Introduction to nursing and history of professional nursing: Quality and safety in healthcare

Question 1

Quality

Answer 1

Relates to the ability of a health service or activity to improve health outcomes which can also relate to a healthcare worker adhering to professional norms and best practice.

Question 2

Safety

Answer 2

Relates to avoidance of harm and incidents in the healthcare environment which in cooperates the reduction of risk of harm to a reasonable level.

Question 3

List the six dimensions of healthcare quality

Answer 3

Safety (1), timeliness and accessibility (2), effectiveness and appropriateness (3), patient entered care (4), efficiency (5), and equity (6).

Question 4

Safety (1)

Answer 4

Reducing the risk and impact of incidents that can harm patients.

Question 5

Timeliness and accessibility (2)

Answer 5

How quickly patients receive the health care that they need. The aim is to ensure that they aren’t any barriers to patients receiving timely access to the care they need. This includes reducing wait times and delays.

Question 6

Effectiveness and appropriateness (3)

Answer 6

Providing services and treatment based on scientific knowledge and evidence-based practise.

What are the most appropriate medicines, therapies or tests for our patients? (appropriateness)

Question 7

Patient centered care (4)

Answer 7

Putting the patient in the centre of the care system.

Question 8

Efficiency (5)

Answer 8

Getting the most out of available resources to deliver the best value healthcare we can. Ensure our models of care are clinically appropriate and our procurement is cost effective, avoiding any waste.

Question 9

Equity (6)

Answer 9

Delivering care that is of high quality regardless of personal characteristics such as age, gender, ethnicity socioeconomic status etc.

Question 10

Reliability

Answer 10

When safe, appropriate care is provided by the right people, to the right patient, in the right place, at the right time, every time.

Question 11

Incident

Answer 11

An unplanned event that results in injury, damage or loss, including near misses. For example, a medication error such as a wrong drug, or dose being prescribed.

Question 12

Provide an example of the dimension of safety

Answer 12

Medication error, or preventable falls.

Question 13

Provide an example of the dimension of effectiveness and appropriateness

Answer 13

Providing patients with services and treatment that are appropriate and based on evidence. Including not providing test, medications, treatments or services to those not likely to benefit from them.

Question 14

Provide an example of the dimension of timeliness and accessibility

Answer 14

Reducing wait time for elective surgery, bed availability, maintenance completion, and answering bedside call beds quickly.

Question 15

Provide an example of the sub dimension of appropriateness

Answer 15

Appropriate care is about reducing over (e.g., transfusing blood to a patient unnecessarily) and under (e.g., not performing risk screening for pressure injury) treatment.

Question 16

Provide an example of the dimension of patient centred care

Answer 16

Providing care that is respectful of, and helpful to patient preferences, needs and values. Make sure your daily routine considers the patient’s needs, and support their experience of comfortable, timely, reliable and safe care.

Question 17

Provide an example of the dimension of efficiency

Answer 17

Think of things that can be done a better way so that we deliver better value health care.

Question 18

Provide an example of the dimension of equity

Answer 18

Is access to our healthcare fair and equitable to everyone?

Question 19

Identify a purpose of the Australian commission on Safety and Quality in Health care (ACSQHC)

Answer 19

The Australian commission on Safety and Quality in Health (ACSQHC) can promote safe and quality care through the Safety and Quality framework for healthcare.

Question 20

Safety and Quality framework for healthcare

Answer 20

Describes a vision for safe and high-quality care for all Australians and sets actions that are needed to achieve this goal with the framework specifying three key principles: organised for safety, driven by information and consumer centred.

Question 21

Consumer centered (1)

Answer 21

Providing care that is easy for patients to get when they need. Making sure the healthcare staff respect and respond to patient choices, means and values. Forming partnerships with patients, their family, characters, and health care providers.

Question 22

Driven by information (2)

Answer 22

Using up-to-date knowledge and evidence to guide decisions about care. Safety and quality data are collected, analysed and feedback for improvement. Taking action to improve patients experiences.

Question 23

Organised for safety (3)

Answer 23

Making safety a central feature of how health care facilities are run, how staff work and how funding is organised.

Question 24

The National Safety and Quality health Service Standards (NSQHS)

Answer 24

Aimed to protect the public from harm and improve the quality of health care that is provided by health service organisations and the systems that are needed to deliver care.

Question 25

The Australian commission on Safety and Quality in Health (ACSQHC)

Answer 25

The Australian Commission on Safety and Quality in Health Care is the national health care standards agency for all health services.