Chapter 02: Patient Safety and Risk Management
Rothrock: Alexander’s Care of the Patient in Surgery, 16th Edition
1. Governmental and professional agencies and organizations, whether voluntary or involuntary,
have a significant influence on patient safety policies in the healthcare setting. Select the
agency or organization statement that presents a true reflection of its focus or purpose.
a. The Joint Commission (TJC): Nonvoluntary bureau that tests healthcare
institutions against evidence-based elements of performance
b. Surgical Care Improvement Project (SCIP): Trends surgical site infection statistics
c. American Society of Anesthesiologists (ASA): Professional organization of
anesthesia providers and technologists
d. World Health Organization (WHO): United Nations (UN)–based and supported
authority on health throughout most of the world
The UN created WHO to function as its health oversight and coordination authority for all UN
member nations who in turn have joined WHO. In 2004, WHO launched the World Alliance
on Patient Safety, by which it began to examine patient safety in acute as well as in primary
care settings relevant to all WHO member nations. WHO was created by and functions within
the UN as the directing and coordinating authority for health throughout UN member nations.
2. Since its organization and establishment as a professional nursing association in the early
1950s, the Association of periOperative Registered Nurses (AORN) continues its endeavor to:
a. promote guidelines influencing patient safety.
b. create professional operating room (OR) nursing care delivery models.
c. interpret healthcare statistics critical to perioperative nursing care.
d. ensure risk reduction strategies are the foundation of perioperative education.
AORN provides an array of standards, recommended practices (RPs), guidelines,
publications, videos, and tool kits that specifically address patient safety from the
perioperative team’s point of view.
3. A healthy 32-year-old nursing student is scheduled for excision of a left-sided subglottal cyst
with frozen section and possible radical neck dissection. The preoperative verification process
provides the opportunity to collect and verify information about the patient to ensure patient
safety. Among the patient data that must be verified are:
a. emergency contact name.
b. laboratory and imaging results.
c. advance directive on file.
d. immunization records.
Preprocedure verification process ensures that all relevant documents (e.g., the history and
physical examination, surgical consent, required laboratory studies) and imaging studies
(properly labeled and displayed) are available before the start of the procedure. Preprocedure
verification is best conducted when the patient can be involved and should be completed
before the patient leaves the preprocedure area.