Inpatient management sequencing, discharge planning, and patient safety and systems-based practice concepts tested on USMLE Step 3.
40 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the first action when a suspected acute transfusion reaction occurs?
- Stop the transfusion immediately.
- What communication tool structures a handoff into Situation, Background, Assessment, and Recommendation?
- SBAR
- What handoff mnemonic covers Illness severity, Patient summary, Action list, Situation awareness, and Synthesis by receiver?
- I-PASS
- What safety check happens immediately before surgical incision to confirm correct patient, site, and procedure?
- The surgical time-out
- In the Universal Protocol, what step identifies the operative site before the time-out?
- Site marking
- What term describes a patient safety event causing death or serious harm unrelated to the natural course of the patient's illness?
- A sentinel event
- What never event involves a sponge or instrument left inside a patient after surgery?
- A retained surgical item
- What model explains accidents occurring when gaps in multiple layers of defense align?
- The Swiss cheese model
- What type of error occurs at the point of care, such as a nurse administering the wrong medication dose?
- An active error
- What type of error is a systemic weakness, such as understaffing, that predisposes to active errors?
- A latent error
- What investigation is performed after a sentinel event to identify underlying systemic causes?
- Root cause analysis
- What proactive tool evaluates a process for potential failure points before an error occurs?
- Failure mode and effects analysis (FMEA)
- What iterative quality improvement cycle consists of Plan, Do, Study, Act?
- The PDSA cycle
- What organizational culture holds individuals accountable while focusing on fixing system flaws rather than assigning blame?
- A just culture
- What is the single most effective measure to prevent healthcare-associated infections?
- Hand hygiene