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Certified Professional in Healthcare Quality Examination

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Certified Professional in Healthcare Quality Examination Questions and Answers

Questions 1

An orthopedic surgeon performed surgery on the wrong finger. After the case, the surgeon took full responsibility, disclosed the error to the patient, and discussed the event with the Chief of Surgery. The Chief of Surgery believed the error occurred because the splint was not removed for preoperative site marking. The surgeon stated, “I have learned from the situation and will never repeat it.” Neither believed further analysis or action was needed. The healthcare quality professional should conclude that:

Options:

A.  

No one was harmed and the surgeon’s accountability was consistent with just culture.

B.  

The Chief of Surgery demonstrated hindsight bias and minimized the situation.

C.  

Rapid identification of the root cause and learning dispersion reflected the approaching stage of high reliability.

D.  

The patient disclosure and discussion with the Chief of Surgery potentiate litigation risk.

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