The Quality Improvement Committee Has Been Alerted to an Increased

question 4

Multiple Choice

The quality improvement committee has been alerted to an increased number of falls in the hospital.Most of these falls have occurred at night and have involved patients who were trying to crawl over bedrails.A literature review brought out that most falls occur because patients are trying to go to the bathroom.The committee created a practice change that bedrails should be left in the down position,and hourly nursing rounds should be conducted.What is the committee's next step?

• A) Evaluate the changes in 1 month.
• B) Wait a month before implementing the changes.
• C) Implement the changes as a pilot study.
• D) Communicate to staff the results of this inquiry.

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Definitions:

Fundamental Attribution Error

A cognitive bias that causes people to overemphasize personal characteristics and ignore situational factors in explaining others' behavior.

Availability Heuristic

A cognitive bias where individuals rely on immediate examples that come to mind when evaluating a specific topic, concept, method, or decision.

First Instinct Fallacy

The false belief that it is better not to change one’s first answer on a test even if one starts to think that a different answer is correct.

Upward Counterfactual Thinking

The process of imagining better alternatives to past events, which can have various emotional or motivational effects.