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29 Cards in this Set
- Front
- Back
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safety |
refers to the prevention of health care errors and the elimination or mitigation of patient injury caused by health care errors. |
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elimination or mitigation of patient injury is part of |
definition of safety |
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QSEN
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Quality & Safety Education for Nurses |
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QSEN has how many concepts |
6 |
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QSEN Competency
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Evidence-based Practice Teamwork and Collaboration patient centered care
Quality Improvement Informatics Safety |
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how to Identify patients correctly |
DOB and name eliminates transfusion errors |
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National Patient Safety Goal
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Improve staff communication |
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ie for National Patient Safety Goal |
Improve staff communication Identify patients correctly Use medications safely Reduce the risk of healthcare- associated infections Check patient medications Identify patient safety risks |
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example for Use medications safely |
Label medicationsReduce harm to patients who are taking anticoagulants |
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Levels of Errors |
Adverse event Near miss Sentinel event |
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Unintended harm by an act of the facility not disease |
Adverse event |
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Adverse event is what?
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Unintended harm by an act of commission or omission rather than as a result of disease process |
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Near miss |
Error of commission or omission that could have harmed a patient, but harm did not occur as a result of chance |
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error by an act of the facility not disease that COULD HAVE but did not result in harm |
Near miss |
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Sentinel event |
Unexpected occurrence involving death or serious injury |
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unexpected event happened resulting into serious injury or even death |
Sentinel event |
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scope of error |
latent active |
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categories of errors |
Diagnostic Treatment Preventive Communication |
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blunt error |
latent errors facility organization / system |
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sharp end |
direct patient care active errors |
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Concept Attributes of Safety |
knowledge, skills, attitude |
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any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely |
restrains by definition |
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restraints don't |
not without orders not tight knots not too tight on skin don't tie to anything mobile |
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types of non behavioral restrains |
vest mitts (leather)wrist arms-metalbars at flex part of arm |
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restrains dos |
2fingers have to fit lose knots connect to immobile part of bed |
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when do you chart what? |
every 15minutes for behavior every 2hours for non-behavioral |
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behavior assessment |
chart every 15minutes new dr order every 4hours provider needs to see patient every 4hours |
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non-behavior assessment |
chart every 2hour new dr order every 24hour |
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when do you get a new order and for what |
For behavior every 4 hours for non-behavior every 24 hours |
