Module 1 Flashcards
Safety (55 cards)
Patient Safety Incident ( Adverse Event )
An event or circumstance that could have or did result in unnecessary harm to a patient.
Harmful Incident
Incidences that caused a patient harm
Near Miss Incident
Incident that could have happened but is caught before you do the action
No - Harm Incident
An Incident that reached the patient but no discernible harm resulted.
Patient and Provider Factors
Characteristics of patients such as weightage, mood, needs, fatigue, stress etc.
Task Factors
Characteristics of the tasks that health care providers must perform. These can include workflow, time pressure and workload
Environmental Factors
Are the features of the work environment.
- Lighting, noise, physical space and layout.
- Reduces the risk of illness or injury.
- Increases a patients sense of well being
- Physical hazards can put the patient at risk for injury or death, its also a major cause of disability.
Incident Report
A confidential Document that is filled out and completely describes whenever a patient is involved in an incident on the premises of a health care organization.
- Reporting helps the organization recognize trends and helps prevent similar incidences in the future.
Environmental Risks to Staff and patient
Chemicals
Infection and Prevention Control
Controlling the spread of disease and infection by the consistent use of routine practices such as safety measures using PPE, and hand hygiene.
- Germs
- Burn Out
- Colds
Violence Towards Staff
- Directed at nurses from patients or patients family members
- Form of threats, intimidation, and physical behaviours
- Factors include: Insufficient staffing levels, violation of patients personal space due to lack of privacy, and provision of care that requires close physical contact.
Patient Safety
Specific Risks to patients include - Falls - Procedure related accidents - equipment related accidents. Care received that avoids harmful effects or outcomes
Falls
- Account for 90% of all reported incidences in hospitals
- Age, history of falls, balance, mobility problems, sensory impairment, use of medications and some medical diagnostic categories are all factors.
- Usually in relation to a patients attempt to get out of bed.
Procedure Related Incidences
Are those that happen during therapy
- Medication and fluid administration errors
- improper application of external devices
- improper performance of procedures
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Walk into a Patients room what is the first thing you do?
Assess !!
- Patient
- Safety
Changes Associated with Aging that increase the Risk of Accidents.
- Musculoskeletal Changes
- Nervous System Changes
- Sensory Changes
- Genitourinary Changes
Musculoskeletal Changes in Aging
- Muscle strength and Function decrease
- Joints become less mobile
- Bones are more brittle due to osteoporosis
- Postural changes
- Range of motion becomes limited.
Nervous System Changes in aging
- Voluntary or automatic reflexes begin to slow to some extent
- the ability to respond to multiple stimuli decreases
- sensitivity to touch decreases
Sensory Changes in aging
- Peripheral vision and lens accommodation decreases
- Lens may form opacity ( cataracts)
- Stimuli threshold for light touch and pain increase
- transmission of hot and cold impulses is delayed
- Hearing is impaired due to high-frequency tones becoming less perceptible.
Safety Assessment
- Possible Threats to the patients safety, including the patients immediate environment as well as individual risk factors.
- Health History
- Patients Home Environment
- Health Care Environment
- Risk for Falls
- Risk for Medical Errors
- Patient Expectations
Health History Safety Assessment
Gathering data about a patients health history will help determine if there is an underlying condition that exists that could pose a threat to the patients safety.
- Assessing patients gait or muscle strength
- Coordination, balance and vision
- Exposure to any environmental hazards
- any medications or undergoing procedures that may pose a risk.
Patients Home Environment Safety Assessment
Key areas to inspect during an in home safety Assessment:
- Bathroom
- Kitchen
- Any Area with Stairs
Health Care environment safety Assessment
- Any hazards within the immediate care environment ?
- any equipment or furniture pose a hazard to a patient that is ambulating
- Can the patient reach items on the bed side table
- Does the patient need help ambulating ?
- Is the patient aware of any activity restrictions?
- Does the patient know how to use the call bell ?
Risk for Falls Safety Assessment
Use a “ Fall Assessment Tool”
- Patients should be assessed for fall risk during admission
- And another assessment must be done if the patient falls to prevent future falls.
- Patients who have fallen once are at a much greater risk for falling again.
