Quality and Patient Saftey & Teaching and Learning Flashcards

1
Q

quality of care

A

degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with the current professional knowledge

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2
Q

a patient saftey incident is also called

A

adverse event

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3
Q

adverse event is defined as

A

an event or a circumstance that could have resulted, or did result, in unnessasary harm to the patient

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4
Q

harmful incident

A

an incident that resulted in patient harm

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5
Q

near miss

A

an incident that did not reach the patient
- no harm resulted

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6
Q

no-harm incident

A

an incident that reached the patient, but no discernible harm resulted

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7
Q

5 goals for patient saftey and quality improvements in canada

A
  1. person centered care
  2. safe care
  3. accesiable care
  4. appropriate care
  5. integrated care
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8
Q

cultural saftey

A

an outcome based on respectful engagement that recognizes and strives to address power imbalances inherent in the health care system

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9
Q

Patient education

A

process of imparing knowledge to patients and their caregivers about their health

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10
Q

patient education should be

A

patient centered

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11
Q

what might effect a persons ability to learn

A
  • emotional capability
  • intellectual capability
  • physical capability
  • developmental stage
  • SDOH
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12
Q

social learning theory purpose

A

helps educators understand learners and develop interventions that enhance motivation and learning

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13
Q

what are the three domains of learning

A
  • affective (attitudes)
  • phycomotor (motor skills)
  • cognitive (understanding)
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14
Q

cognitive learning

A

includes all intelecual behaviors and requires thinking

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15
Q

cognitive learning includes

A
  • remembering
  • understanding
  • applying
  • evaluating
  • creating
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16
Q

affective learning

A

expression of feelings and acceptance of attitudes, opinions, or values

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17
Q

affective learning includes

A
  • responding
  • valuing
  • organizing
  • characterizing
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18
Q

psychomotor learning

A

integration of metal and muscular activity in order to aquire a skill such as the ability to walk or eat with a utensil

19
Q

psycomotor learning includes

A
  • preception
  • set
  • guided response
  • mechanism
  • complex overt responce
  • adaptation
  • origination
20
Q

Quality of patient care in the health system includes

A
  • accessibility
  • effectiveness
  • efficency
  • patient saftey
  • patient centered care
  • equitable
21
Q

accesibility

A

right care, right time, right setting, by right practitioner

22
Q

effectiveness

A

care achieves expected benefit based on evidence

23
Q

patient saftey

A

harm is avoided

24
Q

patient centered care

A

respects patient preferences, culture and values

25
Q

equitable

A

care recieved regardless of gender, ethnicity, location or status

26
Q

_ out of __ hospital admissions, an adverse event has occured

A

1 out of 18

27
Q

task factors

A

workload, time pressure, staffing levels

28
Q

factors influencing saftey

A
  • patient and health care provider factors
  • task factors
  • technology factors
  • environmental factors
  • organizational factors
29
Q

technology factors

A

what kind is used, how effective is it, does it breakdown

30
Q

patient and health care provider factors

A

personal characteristics each individual, personal wellness

31
Q

environmental factors

A

considers the physical work environment

32
Q

orginizational factors

A

structural, cultural and policy related characteristics of the institution

33
Q

the canadian patient saftey institute was developed in

A

2008

34
Q

CPSI goal

A

take a multidisciplinary approach to safe patient care

35
Q

CPSI identified

A

key knowledge, skills and attributes related to safe patient care for all health care workers

36
Q

6 CPSI safety framework domains

A
  1. Contribute to a culture of patient safety
  2. Work in teams for patient safety
  3. communicate effectively for patient safety
  4. optimize human and environmental factors
  5. Recognize, respond to, and disclose adverse events
37
Q

Swiss Cheese model explained

A
  • holes represent shortcomings, or areas where there is a potential for failure
    -some slices have more holes than others
  • when stacked together, holes do not align because they are in different places = some facets of organization can compensate for the shortcomings of others
  • represents that the blame / root of the problem cannot be traced back to a singular cause; rather a combination of factors or system
38
Q

Iceburg conceptual models represents

A

looking for contributing factors rather than direct cause to prevent additional adverse events in the future

39
Q

7 most common types of errors in the healthcare system

A
  • medication errors
  • tranfusion errors
  • errors during surgery
  • restraints
  • falls
  • burns
  • pressure injuries
  • wrong patient
40
Q

if an event occurs

A
  • disclosure process
  • anticipate patient / family reaction
  • plan for support
  • usually managers job
41
Q

disclosure process must include

A
  • how the accident was handled
  • future plans to minimize the event form occuring agian
  • regret that the event ever occured
42
Q

Nurses role in patient safety

A
  • assit the client to meet basic needs
  • reduce physical hazards
  • reduce equipment related and procedural harm
  • reduce transmission of pathogens
  • maintain sanitation
  • control pollution
43
Q

the student nurses role in patient safety

A
  • apply patient safety mindset
  • work hard to learn skill and knowledge behind them
  • develope relationships with patient and clients
  • practice evidence informed care
  • maintain continuity of care for patients and family
  • act ethically at all times
  • avoid blaming when an error occurs
  • research patients thourally before initiating care
  • make a plan / prioritzing care
  • come to work prepared
  • use knowledge and critical thinking to guide decsions
  • practice within scope of practice
  • seek assistance if needed or unsure