Safety

Question 1

Define a Safe Culture:

Answer 1

Helping patients when they come to us and avoiding injury

Question 2

An employee would feel safe to do this in a just culture:

Answer 2

report their accident and not feel like human error will result in termination

Question 3

If a nurse does not think about safety in their job, what 3 things are likely to happen:

Answer 3

1) HAIs
2) medication errors
3) pressure ulcers

Question 4

Adverse event:

Answer 4

Unintended results for either your actions, or something you did not do.

(As a result of your doing/not doing)

Question 5

Near miss:

Answer 5

Has the potential to cause, but does not actually result in injury

Question 6

Sentinel event:

Answer 6

Unexpected occurrence involving death or serious, physical, or psychological injury, or putting someone at risk for it.

Very serious- that’s what differentiates it from an adverse event

Question 7

Are students responsible for their own acts including negligence that may result in patient injury?

Answer 7

Yes, you are held to the same standard as an RN

Question 8

Occupational Safety and Health act

Answer 8

Ensures safe, working conditions for men and women intended to reduce work related injuries and illnesses.

OSHA

Question 9

5 common Types of errors are:

Answer 9

• communication (#1)
• medication
• diagnosing
• preventative treatments
• treatment

Question 10

What 5 things does a Just Culture promote/believe in?

Answer 10

1) evaluating behaviors
2) leadership
3) fostering positive learning space
4) non disciplinary reactions
5) accountability

Question 11

What about PROCESSES does a just culture focus on?

Answer 11

What part of the process caused the problem?

Question 12

Reporting culture:

Answer 12

Obligation to report things like:

•communicable disease
•child abuse
•rape

Question 13

Learning culture

Answer 13

Collect information on mistakes (processes), and apply EBP to improve

Question 14

7 aspects of the culture of safety:

Answer 14

1) leadership
2) communication
3) teamwork
4) evidence based practice
5) learning
6) just culture
7) patient centered care

Question 15

At risk behaviors include:

Answer 15

• cutting corners to save time

Question 16

A reckless behavior:

Answer 16

Intentional actions; neglect

Question 17

Focus of the Joint Commission

Answer 17

The facility is safe

Question 18

Focus of the Department of Health

Answer 18

General health of the country;

• reduce risk of I’ll was and maintain optimal functioning

Question 19

Magnet facilities ____ and ____ professional nurses.

Answer 19

Attract and retain

Question 20

What does the Institute of Medicine do?

Answer 20

Provide national and international research to provide quality care and instruct federal rules

Question 21

5 components of a Magnet facility are:

Answer 21

1) transformational leadership
2) structural empowerment
3) exemplary, professional practice
4) new knowledge, innovation, and improvements
5) empirical quality results 

Question 22

QSEN/Quality and Safety Education for Nurses

Answer 22

Preparing nurses to have the KSAs necessary to continuously improve the quality and safety of the healthcare system.

• knowledge
• skills
• attitudes

Question 23

Categories in which QSEN has KSAs:

Answer 23

• patient centered care
• collaborations
• EBP
• quality Improvement
• safety
• informatics

Question 24

7 National Patient Safety Goals include:

Answer 24

1) identify patient
2) improve communication
3) use alarms safely (alarm fatigue)
4) prevent infection
5) recognize
6) prevent mistakes esp. surgical
7) conduct; no disruptive behaviors