Quality and Patient Saftey & Teaching and Learning

Question 1

quality of care

Answer 1

degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with the current professional knowledge

Question 2

a patient saftey incident is also called

Answer 2

adverse event

Question 3

adverse event is defined as

Answer 3

an event or a circumstance that could have resulted, or did result, in unnessasary harm to the patient

Question 4

harmful incident

Answer 4

an incident that resulted in patient harm

Question 5

near miss

Answer 5

an incident that did not reach the patient
- no harm resulted

Question 6

no-harm incident

Answer 6

an incident that reached the patient, but no discernible harm resulted

Question 7

5 goals for patient saftey and quality improvements in canada

Answer 7

1. person centered care
2. safe care
3. accesiable care
4. appropriate care
5. integrated care

Question 8

cultural saftey

Answer 8

an outcome based on respectful engagement that recognizes and strives to address power imbalances inherent in the health care system

Question 9

Patient education

Answer 9

process of imparing knowledge to patients and their caregivers about their health

Question 10

patient education should be

Answer 10

patient centered

Question 11

what might effect a persons ability to learn

Answer 11

• emotional capability
• intellectual capability
• physical capability
• developmental stage
• SDOH

Question 12

social learning theory purpose

Answer 12

helps educators understand learners and develop interventions that enhance motivation and learning

Question 13

what are the three domains of learning

Answer 13

• affective (attitudes)
• phycomotor (motor skills)
• cognitive (understanding)

Question 14

cognitive learning

Answer 14

includes all intelecual behaviors and requires thinking

Question 15

cognitive learning includes

Answer 15

• remembering
• understanding
• applying
• evaluating
• creating

Question 16

affective learning

Answer 16

expression of feelings and acceptance of attitudes, opinions, or values

Question 17

affective learning includes

Answer 17

• responding
• valuing
• organizing
• characterizing

Question 18

psychomotor learning

Answer 18

integration of metal and muscular activity in order to aquire a skill such as the ability to walk or eat with a utensil

Question 19

psycomotor learning includes

Answer 19

• preception
• set
• guided response
• mechanism
• complex overt responce
• adaptation
• origination

Question 20

Quality of patient care in the health system includes

Answer 20

• accessibility
• effectiveness
• efficency
• patient saftey
• patient centered care
• equitable

Question 21

accesibility

Answer 21

right care, right time, right setting, by right practitioner

Question 22

effectiveness

Answer 22

care achieves expected benefit based on evidence

Question 23

patient saftey

Answer 23

harm is avoided

Question 24

patient centered care

Answer 24

respects patient preferences, culture and values

Question 25

equitable

Answer 25

care recieved regardless of gender, ethnicity, location or status

Question 26

_ out of __ hospital admissions, an adverse event has occured

Answer 26

1 out of 18

Question 27

task factors

Answer 27

workload, time pressure, staffing levels

Question 28

factors influencing saftey

Answer 28

- patient and health care provider factors - task factors - technology factors - environmental factors - organizational factors

Question 29

technology factors

Answer 29

what kind is used, how effective is it, does it breakdown

Question 30

patient and health care provider factors

Answer 30

personal characteristics each individual, personal wellness

Question 31

environmental factors

Answer 31

considers the physical work environment

Question 32

orginizational factors

Answer 32

structural, cultural and policy related characteristics of the institution

Question 33

the canadian patient saftey institute was developed in

Answer 33

2008

Question 34

CPSI goal

Answer 34

take a multidisciplinary approach to safe patient care

Question 35

CPSI identified

Answer 35

key knowledge, skills and attributes related to safe patient care for all health care workers

Question 36

6 CPSI safety framework domains

Answer 36

1. Contribute to a culture of patient safety 2. Work in teams for patient safety 3. communicate effectively for patient safety 5. optimize human and environmental factors 6. Recognize, respond to, and disclose adverse events

Question 37

Swiss Cheese model explained

Answer 37

- holes represent shortcomings, or areas where there is a potential for failure -some slices have more holes than others - when stacked together, holes do not align because they are in different places = some facets of organization can compensate for the shortcomings of others - represents that the blame / root of the problem cannot be traced back to a singular cause; rather a combination of factors or system

Question 38

Iceburg conceptual models represents

Answer 38

looking for contributing factors rather than direct cause to prevent additional adverse events in the future

Question 39

7 most common types of errors in the healthcare system

Answer 39

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

Question 40

if an event occurs

Answer 40

- disclosure process - anticipate patient / family reaction - plan for support - usually managers job

Question 41

disclosure process must include

Answer 41

- how the accident was handled - future plans to minimize the event form occuring agian - regret that the event ever occured

Question 42

Nurses role in patient safety

Answer 42

- assit the client to meet basic needs - reduce physical hazards - reduce equipment related and procedural harm - reduce transmission of pathogens - maintain sanitation - control pollution

Question 43

the student nurses role in patient safety

Answer 43

- apply patient safety mindset - work hard to learn skill and knowledge behind them - develope relationships with patient and clients - practice evidence informed care - maintain continuity of care for patients and family - act ethically at all times - avoid blaming when an error occurs - research patients thourally before initiating care - make a plan / prioritzing care - come to work prepared - use knowledge and critical thinking to guide decsions - practice within scope of practice - seek assistance if needed or unsure