General Care Practices - CCRN

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Question

In the unlikely situation that an adverse event or error occurs in a health care setting, an investigation into the event occurs. One of the questions asked is called the substitution test. This question asks:

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Answer

The substitution test is a question that asks, "would three other individuals in an equivalent environment with equivalent experience act in the same manner in which the individual being evaluated acted?" If the answer to this question is NO, the individual's act must be deemed a result of incompetency, knowledge deficit, or neglect. If the answer to this question is YES, then the organization and its processes must be evaluated to determine how the event was able to occur. This is viewed as a fair and just culture in which to evaluate and determine the primary cause of the adverse event.

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