A root cause analysis identifies that staff frequently cannot find the current policy for blood transfusion checks. Which preventive action is strongest?
Correct answer: A. Place the approved policy in an accessible location and verify staff competency
- A. Place the approved policy in an accessible location and verify staff competency
- B. Tell the nurse involved to be more careful during future transfusions
- C. Require staff to sign a warning after every transfusion
- D. Stop all transfusions until the next annual policy review
Explanation
Making the current procedure accessible and checking competency addresses both the system barrier and safe practice. Warnings alone do not reliably correct an unavailable or poorly communicated policy.
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About Quality and Patient Safety
Quality and patient safety include standards of care, quality assurance, continuous quality improvement, audits, indicators and patient feedback. The subject also covers medication errors, falls, infections, communication failures, incident reporting, root cause analysis and preventive actions, distinguishing system improvement from assigning blame to an individual.
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