chapter 22 Flashcards
what are the 6 competencies that can enhance patient safety
contributing to a culture of safety, working in teams, communicating effectively, managing risks, optimizing human and environmental factors, recognize and disclose adverse events
what is a process map used for
understand all the different steps that take place in a process. uses boxes and directional arrows to diagram all steps of the process in the proper sequence
what is a fishbone diagram used for
effectively summarizing a brainstorming session
what acronym is being used for process improvement. spell out the acronym
PDSA
plan, do, study, act
what is a line graph used for
show the connection among variables to show trends over time
what are histograms used to show
the frequency of events
what are bar/pareto charts used for
determine priorities to allow the most significant problem to be addressed first
define never events
errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients
define sentinel event
serious, unexpected occurrence involving death pr physical or psychological harm
define near miss
clinical situation that resulted in no harm but highlights an imminent problem that must be corrected
what is always performed after a sentinel event
root-cause analysis
what is a root-cause analysis
it involves a deeper review of an incident and the sequence of events that led to it with the goal of identifying the underlying causes and reduce the likelihood of reoccurrence
