Medical errors（ME）are among the most important patient safety challenges facing hospitals and healthcare systems nowadays.Since the Institute of Medicine（IOM）report in 1999 "To Err is Human，" an increasing number of studies have shown how common and deleterious ME are，especially in hospital medicine.With this，healthcare leaders invested time and resources toward identifying and reducing ME.
A medical error is defined as "an incidence when there is an omission or a mistake in planning or execution that leads or could lead to unintended result." While the majority of ME do not lead to an apparent adverse effect，a significant number of patients either suffer a permanent injury or death from ME every year in the United States and around the world as a result of those errors.
Medical errors are the third leading cause of death in the United States after heart disease and cancer.It is estimated that more than 200，000 patients die annually in the United States from ME.Furthermore，in addition to the harm inflicted on patients，medical errors are associated with an increased healthcare cost.In a 2008 report，it was estimated that medical errors cost the healthcare system in the United States more than 17 billion dollars annually.
The first step in combating ME and improving patient safety is to study the different types of medical errors to better understand why medical errors happen.The causes，types，and rates of ME can vary from one institution to the other and change over time，especially as we implement changes in our healthcare delivery.Therefore，it is important to capture，track and analyze all medical errors as possible at the institutional level.
As most of the nonmedication medical errors are hard to capture electronically and manual chart review is both unmanageable and time consuming，self-reporting is still the most reliable approach to capturing ME.Unfortunately，underreporting of ME is a commonly reported challenge even when healthcare institutions mandated reporting.While there is no agreement on what defines "underreporting of ME，" it commonly refers to the lack of reports on significant ME events.
（1）What does the underlined word "deleterious" probably mean in the first paragraph？ CC
A．Important.
B．Useful.
C．Harmful.
D．Adequate.
（2）What is the worst effect of ME？ AA
A．Annual patients deaths.
B．Heart disease and cancer.
C．Increasing healthcare cost.
D．Destruction of healthcare system.
（3）What is the first step to fight against ME to improve the patient security？ AA
A．To do research on the different types of ME.
B．To figure out the reason why ME happens.
C．To identify different institutions over time.
D．To analyze the changes in the health delivery.
（4）Why is self-reporting still the most reliable way to capture ME？ DD
A．Because less typical medication ME events recorded.
B．Because the patients are willing to offer the report of ME.
C．Because healthcare institution gives the authority to the patients.
D．Because there is difficulty in electronic capture as well as manual inefficiency.
【答案】C；A；A；D
【解答】
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發(fā)布：2024/5/27 14:0:0組卷：6引用：2難度：0.5
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1．British children's writer Roald Dahl ate chocolates and sweets "pretty much every mealtime"，remembers daughter Ophelia Dahl．
After dinner，whether dining alone or entertaining guests，Dahl would pass around a little red plastic box full of Mars Bars，Milky Ways，Maltesers，Kit Kats and much more．
He knew the history of all the sweets and could tell you exactly when they were invented．1937 was a big year when Kit Kats （his favorite），Rolos and Smarties （his dog，chopper's favorite） were invented．He wrote a history of chocolate，lecturing schoolchildren to commit such dates to memory（熟記），such as 1928 when "Cadbury's Fruit and Nut Bar popped up on the scene"，saying． "Don't bother with the Kings and Queens of England．All of you should learn these dates instead．Perhaps the Headmistress（女校長(zhǎng)）will see from now on that it becomes part of the major teaching in this school．"
According to Dahl，the Golden Years of Chocolate were 1930-1937．In 1930，Roald Dahl was 14 years old．He was a student at Repton，a famous boys' boarding school in England．It was a tough environment：those in authority were more interested in controlling than educating the students．
Ironically（諷刺地），it was at this difficult period that chocolate became Dahl's passion．Near Repton was a Cadbury chocolate factory．Every so often，Cadbury would send each schoolboy a sampler（樣品）box of new chocolates to taste and grade．They were using the students---"the greatest chocolate bar experts in the world to test out their new inventions．
This was when Dahl's imagination took flight．He pictured factories with inventing rooms with pots of chocolate and fudge（軟糖）and "all sorts of other delicious fillings bubbling away on the stoves"．
"It was lovely dreaming those dreams…when I was looking for a plot for my second book for children．I remembered those little cardboard boxes（紙盒）and the newly invented chocolates inside them，and I began to write a book called Charlie and the Chocolate Factory．"
For the record，Roald Dahl did not like chocolate cake or chocolate ice cream．He said， "I prefer my chocolate straight．"
（1）What's the purpose of the first paragraph？
A．To introduce the main topic---Roald Dahl．
B．To introduce Dahl's love for chocolate．
C．To introduce main character's daily life．
D．To introduce some important characters．
（2）What can we infer from the passage about Roald Dahl？
A．He treated himself with various chocolate after dinner secretly．
B．He has a good knowledge of chocolate，especially its history．
C．He used to lecture schoolchildren of a boys' boarding school．
