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Comprehensive information on patient safety, including definitions of medical errors, six aims for improvement, steps for prevention, and competencies for quality and safety in nursing education. It also covers various types of errors, their causes, and strategies for prevention, as well as the role of the institute for healthcare improvement and the institute of medicine in promoting patient safety.
Typology: Exams
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Patient safety - Correct Answers the prevention of harm to patient medical error - Correct Answers the failure of a planned action to be completed as intended, or the use of a wrong plan to achieve an aim Six Aims for Improvement - Correct Answers Steps for Prevention - Correct Answers 1) Partnership between HCP and patient Teach patient- explain meds that they're being given
human factors - Correct Answers Refers to the study of human behavior, abilities, limitations, and other characteristics as they affect the design and smooth operation of equipment, systems, jobs, and work environment (AHRQ) Skill-based errors - Correct Answers Performing tasks that are so routine and familiar (automatic) that one doesn't even have to think about task when performing it Strategy for Prevention:
known rule- must problem-solve to "figure out" what to do; "I don't know what to do..."
Unexpected Adverse Drug Reaction - Correct Answers Adverse reaction produced by the use of a medication, the nature, severity or outcome of which is not consistent with summary of product characteristics Serious Adverse Drug Reaction - Correct Answers An adverse action which results in death, is life- threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity, or is a congenital anomaly/birth defect Medication error - Correct Answers Any preventable event that may cause or lead to unintended and incorrect medication use or pt. harm while the medication in the control of the HCP or pt. Root Cause Analysis - Correct Answers A structured process for identifying the causal or contributing factors underlying adverse events or other critical incidents; Identify underlying problems that increase the likelihood of errors while avoiding focusing on mistakes by individuals Reporting of Errors - Correct Answers Blame-free, non-punitive reporting systems aimed at
decreasing errors and improving quality care and patient safety Strategies to Eliminate Errors & Unsafe practices - Correct Answers Peer checking Checklists Mnemonics 60 second situational awareness Patient ID using name and DOB Safety enhancing technologies Rank Order of Error Reducing Strategies - Correct Answers Forcing functions and constraints ↓↓↓ Automation and computerization ↓↓↓ Standardization and protocols ↓↓↓ Checklists and double check systems ↓↓↓ Rules and policies ↓↓↓ Education/ information ↓↓↓ "Be more careful" Culture of safety - Correct Answers A commitment to safety that permeates all levels of an organization from front-line personnel to executive management (Institute for Healthcare Improvement);
Purpose is prevention of errors and elimination of unsafe practices; Includes: