38. In providing guidelines on proper charting methods, it is recommended that all patient chart entries be: a. Subjective in nature and present only the facts related to patient care. b. Completed as soon as possible following the patient care, with no blank lines remaining to fill in later. c. Initialed, signed, and dated in legible handwriting, using a pencil that shows up well on a copier. d. Made with correction fluid to completely obliterate the entry, which is then written over. 39. What is a key to avoiding a malpractice charge? a. If something goes wrong with the treatment, do not disclose the situation to the patient. b. Delegate as many duties as possible to your auxiliaries. c. Maintain good communication with patients. d. Never treat patients who have medical conditions. 40. Which of the following circumstances is most likely to be the cause of a wrong-site extraction? a. Cognitive failure and miscommunication. b. The oral surgeon’s haste and fatigue. c. Fully erupted teeth mimicking third molars. d. The presence of a single carious tooth. 41. To improve diagnostic thinking, clinicians need to reduce their reliance on: a. Algorithms. b. Memory. c. Checklists. d. Clinical decision support systems. 42. The majority of dental healthcare providers practicing in the United States are: a. Endodontists. b. Orthodontists. c. Oral surgeons. d. General practitioners. 43. Among specialists, the largest number of malpractice claims was filed against: a. Pathologists. b. Pedodontists. c. Endodontists. d. Periodontists. 44. The most common reason that general practitioners refer their patients to specialists is that: a. They feel they cannot perform a procedure at the level of a specialist. b. The patient does not have the financial means to pay for the procedure. c. The patient’s insurance is not accepted at the general practitioner’s office. d. There is a personality conflict between the general practitioner and the patient. 45. A culture of safety is best described as an environment in which: a. Individuals can report errors, close calls, or near misses without fear of retribution. b. Monitoring and reporting systems are used to establish accountability and assign blame. c. Individuals report errors anonymously. d. Errors are tracked automatically. 46. Lucian Leape and his associates maintain that whereas errors define the boundaries of safe practice, the cultural focus must be on preventing: a. The patient from knowing the error has occurred. b. The clinician from experiencing punishment. c. The proliferation of lawsuits. d. The allocation of blame. 47. A root cause analysis is typically performed:
48. The 2013 study by Mettes, Bruers, van der Sanden, and Wensing analyzed 1000 records and found that: a. 18 adverse events had occurred. b. Four wrong tooth extractions had occurred. c. Three cases of remaining roots following tooth extractions had occurred. d. Five cases of crowns being swallowed by patients had occurred. 49. The 2015 study by Obadan, Ramoni, and Kalenderian reported that the largest type of harm reported was: a. Delayed and unnecessary treatment/disease progression after misdiagnosis. b. Extraction of the incorrect teeth. c. Errors involving the prescribing of narcotic medications. d. Leakage of sodium hypochlorite into the apical tissue during endodontic treatment. 50. Patient populations at high risk for medical/dental errors in the United States include infants and children, older adults, and patients: c. With limited language skills or limited literacy. d. In the emergency department of a hospital. 51. Infants and children are at high risk for medication errors because? a. They cannot read the directions. b. There is a larger therapeutic index with this population. c. Medication doses are weight-based and require calculations. d. They metabolize drugs in a manner similar to adults. 52. The most effective way that patients can help prevent medical/dental errors is by: a. Using only those healthcare providers they know personally. b. Being actively involved in their own health care. c. Having complete trust in their healthcare providers. d. Writing to their government representatives. 53. A major international effort launched by the World Health Organization to address patient safety around the world is known as the: a. Agency for Healthcare Quality and Research. b. Institute for Safe Medication Practices. c. Leapfrog Group. d. High 5s Project. 54. In 2001, the Leapfrog Group recommended three safe practices, which included: a. Computerized prescriber order entry. b. Promoting leadership in safety training. c. Designating a patient safety professional. d. Having a system that punishes negligent caregivers. 55. Performance standards protect patient safety by assuring a level of: a. Who are premenopausal females. b. With impaired respiratory function.
a. Competency. b. Accountability. c. Blame. d. Responsibility.
56. All of the following were noted in Table 5 as one of the seven steps to improve patient safety in dentistry EXCEPT: a. Promotion of a culture of patient safety in dental care. b. Establishing lines of information on adverse events. c. Establishing measures to prevent healthcare risks by elimination or reduction. d. Ongoing training of patients on patient safety measures.
a. Before an error occurs. b. After an error occurs. c. To identify who is at fault. d. To identify active errors.
Course Code: DFL04PS
EliteLearning.com/Dental
Book Code: DFL3024
Page 73
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