Community S1 Flashcards

(57 cards)

1
Q

Healthcare organizations including hospitals were founded to give care to those
who need it and to keep patients safe.

A

Patient safety

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2
Q

“the degree to which health services increase the
likelihood of desired health outcomes and are consistent with current
professional knowledge”

A

Quality in Healthcare

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3
Q

“freedom from accidental injury: avoidance, prevention,
and amelioration of adverse outcomes or injuries stemming from the
process of care.”

A

Patient safety

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4
Q

A quality laboratory service

A
  1. Safe: avoids harm to patients,
  2. Effective: use scientific knowledge
  3. Patient-centered, responsive and respectful of patient preferences,
    needs and values.
  4. Timely, reduces wait times
  5. Efficient: avoids waste, which includes time, energy, ideas supplies,
    and equipment.
  6. equitable. does not vary in quality due to patient characteristics such
    as gender, ethnicity, geographic location and socioeconomic status
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5
Q

INTERNATIONAL PATIENT SAFETY GOALS (6)

A

Goal1: Identify patients correctly
Goal2: Improve effective communication
Goal3: Improve the safety of high-alert medications
Goal4: Ensure safe surgery
Goal5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls

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6
Q

Laboratory patient safety goals

A
  1. Improve the accuracy of patient and sample identification at specimen
    collection, analysis and result delivery.
  2. Improve the effectiveness of communication among caregivers. E.g.,
    communication of life threatening or life altering information with the
    treating physician.
  3. Reduce the risk of patient harm resulting from falls
    Assess and periodically re-assess each patient’s risk for falling.
  4. Improve identification, reporting and correction of errors.
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7
Q

Safety culture

A

“Shared, learned beliefs and behaviors that reflect an
organization’s preparation to learn from errors”

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8
Q

know your motivations, preferences, and
personality and understanding how these factors influence your
judgment, decisions, and interactions with other people.

A

Self- Awareness

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9
Q

Benefits of self-awareness:
(7)

A

1- Understanding yourself.
2- Developing and implementing a sound self-improvement program.
3- Setting appropriate life and career goals.
4- Developing relationships with others.
5- Understanding the value of diversity
6- Managing others effectively.
7- Increasing your ability to contribute to organizations, your
community, and family.

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10
Q

Consequences of lack of self- awareness

A

wrong decisions that lead to
negative consequencesand are therefore less able to make
improvements necessary for change and development.

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11
Q

Sources of self-awareness:

A

1- Self-analysis:(A)
Behavior is the way in which we conduct ourselves—the way in
which we act.
(B)Personality describes the relatively stable set of characteristics and
tendencies that have been formed by heredity and by social, cultural,
and environmental factors.
(C)Attitudes are the predispositions to respond to an object, person or
idea in a favorable or unfavorable way.
(D)Perception describes the process by which individuals react towards
different situation.
2- Opinion of the others; Through feedback from others, we can gain more insight about
ourselves and our behaviors.
3- Diverse experience: Living or studying in a country other than your home country,
• Learning a new language
• Traveling
• Reading books on new subjects

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12
Q

It the intersection of information science, computer science, and health care.

A

health informatics

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13
Q

enables health care
organizations to collect, store, manage, analyze, and optimize patient treatment
histories and other key data

A

health informatics

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14
Q

Uses of healthinformation:

A
  1. For patients; self-treatment andsupport.
  2. For clinical staff; Support, diagnosis and treatment.
  3. For funders and administration; Cost estimation, health management
    and resources allocation and outcomes.
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15
Q

Roles of computer science in medicine and health care:

A

1) Maintaining record system.
2) Data analysis.
3) Billing and financial system.
4) Material management.
5) Radiology.
6) Clinical management.

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16
Q

Advantages of health informatics:

A
  1. Accurate; as it allows a systematic way of storing and retrieving
    information.
  2. Efficient; Health informatics facilitates joined-up care. The various
    departments,
  3. Improve patient care; Health informatics not only merely allows
    storage and retrieval of information, but can in fact be a decisionmaking
    tool. Computerized guidelines offer benefits to help clinicians
    and patients make better decisions.
  4. Paperless technology; Health Informatics removes the need to keep
    recording the same date again and again and again. It reduces wastage.
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17
Q

Disadvantages of health informatics:

A
  1. Expensiv
  2. Requires time to adapt fast
  3. Over-dependency on technology
  4. Susceptibility to network hackers.
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18
Q

Importance of data collection:

A

 Diagnosis of community health problems.
 Assessment of community health needs.
 Comparison of health status in different countries and in one country over the
years.
 Comparison of disease status in different countries and in one country over the
years.
 Evaluation of health services and health programs.

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19
Q

Quantitative variables

A
  • Discrete data: are usually whole numbers, such as number of children in
    the family, number of RBCs count, and number of hospital beds (no
    .(عالمة عشرية fraction decimal
  • Continuous data: it implies the measurement on a continuous scale
    e.g. height, weight, age, hemoglobin level (a decimal fraction can be
    present).
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20
Q
  1. Qualitative data; non numerical data
A
  • Nominal (categorical): data are purely descriptive and imply no ordering of
    any kind such as sex, blood group, area of residence etc…
  • Ordinal data: are those which imply some kind of ordering like;
    • Level of education: illiterate, read and write, primary, secondary and
    university education.
    • Socio-economic status: low, middle and high standards.
    •Response to drug either none, fair, good, very good and excellent.
    • Degree of severity of disease: mild, moderate and severe.
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21
Q

A mean to identify our priorities (life, work) and develop strategies to
attain personal and professional objectives.

