Week 10 Flashcards
How prevalent are hospital errors?
1 in 18 Canadians suffer from preventable hospital errors
What are the challenges to safe nursing care?
- nursing environment (staffing, equipment, etc.)
- teamwork and communication
- nursing perspective and patient perspective on safety
- technology
Why is disclosure important?
- restore trust and improve patient outcomes
- Canadians are supportive of open and transparent disclosure of harm
- the ethical obligation to be open and honest
- so that we can provide support to anyone involved
What are the elements of quality care?
Safe
- pt: “I will not be harmed by the health system-physically, emotionally or otherwise”
- nurse: “The care my patient receives does not cause harm”
Effective
- pt: I receive the right treatment for my condition, and it contributes to improving my health
- nurse: Care provided is based on the best evidence and produces the desired outcome.
Patient centered
- pt: My goals and preferences are respected. My family and I treated with respect and dignity
- nurse: Decisions about my patient’s care reflect the goals and preferences of the patient and his/her family or caregivers
Timely
- pt: I know how long I have to wait to see a doctor or for tests or treatments I need and why. I am confident this wait time is safe and appropriate
- nurse: My patient can receive care within an acceptable time after the need is identified
Efficient
- pt: The care I receive from all practitioners is well coordinated and efforts are not duplicated. The value of my time is respected
- nurse: I deliver care to my patients using available human, physical and financial resources efficiently with no waste to the system
Equitable
- pt: No matter who I am or where I live, I can access services that benefit me. I am fairly treated by the health care system.
- nurse: Every individual receives high-quality care that is fair and appropriate to them, no matter where they live, what they have or who they are.
What are the benefits of accreditation?
- Provides a framework to help create and implement systems and processes that improve operational effectiveness and advance positive health outcomes
- Improves communication and collaboration internally and with external stakeholders
- Strengthens interdisciplinary team effectiveness
- Mitigates the risk of adverse effects
- Sustains improvements in quality and organizational performance
What are characteristics of magnet hospitals
Fewer hierarchical levels-fewer layers of management
More nursing autonomy
More control in decision making
Support from supervisors and co-workers-enabled professional development
Effective leadership-nurses feel trusted and valued
Manageable workload
7% of American Hospitals have magnet status
What are the outcomes of magnet hospitals?
Higher job satisfaction
Less burnout
Lower levels of turnover
Improved quality of care
Lower patient mortality
Less falls and reduced pressure ulcers
