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18 Cards in this Set

  • Front
  • Back
Patient safety
the avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the processes of health care.
Medical error
the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim.
Adverse event
an injury caused by medical management rather than by the underlying disease or condition of the patient.
Preventable adverse event
an adverse event injury that could have been avoided as a result of an error or system design flaw.
Ameliorable adverse event
an injury whose severity could have been substantially reduced if different actions or procedures had been performed or followed.
Error of omission
a necessary procedure or intervention failed to be performed leading to morbidity or mortality to the patient involved.
unavoidable adverse event
injury that occurs without any possible way that one could know it would occur
Diagnostic error
a diagnosis that is missed, wrong, or delayed, as detected by some subsequent definitive test or finding.
Active errors
errors which occur at the level of the frontline operator, and their effects are felt almost immediately (e.g., slips, lapses, violations).
Latent errors
errors that tend to be removed from the direct control of the operator and include things such as poor design, incorrect installation, faulty maintenance, bad management decisions, and poorly structured organizations.
Human factors
the study of the interrelationships between humans, the tools and equipment they use in the workplace, and the environment in which they work.
Root cause analysis
a method that is used to identify underlying system and organization problems that led to the adverse event or events.
Health care-associated infection (nosocomial infection)
an infection acquired in a health care setting by a patient who was admitted or seen for a reason other than that infection.
Side effects
a known effect, other than that primarily intended, relating to the pharmacological properties of a medication
e.g. opiate analgesia often causes nausea
adverse reaction
unexpected harm arising from a justified action where the correct process was followed for the context in which the event occurred
e.g. an unexpected allergic reaction in a patient taking a medication for the first time
Tort Law
body of civil law by which a person harmed by the actions (perhaps omissions) of another can seek $$ compensation for those injuries
Negligence Law
branch of tort law in which liability (the obligation to pay) is based on the injurer’s failure to exercise reasonable care (i.e., act as a reasonably prudent person would)
Medical malpractice
a subset of negligence law in which physicians who fail to use due care in medical treatment and diagnosis may be held liable for resulting harms