A

goal setting

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22
Q

Importance of goal setting

A

to be an effective person.

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23
Q

Successful individuals have learned that the key to achieving meaningful
results

A

effective goal setting.

24
Q

a result of learning and personal experience.

25
Steps of goal settings
‘Why Am I Here?’, important purpose in your life. ‘Where Am I? ’, ‘Where Do I Want To Be? ’‘How Do I Get There?’
26
Goal setting strategies
 Identify your values  Write down your goals, an ideal goal must be SMART: Specific, Measurable, Attainable/Believable, Realistic/Achievable and Timebound.  Start with small numbers of goals.  Strive for performance, not outcomes.  Be realistic and allow for setbacks.  Be honest with yourself.  Reward small accomplishments  Stay focused on the big picture  Revise the process
27
means having the skills, knowledge, character and health necessary to do job safely and effectively, and when act professionally and meet the principles of good practice.
fitness to practice
28
Importance of assessing fitness to practice:
• Doctors’ professional performance has become the focus of public. • To promote the safety of patients. • To improve the performance of doctors. • To minimize violence against Healthcare workers.
29
“Doing the wrong thing when meaning to do the right thing.
Errors
30
A deliberate deviation from an accepted protocol or standard of care
Violation
31
factors or Situations associated with an increased risk of error
• Inexperience* • Time pressures • Inadequate checking • Poor procedures • Inadequate information
32
Individual factors that predispose to error
1) Limited memory capacity 2) Further reduced by: • fatigue • stress • hunger • illness • language or cultural factors • hazardous attitudes
33
Types of medical errors:
1- Diagnostic errors: failure to act, employ indicated tests or use outcome tests 2- Treatment errors: errors in procedures or dose or method of using drugs 3- Preventive: failure to provide prophylactic treartment 4- Others (e.g equipment failure & failure of communication)
34
emotional intelligence (EI)
The ability to understand and manage your own emotions, and those of the people around you
35
Benefits of EI
• Promotes understanding & relationships. • Increases productivity and success. • Enhances stability, continuity, and harmony of team work. • Shares in reducing stress. • Increases spirituality
36
Elements of EI:
• Self-awareness. • Self-regulation. • Motivation. • Empathy. • Social skills.
37
Empathy
• Sensing others’ feelings and perspective, and taking an active interest in their concerns. • Greif cycle: (You will face this situation when you try to tell bad news to your patient)
38
2- Self regulation
Self-control: Managing disruptive emotions and impulses. Trustworthiness: Maintaining standards of honesty and integrity. Adaptability: Flexibility in handling change. Innovativeness: Being comfortable with and open to novel ideas and new information.
39
Self-motivation
Achievement drive: Striving to improve or meet a standard of excellence. Commitment: Aligning with the personal or team. Initiation: Readiness to act on opportunities. Optimism: Persistence in pursuing goals despite obstacles and setbacks.
40
Social skills
• Influence: Adopting effective tactics for persuasion. • Communication: Sending clear and convincing messages. • Leadership: Inspiring and guiding groups and people. • Change catalyst: Initiating or managing change.
41
Stress Management
Stress is a gap between our expectations and reality, more the gap, more the stress. So, expect nothing and accept everything.
42
Stress management
1- Time management 2- Practice facing stressful moments 3- Examine your expectations 4- Adopt a healthy life style 5- Accept change as a part of life
43
Group dynamics
Group dynamics is the interactions between people who are talking together in a group setting.
44
Definition of group C
Collection of three or more persons who meet, talk, think and influence each other, sharing common values and common objectives
45
leadership
Leadership refers to the ability of a person to mobilize &/or influence group of individuals to achieve desired results
46
three main causes of adverse events in surgical care are:
Poor infection control methods, Inadequate patient management, Failure of communication effectively
47
Characteristics of the curve:
1- It is bell shaped, continuous curve. 2- It is symmetrical i.e. can be divided into two equal halves vertically. 3- The tails never touch the base line but extended to infinity in either direction. 4- The mean, median and mode values coincide (this will be explained in details in the following pages). 5- It is described by two parameters: arithmetic mean (x̅) determines the location of the center of the curve and standard deviation (SD) represents the scatter around the mean
48
Causes of abnormally distributed data:
 data collected from certain heterogeneous group or  They are collected from diseased or abnormal population; therefore the results we will obtain from these data cannot be applied or generalized on population as a whole.
49
Uses of Normal distribution curve:
It can be used in distinguishing between normal measurements from abnormal ones.
50
Mode:
is seldom used.
51
Median:
it is a useful descriptive measure if there are one or two extremely high or low values
52
Mean:
is the result of mathematical operation and it is usually preferred since it takes into account each individual observation. However, the main disadvantage of the mean is that it is affected by the value of extreme observations.
53
Variance:
average of differences between the mean and each observation in the data,
54
Range:
It is the difference between the largest and the smallest values.
55
Standard deviation:
The main disadvantage of the variance is that it is the square of the units used
56
Coefficient of variation
The coefficient of variation expresses the standard deviation as a percentage of the sample mean. CV = Standard deviation / Mean X 100
57
Laboratory
Hsycs