Lesson 6 - Safety

Question 1

Safety Practice Examples

Answer 1

-PPE
-environmental scan
-hygiene
-it’s your move
-pt ID
-preventing aspirations

Question 2

Accessibility

Answer 2

-right to receive care
-right time
-right setting
-by the right practitioner

Question 3

Effectiveness

Answer 3

-care achieves expected benefits based on evidence

Question 4

Efficiency

Answer 4

-waste-free system
-supplies, equipment, time, ideas, information

Question 5

Patient Safety

Answer 5

-harm is avoided

Question 6

Patient-centered Care

Answer 6

-respects patient preferences
-culture and values
-make an effort to ask about preferences

Question 7

Equitable

Answer 7

-care received regardless of gender, ethnicity, location status

Question 8

1 out of __ hospital admissions, an adverse event occurred

Answer 8

18

Question 9

Accident

Answer 9

-unavoidable
-unpredictable

Question 10

Harmful Incident

Answer 10

-resulted in patient harm

Question 11

Near Miss

Answer 11

-incident that did not reach the patient but would have caused harm if it did
-ie. noticing faulty equipment and not using it

Question 12

No Harm Incident

Answer 12

-incident reached the patient but no discernible harm resulted

Question 13

Patient Safety

Answer 13

-reduction and mitigation of unsafe acts within the healthcare system
-use of best practices that lead to optimal patient outcomes

Question 14

Patient and Provider Factors Influencing Safety

Answer 14

-personal characteristics of each individual
-personal wellness
-age, weight, mood, illness, knowledge, fatigue, stress

Question 15

Task Factors

Answer 15

-workload
-time pressure
-staffing levels

Question 16

Technology Factors

Answer 16

-what kind is used
-efficacy
-breakdown

Question 17

Environmental Factors

Answer 17

-considered the physical work environment
-spills
-clutter
-noise
-lighting

Question 18

Organizational Factors

Answer 18

-structural
-cultural (personal, unit)
-policy-related
-institution characteristics

Question 19

Canadian Patient Safety Institute

Answer 19

-2008
-patient safety framework
-goal: multidisciplinary approach to safe patient care
-key knowledge, skills, attributed

Question 20

CPSI Domains

Answer 20

1. culture of patient safety
2. work in teams
3. communicate effectively
4. manage safety risks
5. optimize human and environmental factors
6. recognize, respond, disclose adverse effects

Question 21

CPSI Patient Focus

Answer 21

-encourage patient and family advocacy
-publications for the public

Question 22

Reporting Culture

Answer 22

-need for trust
-no fear of punishment
-learn from it

Question 23

Informed Culture

Answer 23

-awareness of potential safety issues
-posters
-education days
-communication

Question 24

Flexible + Learning Culture

Answer 24

-team work
-shared power (work with patient)
-scope of practice
-lifelong learning

Question 25

Swiss Cheese Model

Answer 25

-organizational system
-focus of most safety conceptual models
-no blame, shame, name
-analyzes the system
-holes in the cheese are weakness in the system
-the pieces of cheese are barriers
-when the hazardous holes line up, losses happen

Question 26

Iceberg Conceptual Model

Answer 26

-root cause analysis
-looks for contributing factors/root causes over direct cause

Question 27

Staff Safety Risks

Answer 27

-chemicals, hazards
-IPC
-violence from patients and families

Question 28

Patient Safety Risks

Answer 28

-falls (90% of safety incident)
-procedure related accidents
-medication errors
-improper skill execution
-equipment related accidents

Question 29

Developmental Risk Factors

Answer 29

-infants and children (poisoning, drowning, car seat)
-adolescents (risky behaviours)
-adults (lifestyle)
-older persons

Question 30

Individual Risk Factors

Answer 30

-impaired mobility
-sensory or communication impairment
-lack of safety awareness

Question 31

Most Common Healthcare Errors

Answer 31

-medication
-transfusion
-errors during surgery
-restraints
-falls
-burns
-pressure injuries
-wrong patient

Question 32

If an event occurs…

Answer 32

-disclosure (how incident was handled, future minimization plans, regret for the event)
-anticipate reaction
-plan for support

Question 33

Reporting and Learning System (RLS)

Answer 33

-incident reporting system for AHS
-ie. broken equipment, close calls, the event (harm or not)
-don’t document RLS in patient records, document what happened and what you did

Question 34

Nurse Role In Patient Safety

Answer 34

-assist client to make needs
-reduce physical hazards
-IPC
-sanitation
-pollution