During a root cause analysis of a delayed emergency response, the team discovers that the emergency call bell was not working on the ward. This finding is best classified as which type of factor?
Correct answer: A. A latent system condition
- A. A latent system condition
- B. A patient's noncompliance
- C. A personal character defect
- D. A normal clinical variation
Explanation
A faulty call bell is a latent system condition that can remain unnoticed until it contributes to harm. Corrective action should include equipment checks, maintenance and a reliable backup communication process.
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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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