Lesson 6 - Safety Flashcards

(35 cards)

1
Q

Safety Practice Examples

A

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

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2
Q

Accessibility

A

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

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3
Q

Effectiveness

A

-care achieves expected benefits based on evidence

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4
Q

Efficiency

A

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

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5
Q

Patient Safety

A

-harm is avoided

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6
Q

Patient-centered Care

A

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

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7
Q

Equitable

A

-care received regardless of gender, ethnicity, location status

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8
Q

1 out of __ hospital admissions, an adverse event occurred

A

18

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9
Q

Accident

A

-unavoidable
-unpredictable

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10
Q

Harmful Incident

A

-resulted in patient harm

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11
Q

Near Miss

A

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

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12
Q

No Harm Incident

A

-incident reached the patient but no discernible harm resulted

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13
Q

Patient Safety

A

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

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14
Q

Patient and Provider Factors Influencing Safety

A

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

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15
Q

Task Factors

A

-workload
-time pressure
-staffing levels

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16
Q

Technology Factors

A

-what kind is used
-efficacy
-breakdown

17
Q

Environmental Factors

A

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

18
Q

Organizational Factors

A

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

19
Q

Canadian Patient Safety Institute

A

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

20
Q

CPSI Domains

A
  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
21
Q

CPSI Patient Focus

A

-encourage patient and family advocacy
-publications for the public

22
Q

Reporting Culture

A

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

23
Q

Informed Culture

A

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

24
Q

Flexible + Learning Culture

A

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

25
Swiss Cheese Model
-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
26
Iceberg Conceptual Model
-root cause analysis -looks for contributing factors/root causes over direct cause
27
Staff Safety Risks
-chemicals, hazards -IPC -violence from patients and families
28
Patient Safety Risks
-falls (90% of safety incident) -procedure related accidents -medication errors -improper skill execution -equipment related accidents
29
Developmental Risk Factors
-infants and children (poisoning, drowning, car seat) -adolescents (risky behaviours) -adults (lifestyle) -older persons
30
Individual Risk Factors
-impaired mobility -sensory or communication impairment -lack of safety awareness
31
Most Common Healthcare Errors
-medication -transfusion -errors during surgery -restraints -falls -burns -pressure injuries -wrong patient
32
If an event occurs...
-disclosure (how incident was handled, future minimization plans, regret for the event) -anticipate reaction -plan for support
33
Reporting and Learning System (RLS)
-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
34
Nurse Role In Patient Safety
-assist client to make needs -reduce physical hazards -IPC -sanitation -pollution
35