Lee University School of Nursing
NURS 102
“Chasing Zero” Questions
Name: ____Natalie Barbee_________
1. What are 6 examples of “the concept of safety” that are mentioned in the video and how do
they impact safety?
1)checklist
2)mark the surgery cite
3)surgical site infection, clean surgery site
4)pyxis: pharmacy loads it in the computer on the medicine and it only lets the medicine out at
certain times a day to make sure no overdoses
5)filing without provider seeing it
6)smart pump/IV pump
-involving the patient in their own care
-double checking
-introducing the patient to the next nurse: share grounds/bedside report
-thorough documentation
-doctors putting in their own orders
-computer orders
-bar codes on patients to match medicine bar codes
Nursing Rule:
if you do not document it, it never happened.
2. What is a barrier to safe care that is identified in the video?
Fear - of punishment
3. What are 3 weapons against healthcare harm?
1)safe practices that work
2)engaged leadership
3)technology to compliment safety
4. We need to make it __ easy __ to be safe. (8:54)
5. What were some things that led up to the medication error in the Quaid twins' care?
-Medications looked similar
-Double dosed
-Did not check vial concentration
-Vials were stored too close together
A decimal point can kill!
6. What were some things that contributed to Nurse Julie Thao’s IV error that killed the young
mother?
-Worked two shifts with less than five hours between them
-Both medicines in her hand at the same time
-She was busy
-Fatigued
-Identical tubing connectors
-Similar bags
-Suboptimal bar coding
7. What are share rounds and how do they promote safe quality healthcare?
- introducing the patient to the next nurse
>they promote safe quality care because when you brief the nurse it can help clear up
any confusion, questions, or concerns that they would have before taking over on a new case
knowing absolutely nothing
8. What are the 4 values of having a checklist?
1)simple
2)predictable
3)standardized
4)enhanced communication
-prevention of human error
9. In order to be effective, checklists must be backed-up by humans. True/False
True
10. How as consumers can we make our care safe?
-ask questions
-have someone with you
11. In your opinion, is Zero reality or rhetoric? Explain
Zero is a rhetoric because humans will constantly make mistakes and we can learn from
them but we will never be perfect and as sad as it is to say ZERO is a perfect number only to
idealize.
12. What are your thoughts on this video?
●
Did the nurses that made the errors set out to provide poor care and to harm the patient?
●
If not, then what lead to the errors?
●
Did the nurses have to try really hard to make the error, or was the error an accident waiting
to happen?
In some incidences it is actual nurse inadequacy, but in some it is waiting to happen because
as humans we have to learn from trial and error
●
Any other comments?
Since you said you read these, I just wondered