D．He only wrote some books related to the history of chocolate．
（3）What happened during the Golden Years of Chocolate？
A．It was a great time for children to get educated．
B．Those years stopped Dahl's interest in chocolate．
C．Students could become chocolate experts then．
D．Roald Dahl's passion for chocolate was lit up then．
（4）gave Roald Dahl inspiration to write Charlie and Chocolate Factory．
A．the dream about chocolates．
B．Factories with chocolate and fudge．
C．Those boxes with chocolate．
D．Chocolate cakes and ice cream發(fā)布：2025/1/30 8:0:1組卷：0引用：1難度：0.5 -
2．Recently，a film star has been giving away free books on the London Underground．If you're a bookworm，a Harry Potter fan and a London Underground user，then it's been an exciting month for you．
Emma Watson，who starred in films based on the novels about a fictional schoolboy wizard，has been hiding books on the Tube for passengers to read through．
It's part of he Book On The Underground movement，which has a simple aim：to get more people burying themselves in literature．Books are left on trains for passengers to pick up，dip into and then leave for another lucky reader to skim．
The movement started in 2012 and drops off about 150 books a week in stations across London．Talking about Watson's participation in the project，the manager of Books On The Under ground，Cornelia Oxley，said， "The reaction has been great．It must be a mixture of how much everyone admires Emma，and how exciting it is to find something as wonderful as a new book on your journey．"
The 100 or so books Watson left for passengers to read were even more special because she left a hand-written inscription（題詞）．The books were Kaya Angelou's Mom & Me & Mom．
One person who discovered a copy of the book on the Tube said she felt like the character Charlie Bucket - a boy who finds a golden ticket to the world's greatest chocolate factory - in the Roald Dahl's classic，Charlie and the Chocolate Factory Watson became a UN Women Goodwill Ambassador in the summer of 2014 and has since started reading as many books and essays on equality and feminism（饑荒） as possible．She has also started her own book club．
So．Why not take a leaf out of Emma Watson's book and leave a copy of your favorite book on a train？It could make a stranger's life richer．
（1）What does Books On The Underground aim to do？
A．To get more readers to buy their books．
B．To leave books on trains．
C．To find lucky readers．
D．To get more people to read．
（2）Which of the following statements is NOT true？
A．People's admiration for Emma Watson contributes to the success of the movement．
B．There is a golden ticket to the world's greatest chocolate factory in the book．
C．To find something wonderful on a journey is exciting．
D．Emma Watson left hand-written inscriptions on the books．
（3）What's the author's attitude towards Emma Watson's leaving books on the train？
A．critical
B．indifferent
C．supportive
D．pessimistic發(fā)布：2025/1/30 8:0:1組卷：0引用：1難度：0.5 -
3．It can be really hard to learn a new language．I had always enjoyed learning languages in school，but only recently did I start learning German．I found that I could understand and learn individual words easily，but when it came to literature，I really struggled．That was when my tutor at university suggested reading some children's books printed in the target language．
At first，I felt a bit silly going on a hunt for a book designed for someone half my age，but then I realised that everyone has to start somewhere．As children，we are given these basic texts to familiarise our brains with certain vocabulary and writing structures，and from there，we can learn and develop．I started with books which are taught to us as children in the UK．I managed to find Oliver Twist by Charles Dickens and James and the Giant Peach by Roald Dahl．
The beauty of reading books that were introduced to you as a child is that you are already familiar with the plot．Therefore you can work out some words with your knowledge of the story．At first，I used to read with the book in one hand and a dictionary in the other，but this did not work well．The method I would recommend is to read a chapter first and at the end of that chapter，highlight the new words and then look up the definitions．If you can wait a bit before using a dictionary，you may be surprised what you can understand merely from the context．Additionally，a lot of children's books have pictures which may give you a clue as to what or to whom the passage is referring．
If you can find a translation of the books you have read as a child，I would strongly advise reading those if you are a complete beginner．However，if you feel a bit more confident reading in English，I would personally recommend the series of 'Harry Potter' books by J．K．Rowling or any of the Roald Dahl children's books．
（1）What makes it hard for the author to learn German？
A．The author had a poor memory．
B．The author had no interest in it．
C．The author had no one to ask for help．
D．The author couldn't read books fluently．
（2）What did the author think of reading children's books in the target language at first？
A．Interesting．
B．Stupid．
C．Helpful．
D．Boring．
（3）What does the author try to express mainly in Paragraph 3？
A．How to deal with new words while reading．
B．Why it is helpful to read children's book at first．
C．How to choose a proper book to match your level．
D．How to form the habit of reading in the target language．
（4）Why does the author write this text？
A．To give tips on how to learn a new language．
B．To persuade the readers to learn a new language．
C．To stress the importance of reading in language learning．
D．To share the author's stories of learning a new language．發(fā)布：2025/1/30 8:0:1組卷：5引用：1難度：0.5
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