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44 Cards in this Set

  • Front
  • Back

Ethical principles important to the nursing practice

Autonomy, beneficence, justice, nonmaleficence, veracity, fidelity

Autonomy

The individual determines his own course of action, also called self determination

Beneficence

helping others to further their important and legitimate interests.

Justice

Equality in allocation of resources

Nonmaleficence

Do no harm

Veracity

telling the truth

Fidelity

making good on your word.

Examples of ethical delima

Situations related to inform consent, they have no clear solution or resolution

Benchmarking

how you measure yourself against someone similar

Continous quality improvement

will tell you in detail how to achieve your goal

Total quality Management (TQM)

will explain your over all goal BUT NOT how to achieve it.

Internal customers

Anyone who works for the organization

External customers

anyone who doesn't work for the organization including MDs

Sentinal event

Unexpected occurance involving death or serious physical or psychological injury

Utilization review

process of assessing medical necessity

Quality improvement

Ongoing effort of identifying potential errors in processes and systems and improving work an dpreventing errors.

Quality assurance

Identification of errors without the focus on prevention of errors

Evidence based research

Clinical research thati si conducted with the intention of improving clinical practice by providing frameworks and guidelines for safe practice.

Risk Management

Analyzes problems

High Risk Areas in health care

Falls, Refusal of treatment. medication errors, dissatisfaction with care, complications

Goal of dealing with adverse events

Correct/prevent mistakes;ensure pt. safety

concurrent audit

Conducted during course of care

Lean six sigma

Improving process flow and eliminating waste

Six Sigma

Quantitative date to monitor process

Successful risk management

Recognize; follow up, contact, restitution

Reportable incident

any occurrence that does or could have a negative outcome for the patient, family member, or staff member

reason for lawsuits

breakdown in communication

Example of portraying professional confidence

Provide pts and families with the name of person in charge

Retrospective audit

After pts discharge large number of cases reviewed

Health care before quality management

Focusing on failed standards, problem employees

Peer review

Assess and judge co-workers performance

Structure standards

R/T physical environment, organization and management of an organization

Process standards

Connected with the actual delivery of care

Outcome standards

Involve the end results of care that has been given

Indicator

Tool used to measure the performance of structure process and outcome standards

Benchmarking

Compares an organizations data with similar organizations outcome indicators are identified that can be used to compare performance across disciplines or organizations

Quality management

Preventative; ongoing evaluation to improve goods and services

Evidence based practice

Scientific evidence used in clinical decision making

Line authority

linear hierarchy through which activity is directed

Chain of command

hierarchy of authority and responsibility within an organization

Staff authority

Recommendations and advice are offered

Redesign

Examining care delivery systems to provide better health care

Magnet designation

Recognizing healthcare organization that excel

Referent power

Based on admiration and respect for an individual