation with failure
Simplifying sources of problems
Deference to hierarchy
4
On a chest x-ray, you incorrectly attribute a new pulmonary nodule as a bone island in a rib. What error is this?
Failure of perception
Communication error
System error
Failure of interpretation
5
Bonus Points!
Appropriate as the patient suffered damage
Inappropriate as causation does not exist
Appropriate as there is an established duty to the patient
Inappropriate as a breach of duty did not occur
6
Bonus Points!
Punish
Console
Sanction
Coach
7
Which of the following best characterizes the overall potential claim of negligence on the radiologist?
Inappropriate as causation does not exist
Inappropriate as a breach of duty did not occur
Appropriate as there is an established duty to the patient
Appropriate as the patient suffered damage
8
A patient experiences profound hypotension after receiving IV contrast. What is an appropriate dose of epinephrine?
Epinephrine IM (1 mg/ 10 mL) (1:10,000), 0.1 mg
a.epinephrine IV (1 mg/mL) (1:1000), 0.3 mg
Epinephrine IV (1 mg/ 10 mL) (1:10,000), 0.1 mg
Epinephrine IM (1mg/mL) (1:100), 0.3mg
9
According to the Institute of Medicine’s report, To Err is Human,
The ease of the liability system to identify errors
Third- party providers focusing on financial incentive to improve safety
The centralized nature of the healthcare delivery system
The failure of licensing systems to focus on errors
10
Nephrogenic systemic fibrosis has the highest risk of occurring with which of the following agents?
Gadobenate dimeglumine (MultiHance®)
Gadobutrol (Gadavist®)
Gadodiamide (Omniscan®)
Gadoteridol (ProHance®)
11
You are given IV contrast for a CTPE study. You experience facial edema without dyspnea. Which type of reaction is this?
Moderate allergic reaction
Severe allergic reaction
Moderate physiologic reaction
Severe physiologic reaction
12
What is the most widely accepted strategy for minimizing the risk of postcontrast acute kidney injury?
Immediate dialysis after the study
Holding metformin 48 hours prior to imaging
IV volume expansion with isotonic fluids
Premedication with corticosteroids
13
In a Just Culture model, what is the recommended approach to address this behavior?
Coach
Console
Punish
Sanction
14
Pre-sedation assessment identified your patient as ASA Class V. Which is most accurate regarding procedural sedation?
The patient does not require any additional aid for sedation
The patient is completely ineligible to receive anesthesia
The patient should not be sedated by a non-anesthesiologist
The patient may require consultation without anesthesiology
15
Bonus Round: What animal is this? (Courtesy of Oregon Zoo)
Armadillo
Gopher
Tamandua
Fake...Made by AI
16
Bonus Round: What animal is this? (Courtesy of Oregon Zoo)
Naked Mole Rat
Cape Porcupine
Beaver
Mongoose
17
Which of the following would be considered a transient factor for the use of patient verification before a procedure?
Patient’s identification number
Patient’s room number
Patient’s name
Patient’s date of birth

QI/NIS Quiz Bowl Flashcards | StudBud