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Internal Medicine · USMLE Step 3 · Healthcare and Nursing

USMLE Step 3 Hospital Medicine and Patient Safety

Inpatient management sequencing, discharge planning, and patient safety and systems-based practice concepts tested on USMLE Step 3.

About this set

40 basic cards for USMLE Step 3 Internal Medicine. It opens with "What is the first action when a suspected acute transfusion reaction occurs?" and "What communication tool structures a handoff into Situation, Background". More Healthcare and Nursing decks are listed below.

40 cards · basic cards · AI-written, checked twice. Edit anything.

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What is the first action when a suspected acute transfusion reaction occurs?
Show answerStop the transfusion immediately.
What communication tool structures a handoff into Situation, Background, Assessment, and Recommendation?
Show answerSBAR
What handoff mnemonic covers Illness severity, Patient summary, Action list, Situation awareness, and Synthesis by receiver?
Show answerI-PASS
What safety check happens immediately before surgical incision to confirm correct patient, site, and procedure?
Show answerThe surgical time-out
In the Universal Protocol, what step identifies the operative site before the time-out?
Show answerSite marking
What term describes a patient safety event causing death or serious harm unrelated to the natural course of the patient's illness?
Show answerA sentinel event
What never event involves a sponge or instrument left inside a patient after surgery?
Show answerA retained surgical item
What model explains accidents occurring when gaps in multiple layers of defense align?
Show answerThe Swiss cheese model
What type of error occurs at the point of care, such as a nurse administering the wrong medication dose?
Show answerAn active error
What type of error is a systemic weakness, such as understaffing, that predisposes to active errors?
Show answerA latent error
What investigation is performed after a sentinel event to identify underlying systemic causes?
Show answerRoot cause analysis
What proactive tool evaluates a process for potential failure points before an error occurs?
Show answerFailure mode and effects analysis (FMEA)
What iterative quality improvement cycle consists of Plan, Do, Study, Act?
Show answerThe PDSA cycle
What organizational culture holds individuals accountable while focusing on fixing system flaws rather than assigning blame?
Show answerA just culture
What is the single most effective measure to prevent healthcare-associated infections?
Show answerHand hygiene

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