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Patient safety and QI — MCCQE Part 1 MCQ

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ModerateEthics & ProfessionalismPatient safety and QIMCCQE Part 1

A hospital QI team reviews a case where a patient received the wrong medication due to similar drug names. Error caught before harm. Most appropriate approach?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Root cause analysis and system-level safeguards

Just culture: near-misses = system failures, not individual blame. RCA identifies contributing factors -> system solutions (tall-man lettering, barcode scanning). CanMEDS Leader: QI and patient safety. CMPA: learn from all safety events.

Reference: Canadian Patient Safety Institute / CMPA / CanMEDS